Supreme Court Rules 1937—Form 6.15
(see o 86 r 67)
Special case

In the Supreme Court of the Australian Capital Territory
Court of Appeal

ACTCA No		of (year)

Special case from (Judge/Master)
(SC No		of (year))

(name)
Appellant

(name)
Respondent

[Agreed] statement of facts
1
2
3
[etc]

Question[s] to be decided
[next par no]
[etc]

Written case
[if the Supreme Court Rules 1937, o 86 r 67 (3) applies]  The special case is to be presented in writing.

Date:

Signature of *appellant/*respondent/*appellant’s/*respondent’s solicitor:
Address for service:

*Strike out if inapplicable

Endnote
1	This form was originally in the Supreme Court Rules 1937.  Under the Court Procedures Act 2004 A2004-59, pt 8, the form became a form approved under that Act. 

©  Australian Capital Territory 2005