Magistrates Court (Civil Jurisdiction) Rules 2004—Form 4
(see s 22 (3))
Notice of application (to commence proceedings)
The applicant will at (time) on	                                 20    at
move the court for orders that—
(state concisely the nature of each order sought)
(or)
appeal to the court against
(state particulars of the decision appealed against sufficient to identify it)
upon the grounds that
(or upon the grounds set forth in the affidavit of A.B. sworn and filed herein)

To:  (name each person affected by any order sought)
(or It is not intended to serve this notice on any person)

Endnotes
1	This form was originally in the Magistrates Court (Civil Jurisdiction) Act 1982 (the authorising Act), schedule 1.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the authorising Act and became a form approved under section 471 of that Act (see amdt 1.2791, amdt 1.2793).
2	Under the Court Procedures Act 2004 A2004-59, pt 8, this form became a form approved under that Act.
3	This republication includes amendments made under the Legislation Act, part 11.3 (Editorial changes).

©  Australian Capital Territory 2005