Form 5.24	Supreme Court—special case
Court Procedures Rules 2006
(see r 5802 (Question referred to Supreme Court—form))
In the Supreme Court of the Australian Capital Territory
No SCA		of (year)
Special case from (referring court or tribunal)
No 		of (year)
(name)
Initiating party

(name)
Other active *[party/parties]

Question to be decided
(state the question(s) to be decided)
Statement of facts
(briefly state the facts necessary to allow the Court to decide the question(s) raised)
Documents
The following documents are attached:
(attach all documents necessary to allow the Court to decide the question(s) raised)
(if r 5802 (3) applies)
*[Written case
The special case is to be presented in writing.]
Initiating party’s address for service of documents
(set out initiating party’s address for service)
(if represented by a solicitor the following information may be given)
*Document exchange box no:
(if postal address different from address for service)
*Postal address:
*Fax:
*Email address:
Other active party’s address for service of documents
(set out each other active party’s address for service)
(if represented by a solicitor the following information may be given)
*Document exchange box no:
(if postal address different from address for service)
*Postal address:
*Fax:
*Email address:

Date:
(signature of initiating party/initiating party’s solicitor)
(name of initiating party/initiating party’s solicitor)

*omit if, or whichever is, inapplicable