File Number

	ACT CIVIL AND ADMINISTRATIVE TRIBUNAL

CERTIFICATE- REASONABLE PROSPECTS OF SUCCESS
		
	To be used by lawyer where s 188 Civil Law (Wrongs) Act 2002 applies		

		Applicant

 		Respondent

I                                              am providing legal services for the                                  
                                               in this application

I certify that I believe, on the basis of provable facts and a reasonably arguable view of the law, that this application/response/claim* has reasonable prospects of success.

Date:

Signature of Lawyer														

Name of Lawyer	                                 			

*omit whichever does not apply