File Number

	ACT CIVIL AND ADMINISTRATIVE TRIBUNAL

APPLICATION FOR A
NEW FENCE DETERMINATION
		
	Common Boundaries Act 1981, section 4(2)		

APPLICANT’S DETAILS	
Name	 
	
Address line 1	
 	
Address line 2	
 	
Telephone	                                                                    Fax:                                       
Email:	
If a corporation:

ACN/ABN

Address of registered officer/public officer		
		
APPLICANT’S REPRESENTATIVES DETAILS (IF ANY)	
Name

Address line 1	
 	
Address line 2	
 	
Telephone	                                                                    Fax:                                       
Email:	
RESPONDENT’S DETAILS	
 Name		
Address line 1		
Address line 2		
If a corporation:

ACN/ABN

Address of registered officer/public officer		
		
Telephone	                                                                    Fax:                                       
Email:	
Details of application
*omit if, or whichever is, inapplicable
1	The applicant occupies land situated at________________________________                        
           
 ,being block_______________, section___________, division 

of___________                                  
            (the applicant’s land).
2	The respondent occupies land situated at___________________, being 

block________, section____________________, division of______________
(the respondent’s land).
3	There is no fence separating the applicant’s land and the respondent’s land. 

4	The proposed fence consists of _____________________________________

*5	The proposed fence follows the boundary of the applicant’s land.

*5	The proposed fence does not follow the boundary of the applicant’s land but a line as follows:

6	The cost of the proposed fence is $ __________________________________

7	On ___________________________, the applicant gave the respondent a notice in writing requesting the respondent to discuss the erection of, and payment for, a fence between the applicant’s land and the respondent’s land.

*8	The respondent has refused to join in the erection of a fence between the respondent’s land and the applicant’s land.

*8	The applicant and respondent have not been able to agree upon the following matters: (set out the matters that cannot be agreed)
Date:

(signature of applicant or applicant’s representative)

(name of applicant or applicant’s representative)