Form 6.25	Trans-Tasman proceedings—originating application for order for interim relief
Court Procedures Rules 2006
(see r 6863 (1) (Trans-Tasman proceedings—application for interim relief))

In the *[Supreme/Magistrates/Coroner’s] Court of the Australian Capital Territory
No *[SC/MC/CC]	of (year)
Trans-Tasman Proceedings Act 2010 (Cwlth), section 25

*(name)
Plaintiff

*(name)
Defendant
*(delete this section if no defendant)

*To: (name of defendant) of (address)
*And to: (name and address of anyone else the court directs to be served)
Take notice that the Court will hear an application by (party) on (date) at (time) (or as soon after that as this application can be heard) to make the following orders:
1	(set out briefly the interim relief sought under the Trans-Tasman Proceedings Act 2010 (Cwlth));
2	any other orders that the Court considers appropriate.

Grounds of application
The orders are sought on the grounds stated in the affidavit of (name) *[sworn/affirmed] on (date).
(The affidavit must state—
(a)	if the person has started a proceeding in a New Zealand court—
(i)	that the person has started a proceeding in a New Zealand court; and
(ii)	the relief sought in the New Zealand proceeding; and
(iii)	the steps taken in the New Zealand proceeding; or
(b)	if the person intends to start a proceeding in the New Zealand court—
(i)	when the intended proceeding will be started; and
(ii)	the court in which the intended proceeding is to be started; and
(iii)	the relief to be sought in the intended proceeding; and
(c)	the interim relief sought; and
(d)	why the interim relief should be given.)
(The affidavit must be filed and a stamped copy served at the defendant’s address for service before the hearing date.)
Plaintiff
(if the plaintiff is an individual)
Full name:
*[Home/Business] address:
(if the plaintiff is a corporation)
Name:
(if the corporation is a company or a registered body within the meaning of the Corporations Act 2001 (Cwlth))
*[Australian Company Number/Australian Registered Body Number]:
Type of body:
Address of *[registered office/public officer]:
*Representative capacity in which plaintiff sues:
*(if the plaintiff is represented by a solicitor)
Solicitor’s full name:
(if the solicitor practises in a firm of solicitors)
*Solicitor’s firm:
Solicitor’s full business address:
Solicitor’s telephone no:
*Name, address and telephone no of solicitor’s agent:
Address for service of documents
(set out plaintiff’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:

*Defendant
*Representative capacity in which defendant is sued:

Date:

(signature of plaintiff or plaintiff’s solicitor)
(name of plaintiff or plaintiff’s solicitor)

*omit if, or whichever is, inapplicable

Notice to defendant
Before taking any further steps in this proceeding, you must file a notice of intention to respond in the Court.
If you do not attend the Court at the time this originating application is listed for hearing, either in person or by a lawyer—
•	this application may be heard in your absence; or
•	default judgment may be entered, or an order made, against you.