Form 6.33	Application for leave to intervene
Court Procedures Rules 2006
(see r 6040 (Human rights commissioner—application for leave to intervene))
Human Rights Act 2004
(see s 36 (Human rights commissioner may intervene))

In the Supreme Court of the Australian Capital Territory
*[Criminal jurisdiction] 

No *[SC/CC]			of (year)

*(for a civil matter)
(name)
Plaintiff

(name)
Defendant

*(for a criminal matter)
*[The Queen]
and
(name of accused person)

Take notice that the Court will hear an application by the human rights commissioner on (date), at (time) (or as soon after that as this application can be heard), to make the following orders:
1	the human rights commissioner be granted leave to intervene in a proceeding under the Human Rights Act 2004, section 36; 
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 set out the reasons why leave should be given and must be filed with the application and served on each active party to the proceeding (see r 6040).) 

Date:

(signature of human rights commissioner or solicitor)
human rights commissioner

*omit if, or whichever is, inapplicable