File Number

RV            /
	ACT CIVIL AND ADMINISTRATIVE TRIBUNAL

APPLICATION – 
RETIREMENT VILLAGES ACT 2012		
			
APPLICANT’S DETAILS (see note 2 for who can file an application)	
Name	 	
Status 
(circle what you are)	
Operator                                      Resident                                     Relative

Residents Committee               

Other ............................................................................... (please specify)	
Address line 1	
 	
Address line 2	

Telephone:

	Fax:    
                                   
Email:	
APPLICANT’S REPRESENTATIVES DETAILS (IF ANY) (see note 3 for who can represent the applicant)	
Name

Address line 1	
 	
Address line 2	
 	
Telephone	                                                                    Fax:                                       
Email:	
RESPONDENT’S DETAILS (see note 4 for who can be a respondent.  If there is more than one respondent attach a list of respondents to the application form.)	
Name	 	
Status 
(circle what the respondent is )	
Operator                                      Resident                                     Relative

Residents Committee               

Other ............................................................................... (please specify)	
Address line 1	
 	
Address line 2	

Telephone:
	
Fax:     
                                  
Email:
	
ATTACHMENTS 	(you should attach a copy of any documents that are relevant to your application eg. village rules, resolutions, minutes, notices, etc) 	

(list attachments)

	

What Orders or Declarations do you seek (set out each order and for each order refer to the section of the Retirement Villages Act 2012 under which the order is to be made, eg. s.181.  If there is not enough room attach a list of orders to the application form.) 	

	

	

	

Short reasons for your application (Provide a summary only.  You may attach a more detailed statement to the application form if you wish.)

	

	

	

	

	

	

	

	

Applicant’s signature		Date		
APPLICATIONS UNDER THE RETIREMENT VILLAGES ACT 2012 

1.	 When should I use this application form?
This application form should only be used if you want the ACAT to make orders under the Retirement Villages Act 2012 (RV Act).   A copy of the RV Act can be found on the Legislation Register at www.legislation.act.gov.au.  

Sometimes a dispute relating to a retirement village should be dealt with under other legislation, for example the Residential Tenancies Act 1997 or Unit Titles (Management) Act 2011.  If you are not sure what law applies to your dispute please first contact the Office of Regulatory Services (ORS) by telephone (6207 0400) for information or see the information on the ORS website: www.ors.act.gov.au/community/

For assistance in completing and filing the application form or more information on procedure contact ACAT:
Registry: 	Level 4, 1 Moore Street Canberra City
Postal:		GPO Box 370, Canberra ACT 2601
Telephone: 	6207 1740
Website: 	www.acat.act.gov.au.
Please note that the tribunal cannot give legal advice
2.	Applicant’s details
The RV Act sets out who may file an application for certain sorts of orders.  Before you file your application you should check the RV Act to confirm that you are entitled to be the applicant.  If you are not sure you should seek legal advice or assistance, or contact the ACAT.

3.	Applicant’s representative
If the applicant is represented by someone who is not a lawyer, then written authorisation in accordance with the ACAT’s procedural directions is required.  If the application form is signed by the representative this authorisation should be provided when the application is filed.  
If the applicant is an individual, a power of attorney is sufficient authorisation.  If the applicant is a corporation then a power of attorney or affidavit of corporate representative is required.
4.	Respondent’s details
The RV Act sets out who are the parties to different sorts of disputes, so it is important that you check that you have named the correct respondent before you file your application.  If you are not sure, you should seek legal advice or assistance or you should contact the ACAT.
5.	Orders sought
The RV Act specifies the kinds of orders that can be made by the ACAT for different kinds of disputes.  You should check the RV Act before filing your application to ensure that the orders you are seeking are orders that the ACAT can make in relation to your matter.  You should refer to the relevant sections of the RV Act in this part of your application.
6.	Filing and service of the application
Applications may be lodged in person at the ACAT registry with the required fee between the hours of 9:00 am and 4:00pm at the ACAT, or by mail.  The ACAT will arrange service of the application upon the respondent.  If you have any questions about service or the legal process following filing of the application you should contact the ACAT.