Justices Act 1902 Local Court Rule 2000 Forms (2001-14) [GG No 20 of 19.1.2001, p 148] (NSW)

2001 No 14

Local Court Rule 2000—Forms	New South Wales
under the
Justices Act 1902

In accordance with clause 5 of the Local Court Rule 2000, I have approved the following forms for use in proceedings in a Local Court to which the Local Court Rule 2000 applies.

Dated 11th January 2001.

PATRICIA J. STAUNTON, A.M.,

Chief Magistrate

List of approved Forms

Form 1	Notice of application to set aside subpoena
Form 2	Order for substituted service of a subpoena
Form 3	Application for substituted service of a subpoena
Form 4	Application that declaration as a habitual traffic offender be quashed
Form 5	Application for access order
Form 6	Application to vary or revoke an access order
Form 7	Application for order for compensation in relation to access order
Published in Gazette No 20 of 19 January 2001, page 148	Page 1
[12]
2001 No 14
Form 1	Local Court Rule 2000—Forms
Approved forms

Approved forms

Form 1 Notice of application to set aside subpoena

(Clause 8, Local Court Rule 2000)

(Justices Act 1902, section 100AL)

Applicant:	(name of applicant)
Address:	(address of applicant)
Respondent:	(name of respondent)
Party to whom issued:	(name)
Date Subpoena issued:	(date)
Issuing Party:	(name)
In proceedings between:	(names of parties to the proceedings)
Date Subpoena returnable:	(date for attendance or production of documents indicated on subpoena)
Place of hearing:	(name and address of court)
Offence:	(short description of offence)

Case No: (case reference number) I give notice that I apply under section 100AL of the Justices Act 1902 for the above subpoena to be set aside in part/wholly.

I rely on the following grounds:
(state grounds on which application made)

This application will be heard at the place and time at which the subpoena is returnable unless otherwise advised by the Local Court.

Dated at (place) this (date)

Applicant:	(name of applicant)
Address:	(address of applicant)

2001 No 14

Local Court Rule 2000—Forms	Form 1
Approved forms
To: *Respondent *Local Court

Form 2 Order for substituted service of a subpoena

(Clause 11 (1), Local Court Rule 2000)

(Justices Act 1902, section 100AP (3) and (4))

Applicant:	(name of applicant)
Address:	(address of applicant)
Respondent:	(name of respondent)
To whom issued:	(name)
Date Subpoena issued:	(date)
Issuing party:	(name)
In proceedings between:	(name of parties to the proceedings)
Date Subpoena returnable:	(date for attendance or production of documents indicated on subpoena)
Place of hearing:	(name and address of court)
Offence:	(short description of offence)
Case No:	(case reference number)
The application is granted/not granted Subpoena is to be served in the following manner:
(state manner in which substituted service is to be effected)

A copy of this Order for Substituted Service is to be served with the Subpoena

Clerk of the Local Court

2001 No 14

Form 2	Local Court Rule 2000—Forms
Approved forms
Date: (date) At: (place)
Form 3	Application for substituted service of a subpoena

(Clause 11 (2) (b), Local Court Rule 2000)

(Justices Act 1902, section 100AP (3) and (4))

Applicant:	(name of applicant)
Address:	(address of applicant)
Respondent:	(name of respondent)
Party to whom issued:	(name)
Date Subpoena issued:	(date)
Issuing party:	(name)
In proceedings between:	(name of parties to the proceedings)
Date Subpoena returnable:	(date for attendance or production of documents indicated on subpoena)
Place of hearing:	(name and address of court)
Offence:	(short description of offence)

Case No: (case reference number) I apply to the Local Court for an order that service of the subpoena issued to (name

of person) dated (date) returnable (date) be effected in the following manner:

(state the manner in which substituted service to be effected)

I rely on the following grounds:

(state grounds upon which application made)

Dated at (place) this (date)

2001 No 14

Local Court Rule 2000—Forms	Form 3
Approved forms
Applicant:	(name of applicant)
Address:	(address of applicant)
To: Clerk, Local Court at (place)
Application granted/not granted
Subpoena is to be served in the following manner:
(state manner in which substituted service is to be effected)

Copy of Order for Substituted Service (Form 3) is to be served with the Subpoena

Clerk of the Local Court

Date: (date)

Form 4 Application that declaration as a habitual traffic

offender be quashed (Clause 12, Local Court Rule 2000)

(Road Transport (General) Act 1999, section 31)

Name of applicant:

Residential address:

Postal address:	(only complete if different to residential address)
Date of birth:
Licence number:
Particulars of relevant offences:

(Either list the three or more relevant offences (including dates and places of conviction) or
attach copy of letter from the Roads and Traffic Authority)

2001 No 14

Form 4	Local Court Rule 2000—Forms
Approved forms

I make application that the declaration having effect on (date on which section 28 of

Act had effect ) that I am a habitual traffic offender be quashed:

____________________

Applicant

Date:

Fee paid on Receipt number

________________________________________________________________

Notice of hearing

This application has been listed for hearing at the Local Court
At:
Date:

Time:

Clerk of the Local Court
Date:
To:
1 Applicant

2     Roads and Traffic Authority

Note.

a relevant offence (at the time of conviction or at a later time). Accordingly the application is to be listed before the Court that has convicted the person of the most recent relevant offence, ie, the offence which gave rise to the declaration as a habitual traffic offender.

2001 No 14

Local Court Rule 2000—Forms	Form 5
Approved forms
Form 5 Application for access order

(Clause 14 (a), Local Court Rule 2000)

(Access to Neighbouring Land Act 2000, section 10)

Applicant:	(name of applicant)
Address:	(address of applicant)
Respondent 1 (Owner of land):	(name of respondent)
Respondent 2 (Occupier/Other person affected by order):	(name)

1     Application is made to the Local Court at for a neighbouring land access order and/or a utility service access order in relation to premises located at:

for the purpose of carrying out the following work in connection with the land:

2     The order sought is as follows:

3     The applicant states that reasonable efforts have been made to reach agreement with every person whose consent to access is required as to the access and carrying out of the work. The details of the effort to reach agreement are as follows:

4     The applicant seeks orders of substituted service or waiver of the notice or variation of the period of notice as follows:

Applicant:
Dated:
________________________________________________________________

2001 No 14

Form 5	Local Court Rule 2000—Forms
Approved forms
Notice of hearing

This application has been listed for hearing at the Local Court
At:
Date:

Time:

Clerk of the Local Court
Date:
To:
1 Applicant

2     Respondent 1

3     Respondent 2

Form 6 Application to vary or revoke an access order

(Clause 14 (b), Local Court Rule 2000)

(Access to Neighbouring Land Act 2000, section 24)

Applicant:	(name of applicant)
Address:	(address of applicant)
Respondent 1 (Owner of land):	(name of respondent)
Address:	(address of respondent)
Respondent 2 (Occupier/Other person affected by order):	(name)
Address:	(address of respondent)
Local Court at:

2001 No 14

Local Court Rule 2000—Forms	Form 6
Approved forms

Application is made to the Court to revoke/vary the neighbouring land access order
and/or utility service access order made in relation to premises located at:

(state address of premises)

The order was made by the Local Court at on .

The grounds on which this application is made are as follows: (state grounds)

Variation of Orders sought:

Applicant:
Dated:

________________________________________________________________

Notice of hearing

This application has been listed for hearing at the Local Court
At:
Date:

Time:

Clerk of the Local Court
Date:
To:
1 Applicant

2     Respondent 1

3     Respondent 2

2001 No 14

Form 7	Local Court Rule 2000—Forms
Approved forms
Form 7	Application for order for compensation in relation to access order(Clause 14 (c), Local Court Rule 2000)

(Access to Neighbouring Land Act 2000, section 26)

Applicant:	(name of applicant)
Address:	(address of applicant)
Respondent 1 (Owner of land):	(name of respondent)
Address:	(address of respondent)
Respondent 2 (Occupier/Other person affected by order):	(name)
Address:	(address of respondent)

Local Court at: neighbouring land access order and/or a utility service access order made in relation to premises located at:

The order was made by the Local Court at on .

The grounds on which this application is made are as follows: (state grounds)

The applicant claims the amount of $ by way of compensation for loss,
damage, or injury arising from the access.
Applicant:
Dated:
________________________________________________________________

2001 No 14

Local Court Rule 2000—Forms	Form 7
Approved forms
Notice of hearing
This application has been listed for hearing at the Local Court At: Date: Time:
Clerk of the Local Court Date: To: 1 Applicant

2     Respondent 1

3     Respondent 2

BY AUTHORITY