Notice of Intention to Speak Māori

(Maori Language Act 1987 – Section 4)

[Note: Do not complete this form if you wish to speak Māori in civil proceedings in the High or District Court. Please complete Form 3A (District Court Rules) or Form 4A (High Court Rules) available from your local court.]

Case name: …………

Case number: ……...

Case officer: ………..

Name of person to speak Māori: ……………………......…………………………

Address: ……………………………................…………….....................…………

Telephone: (hm) .....………..... (wk) ………….………. (cell)…………….................

Role in case: (e.g. party, witness) ………....….. Name of tribe (iwi) ………………..

Please provide the details of a person to contact if we are unable to get hold of you:

………………………………………………………………......……………………..

Telephone: (hm)……………..... (wk) ………….……. (cell)………………………....

Location of hearing: ……………………… Date of hearing: ……………..……….…..

Court of hearing: (Please tick the appropriate box.)

Supreme Court
Court of Appeal
High Court

Criminal

District Court

Criminal
Family
Youth

Disputes Tribunal

Tenancy Tribunal
Māori Land Court
Māori Appellate Court
Environment Court
Waitangi Tribunal
Employment Relations Authority
Human Rights Review Tribunal
Coroners Court
Other (please specify) ……………….

Any additional information you think might assist the court:

……………………………………………………………………………………………………………..

Important: Please take or send this form to the court, as soon as possible and within 10 working days of the scheduled hearing. Failure to do so is likely to delay your case.

The address of your local court can be obtained from your local telephone book (blue pages) or through www.whitepages.co.nz under "Justice, Ministry of" or visit www.justice.govt.nz/contacts/courtaddresses.html