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  1. Form 39 ACC legal aid Fixed Fee [pdf, 578 KB]

    Templates V12 – August 2017 page 1 08/17 form 39 Amendment to Grant ACC Fixed Fee Plus Legal aid file no. Lead provider’s ref. Name of aided person Name of lead provider Name of law firm Applicable fee schedule(s) Amendment sought: To replace fixed fee (start at A below) For disbursement requiring prior approval (start at B below) Amendment criteria A. Please tick the criteria that best describe the reason(s) for this amendment...

  2. Form 43 Victims Orders against Violent Offenders [pdf, 585 KB]

    Templates V12 – August 2017 page 1 08/17 form 43 Amendment to Grant Victims' Orders against Violent Offenders – Applicant and Respondents Fixed Fee/Fixed Fee Plus Legal aid file no. Lead provider’s ref. Name of aided person Name of lead provider Name of law firm Applicable fee schedule(s) Amendment sought: To replace fixed fee (start at A below) For additional work required when fixed fee has already been claimed (sta...

  3. Form-20_Civil_non-Fixed.pdf [pdf, 188 KB]

    Version 21 – October 2023 page 1 Use this form to claim for any Civil matter other than Family, Waitangi and fixed fee proceedings. To: Legal Aid, DX Box Number City Customer Lead provider Law firm Details of claim Forum category 1 2 3 4 Type of proceedings this invoice covers: Covers period from: to Interim invoice Final invoice Lead Provider Listed Provider B Provider name or numbe...

  4. ARLA - Form 9 On licence premises that are not a conveyance [docx, 15 KB]

    INDICATIVE FORM FOR TERRITORIAL AUTHORITY GUIDANCE ONLY Form 9 On-licence (premises that are not a conveyance) Sections 14 to 16, and 64, Sale and Supply of Alcohol Act 2012 Pursuant to the Sale and Supply of Alcohol Act 2012 ( the Act), [full legal name] (the licensee) is authorised to sell and supply alcohol on the premises situated at [number, street, and town] and known as [trading name of premises], to any person for consumption on the premises and to let people consume alcohol there. En...

  5. Canterbury Earthquakes Insurance Tribunal Response Form [pdf, 217 KB]

    ...and notices from the Tribunal by email? * (tick one) Yes, my email address for service is: No, please send to the postal address for service below: Postal address for service* Canterbury Earthquakes Insurance Tribunal Response Form Case Title CEIT Case Number Important information 1. Use this form if you are a named respondent in a claim to the Canterbury Earthquakes Insurance Tribunal, or you have been added as a third party respondent a...

  6. Form 26 Fixed Fees H-I [pdf, 269 KB]

    Templates V12 – August 2017 page 1 08/17 form 26 Legal aid file no. Tax Invoice Criminal Legal Aid Fixed Fees Schedules H & I Invoice date Invoice number GST number Lead provider’s ref. Charges/CRNs To: Legal Aid, DX Box Number City Name of aided person Name of lead provider Name of law firm Provider number Firm number Court type Court of Appeal Supreme Court Court location Details of claim...

  7. Form 20 Civil non-Fixed [pdf, 188 KB]

    Version 19 – September 2022 page 1 Use this form to claim for any Civil matter other than Family, Waitangi and fixed fee proceedings. To: Legal Aid, DX Box Number City Customer Lead provider Law firm Details of claim Forum category 1 2 3 4 Type of proceedings this invoice covers: Covers period from: to Interim invoice Final invoice Lead Provider Listed Provider B Provider name or num...

  8. Form 26 Fixed Fees H-I [pdf, 421 KB]

    Templates V12 – August 2017 page 1 08/17 form 26 Legal aid file no. Tax Invoice Criminal Legal Aid Fixed Fees Schedules H & I Invoice date Invoice number GST number Lead provider’s ref. Charges/CRNs To: Legal Aid, DX Box Number City Name of aided person Name of lead provider Name of law firm Provider number Firm number Court type Court of Appeal Supreme Court Court location Details of claim...

  9. Form 79 Response to Third Party Claim [pdf, 203 KB]

    Form 79 Ministry of Justice Collections Unit   www.justice.govt.nz/f ines/civil-debt 0800 658 952 Notice to registrar: response to third party claim Court reference number Agent reference number This notice relates to the court case between (Full name of judgment creditor(s))  and (Full name of judgment debtor)  To a registrar of a District Court This document notifies you that: Select one of the following: I accept (Name of third party’s)  claim to ownership of the follow...

  10. PSPLA - Details of employed certificate holders form [xls, 27 KB]

    ...cancelled. Certification Are there any changes to the details of certificate holders employed by you? (Y or N) The certificate holder consents to the Ministry of Justice undertaking a check on any offences the certificate holder has been convicted of, using the information contained in this application. Enter 'Yes" or 'No' I certify that the above particulars are true and correct. Enter 'Yes" or 'No' E X A M P L E...