Your reference: Our reference: Your firm: Person appearing for your firm: Contact no. of the person appearing: Your e-mail address: Date of appearance: Court/tribunal: State: ACT NSW NT QLD SA TAS VIC WA Suburb: Court: Parties to Proceeding: Name of Magistrate Member Registrar Judge Appearance for other side? Yes No Name(s) of person(s) appearing for other party(s): Report: Orders/directions made: Will your account be for more than one hour? Yes No Please attach any signed consent orders or other relevant documents below: There are no further documents I will fax the documents to 1300 982 639 I will upload the documents with this form
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