Forms
Schedule 3 Forms
[r. 4A(1) and 5A(1)]
[Heading amended: Gazette 14 Jun 2016 p. 1900; SL 2024/261 r. 8(1); SL 2026/201 r. 7(1).]
Form 1 | |||
Declaration that a person is a small business or a non‑profit association | |||
In the District Court of Western Australia | No. of 2 | ||
Plaintiff: ........................................................................................................ | |||
Defendant: ........................................................................................................ | |||
Applicant: | ........................................................................................... Full name | ||
........................................................................................... Address | |||
........................................................................................... Name of small business | |||
........................................................................................... Position held by applicant in the small business | |||
I declare that the person in respect of which the application is made is a small business 1 or a non‑profit association 2 within the meaning of that term in the District Court (Fees) Regulations 2002. | |||
Signature of applicant: | |||
Date: | |||
Note: A person who makes a statement or representation in this application that the person knows or has reason to believe is false or misleading in a material particular commits an offence under the District Court (Fees) Regulations 2002 regulation 8B(1). | |||
1 Under the District Court (Fees) Regulations 2002 regulation 3 a small business is — a business undertaking that is wholly owned and operated by an individual or individuals in partnership and has less than 20 full‑time equivalent employees and partners; a corporation that has less than 20 full‑time equivalent employees and that is not a subsidiary of a corporation that has 20 or more full‑time equivalent employees; | |||
a co‑operative as defined in the Co‑operatives Act 2009 that has less than 20 full‑time equivalent employees and that is not a subsidiary of another co‑operative or corporation that has 20 or more full‑time equivalent employees; or a corporation within the meaning of the Statutory Corporations (Liability of Directors) Act 1996 that has less than 20 full‑time equivalent employees and that is not a body that would be a subsidiary, if the corporation were a corporation to which the Corporations Act 2001 (Commonwealth) applies, of a corporation within the meaning of the Corporations Act 2001 (Commonwealth) or the Statutory Corporations (Liability of Directors) Act 1996 that has 20 or more full‑time equivalent employees. | |||
2 Under the District Court (Fees) Regulations 2002 regulation 3 a non‑profit association is a society, club, institution, or body that is not for the purpose of trading or securing pecuniary profit for its members from its transactions. | |||
[Form 1 amended: Gazette 30 Dec 2003 p. 5707‑8; 14 Jun 2016 p. 1900.]
[Form 2 deleted: SL 2026/201 r. 7(2).]
Form 3 Application for determination of dispute about fees | |||
In the District Court of Western Australia | No. of 20 | ||
Plaintiff: ........................................................................................................ | |||
Defendant: ........................................................................................................ | |||
Application: | To the Principal Registrar for a determination under s. 89A(3) of the District Court of Western Australia Act 1969 of a question regarding fees. | ||
Applicant: | ........................................................................................... | ||
........................................................................................... | |||
........................................... | ........................................... | ||
Disputed fee: | The disputed fee is for ...................................................... ........................................................................................... ........................................................................................... | ||
Payable under the District Court (Fees) Regulations 2002 Schedule 1 item ................................... | |||
I dispute — ❑ that the fee is payable ❑ the amount of the fee ❑ other [give details] ....................................................... ................................................................................. | |||
I dispute the fee because .................................................................................... ............................................................................................................................ ............................................................................................................................ ............................................................................................................................ | |||
Signature of applicant: | |||
Date: | / /20 | ||
[Form 3 inserted: Gazette 28 Apr 2005 p. 1757.]
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