AAT case/review number		
		
Between:		
	Applicant	
and		
	Respondent/Other Party	
To:	Name		
		
Address	

YOU ARE REQUIRED to appear before the Administrative Appeals Tribunal to give evidence at:	
Time:		AM / PM	Date:		
			
Place:

	
and on each subsequent day of the hearing of this proceeding until you are excused or released. 	
Note:  A person summoned to appear before the Tribunal to give evidence is entitled to be paid fees, and allowances for expenses, in accordance with the Administrative Appeals Tribunal Regulation 2015.	
Member/Officer:		
Date issued:		
	(Tribunal use only)	
This summons has been issued by the Tribunal [at the request of the Applicant / Respondent / Other Party]	
	                                (delete whichever is not relevant)	
If you require further information, please contact:	
Firm/Agency:		
Contact person:		Telephone:		
Email: