Western Australian Consolidated Regulations

CHILDREN'S COURT (FEES) REGULATIONS 2005 - SCHEDULE 2

[r. 8(6), 10(2)]

1.         Application to remit fees

Form 1 Children’s Court (Fees) Regulations 2005 (Regulation 8) Application to remit fees
Children’s Court of Western Australia			No.         of  2
Applicant:	........................................................................................ Full name
	........................................................................................ Address
	........................................... Date of birth				...................................... MDL No.
The following reason is the reason 1 for applying to have the above fee waived/ reduced/ refunded/ deferred*. ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... 1         The reasons available are financial hardship or that it is in the interests of justice to do so. *         Strike out those that are not applicable.
If the reason is that it is in the interests of justice to do so, why is that so? ..................................................................................................................... ..................................................................................................................... ..................................................................................................................... ......................................................................................................................
If the reason is financial hardship the information required in the following part of this form must be provided by the applicant.
I am employed as a ................................  by ............................................... Their business address is ...............................................................................
I am unemployed/ a pensioner* and registered with the Department of Social Security at ..........................................................................................
I am single/ married/ separated.*
I have/ do not have* a dependant wife/ husband/de facto partner* and .............. dependant children.
My weekly/ fortnightly* income and expenditure is as follows (in whole dollars) —
Income			Expenditure
Wage/salary/benefit (net)			Rent/board			$
Self		$	Mortgage payment			$
Spouse		$	Maintenance for dependants			$
De facto partner		$	Food			$
Total		$	Electricity/gas			$
Money in bank or other financial institution			Telephone			$
Self		$	Water			$
Spouse		$	Rates and taxes			$
De facto partner		$	Court orders			$
Total		$	Lease or other (give details)			$
Income from investments		$	Other debts owing (give details)			$
Other income		$
Money owed to me		$
TOTAL			TOTAL
ASSETS			VALUE $
My assets and liabilities are as follows —
House or other real property (give addresses)
................................................................................................ ................................................................................................						.............. ..............
TOTAL
Motor vehicles (car, utility, motor cycle, truck, etc.)
Make and model				Reg. No.
TOTAL
Home contents
Television				yes / no
Video recorder				yes / no
Stereo system				yes / no
Furniture				yes / no
Dishwasher				yes / no
Microwave oven				yes / no
Collection of coins, stamps, etc.
Other collectables
Interest in business or company
Other assets
TOTAL
LIABILITIES
Mortgage to ....................................................... for $
Other to ............................................................. for $
Time to pay order ............................................. for $
TOTAL
Signature of applicant:
Date:
*         Strike out words that are not applicable. Note:         It is an offence under the Children’s Court (Fees) Regulations 2005 regulation 8(10) for a person to make a statement or representation in this application that the person knows or has reason to believe is false or misleading in a material particular. The maximum fine is $1 000.

2.         Application for determination of dispute about fees

Form 2 Application for determination of dispute about fees
In the Children’s Court of Western Australia		No. ............ of.............20..........
Applicant:         ................................................................................................
Respondent: ..............................................................................................
Application:	To a registrar for a determination under the Children’s Court (Fees) Regulations 2005 regulation 10(1) of a question regarding fees.
Applicant:	...................................................................................... Full name
	...................................................................................... Address
	........................................... Date of birth		...................................... MDL No.
Disputed fee:	The disputed fee is for ................................................. ...................................................................................... ......................................................................................
	Payable under the Children’s Court (Fees) Regulations 2005 Schedule 1 Division 1/2/3* 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......
*         Strike out numbers that are not applicable.

        [Form 2 amended in Gazette 11 Mar 2008 p. 817.]