VICTORIAN CIVIL AND ADMINISTRATIVE TRIBUNAL
CIVIL DIVISION
RETAIL TENANCIES LIST
VCAT Reference: [state number of action]
APPLICANT:
[Who is the Applicant named in the original application?]
RESPONDENT:
[Who is the Respondent named in the original application?]
POINTS OF CLAIM
Date of Document
Filed by
Prepared by:
[name of Applicant if self represented or
name of Applicant’s representative]
[Address of Applicant or representative]
[What is the date of this document?]
Applicant
[Phone number]
[Facsimile number]
[email address]
[Contact person]
1.
[Who is the Applicant? For example, are you a Landlord or Tenant?]
2.
[Who is the Respondent? For example, is it the Landlord, Tenant or a party
that guaranteed the tenant’s obligations under the lease, etc.?]
3.
[What is the legal relationship between the Applicant and the Respondent?
For example, is (or was) there a lease agreement between the parties? If so,
what are the details of that agreement; i.e., date of agreement, document/s
comprising the agreement?]
4.
[What are the relevant background facts in date order?]
5.
[What was the Respondent required to do? For example, pay rent; keep the
retail premises in structurally sound condition, guarantee the obligations of
the tenant, etc.]
6.
[What has the Respondent not done?]
7.
[What loss or damage has been suffered by the Applicant as a result of the
Respondent failing to do what it was required to do? For example, loss of
rent, interference with use of retail premises, etc. If an amount of money is
being claimed, state what that amount is and how it is calculated or derived.]
AND THE APPLICANT CLAIMS:
A.
[What is being claimed in the proceeding? For example, is it an amount of
money, an order for possession or something else? If an amount of money is
being claimed, state what that amount is.]
B.
[Is anything else being claimed? For example, interest, costs, etc.]