In the Supreme Court of New Zealand I Te Kōti Mana Nui
To the Registrar of the Supreme Court
I, [full name], the Solicitor-General, give you notice that I apply for the leave of the Supreme Court to refer the following question(s) of law to the Supreme Court [set out the question or questions of law and state particulars of the appeal in the Court of Appeal in which the question or questions of law arose].
1
What are the grounds on which you make the application?
2
Why should the Supreme Court give leave for the proposed reference?
3
What should the answer to the question(s) of law be? In addition, briefly set out the grounds for that answer or those answers.
4
What else do you wish the Supreme Court to do in addition to answering the question(s) of law?
5
You have 60 working days from the date of the determination by the Court of Appeal to make the application for leave. The Court may extend this time. If this application is out of time, what are your reasons for saying that the Court should nevertheless extend the time and consider your application?
Dated this [date] day of [month] [year]:
Signature of Solicitor-General: