DT form 4 example - claim acknowledgement from applicant's insurer [pdf, 889 KB]
For more information visit www.justice.govt.nz/tribunals Disputes Tribunal Z Z Z Page 1 For more information visit www.justice.govt.nz/tribunals DT 07/11 - 4 What is this form for? Use this form if you (the applicant) have been, are entitled to be, or have sought to be, indemnified (that is, compensated) by your insurer for any loss caused by or arising out of the act, omission, or event on which your Disputes Tribunal claim is based, and your insurer wishes to waive notice of procee...