South Australian Employment Tribunal

Form P03 – Affidavit

Form P03

Affidavit

Case Number

This is a form for swearing an affidavit in the South Australian Employment Tribunal.

PARTIES

Applicant
Respondent
Other Party

Oath or affirmation

I, (name)
Of (address)

do solemnly and sincerely declare and affirm OR make oath to say (attach additional pages if required):

Sworn / Affirmed:

Before me (role) / ☐ Justice of the Peace ☐ Commissioner for taking affidavits
(name)
At (address)
On (date)
Signature

LODGING YOUR COMPLETED FORM

The person lodging this form must send a copy to all other party/ies.

Name of person lodging
Signature
Date

Please lodge this form, together with any accompanying documents, with the South Australian Employment Tribunal:

Email:
Post: PO Box 3636, Rundle Mall, SA, 5000
In person: Level 6, Riverside Centre, North Terrace, Adelaide, 5000

PLEASE RETAIN A COPY OF THIS FORM FOR YOUR OWN RECORDS

www.saet.sa.gov.au

SAET Registry: 08 8207 0999