[Your name and address]

[Date]

Att: Registrar
NSW Civil and Administrative Tribunal
[address of relevant tribunal registry]

[fax]

Dear Registrar

Re: [name of applicant] v [name of respondent], 
File number [file number]

Please send me a copy of the tribunal's reasons for orders made in the proceedings held at [location of tribunal hearing] on [date of tribunal hearing], pursuant to section 62 of the Civil and Administrative Tribunal Act 2013.

[If more than 28 days after receiving notice of the decision have passed, add the following]

In considering this request, I ask the tribunal to exercise its power under section 41 of the Civil and Administrative Tribunal Act 2013 to extend the period of time within which this request can be made.

[Give reasons for this request]

Yours sincerely

[T Tenant]