Form 6A—Request for order varying or revForm 6A—Request for order varying or revoking an order about the operation or implementation of a decision

## Form 6A—Request for order varying or revoking an order about the operation or implementation of a decision (regulation 7B) Administrative Appeals Tribunal Request for order varying or revoking an order about the operation or implementation of a decision > Note Subsection 41(3) of the Act provides that if an order is in force under subsection 41(2) of the Act, a party to a proceeding may request an order varying or revoking the order about the operation or implementation of the decision. I am a party to the proceeding described in item 2 that relates to the decision described in item 3, which is subject to the order referred to in item 4 (as varied by the order or orders referred to in item 5). I apply for an order varying or revoking the order referred to in item 4. ```html <table cellspacing="0" cellpadding="0" style="width:365.88pt; border-collapse:collapse"><tbody><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-weight:bold">1. Applicant</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span>Mr/Mrs/Ms/Miss/Other</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">making the request</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span>Family name (surname)</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>(full name)</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span>Given name(s)</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:8pt"></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:8pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span>Telephone</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span>Business: (</span><span> </span><span>)</span><span style="width:11.5pt; display:inline-block"> </span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span>Home: (</span><span> </span><span>)</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span>Your address</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-bottom:2pt"><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span>Postcode</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-bottom:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span>The name, address and telephone number of your representative (if you have one)</span></p></td><td colspan="3" style="width:261.35pt; border:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-size:9pt"></span></p><p><span style="font-size:9pt"></span></p><p><span style="font-size:9pt"></span></p><p><span style="font-size:9pt"></span></p><p style="margin-bottom:2pt"><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span>Postcode</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt; page-break-inside:avoid; page-break-after:avoid"><span style="font-weight:bold">2. Names of the</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:8pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">parties to the</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">proceeding</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-weight:bold">3. Decision</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span>Attach a copy, if possible, or describe decision briefly.</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold"></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold"></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold"></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span>Who made the</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span>Department</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>decision</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span>or other body:</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span>(if copy of decision not attached)</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span>Address:</span></p><p><span></span></p><p style="margin-bottom:2pt"><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span style="width:36pt; display:inline-block"></span><span>Postcode</span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-weight:bold">4. Date of the</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">order about</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">the decision</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-weight:bold">5. Date of any</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">previous order</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">about the</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">decision</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-weight:bold">6. Grounds for</span></p></td><td colspan="3" style="width:261.35pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-weight:bold">request</span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td colspan="3" style="width:261.35pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td style="width:132.3pt; border-top:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td><td style="width:34.55pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td style="width:78.5pt; border-top:0.75pt solid #000000; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span style="font-size:10pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span>Signature</span></p></td><td style="width:132.3pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-size:9pt"></span></p></td><td style="width:34.55pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p style="margin-top:2pt"><span></span><span>Date</span></p></td><td style="width:78.5pt; border-top:0.75pt solid #000000; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p style="margin-top:2pt"><span style="font-size:10pt"></span></p></td></tr><tr><td style="width:88.15pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td style="width:132.3pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:9pt"></span></p></td><td style="width:34.55pt; padding-right:4pt; padding-left:4pt; vertical-align:top"><p><span></span></p></td><td style="width:78.5pt; border-right:0.75pt solid #000000; border-left:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:3.62pt; padding-left:3.62pt; vertical-align:top"><p><span style="font-size:10pt"></span></p></td></tr></tbody></table> ```