RT 0042 ReqInspGoodsLeftBehind by deafeningbuzz


									Consumer Affairs Victoria                                                                              Office use only
                                                                                                        File no.
Request for Inspection of Goods Left Behind                                                             Officer

1. Landlord’s details                                                       5. Reasons why you believe the tenancy is terminated
    Name of landlord                                                             Date tenant/resident vacated                 /        /
                                                                                 the property?
                                                                                 Has an order of Possession been obtained from the
    Address                                                                      Victorian Civil and Administrative Tribunal?
                                                                                 No               Yes              Date       /        /

                                                                                 Has a Declaration of Abandonment been obtained from the
                                                                                 Victorian Civil and Administrative Tribunal?
                                                                                 No               Yes              Date       /        /
    Business telephone number           Mobile telephone number
                                                                                 Has the tenant/resident returned the keys?
                                                                                 No               Yes              Date       /        /
2. Agent’s details (if applicable)
    Name of agency                                                               Has a notice to vacate been served on the tenant/resident
                                                                                 by the landlord/agent?
                                                                                 No             Yes       Date           /         /
    Name of agent’s representative
                                                                                 Has the tenant/resident served a notice to vacate?
                                                                                 No               Yes              Date       /        /
    Business address
                                                                                 Other reasons why you believe the tenancy is terminated

    Business telephone number           Mobile telephone number

                                                                            6. Contacting the tenant
                                                                                 What steps have you taken to contact the tenant/resident
3. Tenant’s details                                                              (or tenant’s/resident’s relatives, friends or representative)
    Name of tenant(s)/resident(s)                                                regarding the collection of the goods?
                                                                                  Details (including
                                                                                  dates of contact)

    Address of tenant/resident (if known)

    Home telephone number               Business telephone number
                                                                            7. Signature of person requesting this inspection

    Mobile telephone number
                                                                                 Printed name

4. Address of former rented premises where goods left
                                                                                           /           /

                                                                            8. How to lodge this form
                                                                                 Post to: Consumer Affairs Victoria GPO Box 123 Melbourne 3001
                                               Postcode                          OR Fax to: 8684 6310

Consumer Affairs Victoria                       Privacy                                                                              RT 42 (16/6/09)
113 Exhibition Street, Melbourne                Consumer Affairs Victoria is bound by laws that protect your privacy
(Office hours 8.30am–5pm Monday to Friday)      concerning the collection, use and disclosure of your personal information.
                                                Where you do not provide the information required by this form, we may
GPO Box 123, Melbourne 3001                     refuse or be unable to process this transaction. We may need to disclose
Telephone 1300 55 81 81 Fax 8684 6310           your personal information to other State and Commonwealth agencies.
www.consumer.vic.gov.au                         You can request access to your personal information by contacting us.
                                                Our privacy statement is available at www.consumer.vic.gov.au

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