NATSIC-AS Internal governance dispute notice Date: [date] To: [corporation or council and authorised recipient] From: [name, contact and safe contact arrangements] My role and connection: [member / director / common law holder / other] Applicable Act, rule book and dispute clause: [identify] I request that [organisation] address the following matter through the applicable internal dispute process. My entitlement to use that process is [explain and verify]. Matter in dispute Identify the decision, action or omission and the dates involved. Explain the requirement said to apply without assuming that an allegation establishes a breach. What I can support Set out facts within personal knowledge, documents and pinpoint references. Identify allegations, inferences, differing accounts and matters that remain unknown separately. Previous steps and responses Record when the concern was raised, to whom, the response and any explanation or contrary material. Attach the relevant correspondence. Outcome requested State the practical resolution sought and why it responds to the issue. Examples may include clarification, access to permitted records, a fresh authorised process or a meeting under the applicable procedure. Process arrangements Please identify the next step, responsible person and expected timeframe under the applicable process. Please consider [language, accessibility, cultural protocol or support needs]. Tell me about any actual conflict affecting the process and how it will be managed. I ask that relevant records be preserved and that the organisation communicate its response in writing. I am available to discuss resolution respectfully and in good faith. Name and signature: [details] Attachments: [list] Before use, check whether this is a corporate dispute, a native title function dispute, an employment issue or a land council statutory review matter. The correct recipient, process and deadline may differ. This notice does not lodge an external application or extend time. Before use Replace every bracketed field and remove instructions before using a document. Identify the entity, state or territory, governing Act, current registered rule book or constitution and any applicable policy first. A NSW or NT land council is not automatically a CATSI corporation. A PBC or RNTBC must separately consider native title consultation and consent requirements; an ordinary board or member vote does not necessarily satisfy them. Check notice, eligibility, quorum, voting, recording, lodgment and review requirements for the particular matter. These are advocacy preparation resources, not legal advice, legal services or a guarantee of compliance. Source and use information Informed by ORIC dispute guidance and template catalogue. Source material © Commonwealth of Australia 2018 and 2026, CC BY 4.0. Rewritten and expanded by NATSIC-AS. Not an ORIC form or endorsed by ORIC. https://www.oric.gov.au/learning-and-support/report-concern-oric/disputes https://www.oric.gov.au/for-corporations/rule-books/creating-rule-book Licence: https://creativecommons.org/licenses/by/4.0/ NATSIC-AS provides advocacy, not legal advice or legal services. Check applicable requirements and deadlines before use.