FORM 19A
rule 19.02(3)
NOTICE OF A CONSTITUTIONAL MATTER
[heading as in originating process]
	1.	The [party whose case raises the matter] gives notice that this proceeding involves a matter under the Constitution or involving its interpretation within the meaning of section 78B of the Judiciary Act 1903 (or as the case may be)].
	2.	[State specifically the nature of the matter].
	3.	[State the facts showing the matter is one to which section 78B of the Judiciary Act 1903 applies (or as the case may be)].

Dated: [date]
[Signed]
To Registrar
And to [name]