Sample witness statement for NCAT
This page links to an example of a witness statement.
You should make sure that your statement is true and relates to your circumstances. If you need more help to prepare your statement, you should get legal advice.
Do not try to file this sample statement.
This sample statement is provided in Word 
format.
For more information about completing this form, see Instructions for preparing a witness statement for NCAT.
Case study – Nina and Sandy trading as Beautiful Blooms
Nina works for herself as a personal trainer coaching a small group of regular clients. She is getting married and asks Beautiful Blooms, to provide flowers for her wedding. She pays a deposit of $200 with the outstanding balance to be paid two weeks before the wedding. They agree on the number and type of floral arrangements to be provided, being a bride’s bouquet, 3 x smaller bouquets for the wedding party and 50 table arrangements. Nina is disappointed in the flowers that are delivered on her wedding day and asks for a partial refund of the amount she has paid. Sandy from Beautiful Blooms refuses to give a partial refund.
Nina starts proceedings in the Consumer and Commercial Division of NCAT. A conciliation hearing is unsuccessful and the Tribunal Member directs Nina and Sandy to file (lodge) and serve (give to the other party) statements before the contested hearing.
Nina prepares her witness statement.