Petition form

Sample petition form

A recommended form for the presentation of a petition to the Legislative Assembly can be found below. It is important that anyone drawing up a petition should follow a suitable format and be aware of the rules governing petitions before taking steps to collect signatures. This avoids the possibility of the petition being ruled out of order and not presented to the House.


To the Honourable the Speaker and Members of the Legislative Assembly of New South Wales.
[The preamble]

The Petition of ...........................................................
[The petitioners - identify the petitioners, in general terms, e.g. citizens of New South Wales or residents of (name of town, region or electorate)].

Brings to the attention of the House ...........................................................
[The grievance - insert the petitioners' grievance or the circumstances of the matter].

The undersigned petitioners therefore ask the Legislative Assembly to ...........................................................
[The request - outlining the action that the House should, or should not, take].

(Signatures) (Names) (Addresses)

Sample Petition.docx