Defamation Concerns Notice - Template, Sample Form

Valid in Australia

Create your Defamation Concerns Notice - Template, Sample Form for use in Australia. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share.

  • Answer 11 simple questions — the document fills in as you go
  • Live preview: watch your document update in real time
  • Download as Word (.docx) and PDF
  • Edit your answers and re-download anytime
Save to access it later, on any device.

Fill in the details

0/11

Type below — the document on the right updates as you go.

Defamation Concerns Notice - Template, Sample Form
🔒The clauses below are blurred in the preview. Fill in your details, then pay once to unlock the full document and download it as Word & PDF.


________
________


________
________


Without Prejudice


Date:................................


RE: CONCERNS NOTICE
-
Defamation Act, 2005 (NSW) (hereinafter "Act")


Dear ________,

This letter serves as a Concerns Notice under the Act (hereinafter "Notice"). This Notice relates to the following published material (hereinafter "Material"):

________

The Material can be accessed at: ________.

I refer you to the following attachments which provide evidence of the Material:

________

The Material referred to me personally. I consider the Material defamatory. In particular, the Material made the following statement:

________

It made the following imputation(s):

________

The publication of the Material has caused or is likely to cause the following serious harm to my reputation:

________

Without prejudice to any of my future legal rights in relation to this matter, I also require the following:

________


Yours sincerely,


________

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.