Petition Template

To The Honourable the Speaker and Members of the House of Assembly:

The petition of the undersigned

(Here identify, in general terms, who the petitioners are - for example: "Citizens of Tasmania" or "Residents of the City of .....)

draws to the attention of the House

(Here give the circumstances of the case)

Your Petitioners therefore request the House to

(Here outline the action that the House should, or should not, take.)