“Being a financial member of the Secondary Principals’ Association of New Zealand Professional Inc, and applying to participate in the Legal Cost Fund scheme I hereby declare that as of today (the date I sign this form) I am not aware of any circumstances which could give rise to a claim for legal costs which would be subject to a claim under the fund.
a } employment defence
b } employment pursuit or other legal action except as set out below”
Please note: No existing circumstances will be covered by the fund.
Details of existing circumstance(s) if any: