The Notice to leave (Form R12) is used when the provider/agent is giving notice to the resident/s that they want them to vacate the premises.

The form is completed and signed by the provider/agent and given to the resident/s. It may only be given in accordance with the Residential Tenancies and Rooming Accommodation Act 2008.

If you receive this form as a resident it means that the provider/agent is giving notice that the resident must leave the premises by the handover date stated in the notice. This may be for a number of reasons.

The rooming accommodation agreement contains information about your rights and obligations.

If you dispute the reasons for which the notice was given you may first attempt to resolve it by contacting the party who gave the notice. If that fails you can access the RTA's Dispute Resolution Service by lodging a Dispute resolution request (Form R16) with the RTA.

For more information see our Serious problems during a tenancy page.

Form R12 - Notice to leave - rooming accommodation

Download  PDF (91KB)