Template for Self Reporting of Convictions


This template letter is for self reporting to the New Zealand Teachers Council if you have conviction/s.
You can copy and paste it into your own word processing programme to edit and print out.
You should send this report to the New Zealand Teachers Council within seven days of the conviction notice.

[insert date]

[insert your address]

The Manager: Teacher Practice
New Zealand Teachers Council
PO Box 5326
WELLINGTON

I am writing to report a self-conviction that was entered on [insert date] at [insert Court name]

My full name is:

My date of birth is:

My registration number is:

My telephone number is:

My email address is:

The conviction/s involved:

[Please provide a full explanation of the event leading to the conviction}

I have enclosed the following:

  • Summary of Facts from the court;
  • Certificate of Conviction from the court;
  • sentencing notes (if applicable); and 
  • supporting documents.

Yours sincerely

[signature] 

[full name]