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District Court Rules

Schedule: C - Forms in civil proceedings

Form: 53A.01 Small Claims Procedure: Application to Small Claims Registrar

S.I. No. 17 of 2014


53A.01

Small Claims Procedure: Application to Small Claims Registrar


Schedule C
Order 53A r. 3

AN CHÚIRT DÚICHE

THE DISTRICT COURT

Dublin Metropolitan District/District Court Area of ........ District No. ........

District Court Small Claims Procedure

APPLICATION TO SMALL CLAIMS REGISTRAR


CLAIMANT: Name and address of person making the claim ........

RESPONDENT: Name and address of person against whom the claim is made ........

If you do not identify the correct legal name of the respondent, your claim cannot be enforced.

CLAIM: Set out the particulars of the claim .........

I hereby apply to have the above claim processed through the Small Claims Procedure in accordance with the provisions of the District Court Rules.

Dated this ...... day of ........ 20...

Signature of the person making the claim

To the Small Claims Registrar,

District Court Office, at ........

Note: This application must be accompanied by the appropriate fee.