Circuit Court Forms

FORM 2U

GARDA COMPENSATION PERSONAL INJURIES SUMMONS

O. 5A, r. 3

AN CHÚIRT CHUARDA
THE CIRCUIT COURT

CIRCUIT

COUNTY OF

Record No.:

Between

A.B.

Plaintiff

AND

..................................

Defendant

To the defendant, the Commissioner of the Garda Síochána of .................. in the County of ..................

This Garda compensation personal injuries summons requires you to enter an appearance in person or by solicitor in [Insert address of appropriate Circuit Court Office] in the above action within ten days after the summons has been served on you (exclusive of the day of such service).

And TAKE NOTICE that if you do not enter an appearance the plaintiff may proceed in this action, and judgment may be given in your absence.

And further TAKE NOTICE that, if you intend to defend the proceedings on any grounds, you must not only enter an Appearance, but also, within six weeks after Appearance, deliver a statement in writing showing the nature and grounds of your Defence.

N.B.-This summons is to be served within twelve calendar months from the date hereof, unless the time for service has been extended by the Court.

The defendant may appear to this summons by entering an appearance either personally or by solicitor at the [Insert address of appropriate Circuit Court Office].

INDORSEMENT OF CLAIM The plaintiff’s claim is for the reliefs set out herein for

*injuries inflicted on the plaintiff (being a member or former member of an Garda Síochána) as a result of a malicious incident (within the meaning of section 2 of the Garda Síochána (Compensation) Act 2022)

*the death of [name of member] (being a member or former member of an Garda Síochána) as a result of a malicious incident (within the meaning of section 2 of the Garda Síochána (Compensation) Act 2022)

as follows:

MALICIOUS INCIDENT ALLEGED

(Set out full particulars of the nature of the claim and of each allegation, assertion or plea comprising that claim)

1.......

2.......

PARTICULARS OF THE ACTS CONSTITUTING THE MALICIOUS INCIDENT

(Full particulars should be set out of the facts constituting the malicious incident to which the claim relates and the circumstances relating to the malicious incident, including the involvement of the plaintiff (or the Garda concerned) therein)

PARTICULARS OF CIRCUMSTANCES RELATING TO THE COMMISSION OF THE MALICIOUS INCIDENT

(Full particulars should be set out. In addition, in the case of a claim referred to in section 23(6) of the Garda Síochána (Compensation) Act 2022, the facts and circumstances which it is alleged establish that the claimant or person for whose benefit the claimant is bringing the proceedings is a person to whom compensation may be granted under the Garda Síochána (Compensation) Act 2022 and that the claimant or that person was wholly or partly dependent on the deceased person)

PARTICULARS OF THE INJURIES TO THE PLAINTIFF

(Full particulars should be set out of the injuries to the plaintiff (or the deceased Garda concerned) alleged to have been inflicted as a result of the malicious incident)

RELIEFS CLAIMED

SCHEDULE

PARTICULARS OF ITEMS OF SPECIAL DAMAGE

(Full particulars should be set out. Add additional sheets if necessary)

(If applicable, insert particulars required by Order 5, rule 5A)

(Signed)

This Garda compensation personal injuries summons was issued by the plaintiff .......... whose personal details are as follows:

1. The address at which the Plaintiff ordinarily resides is:

(state address accurately)

2. Plaintiff’s occupation:

3. Plaintiff’s date of birth: Day: ..... Month ......... Year ......

4. Plaintiff’s Personal Public Service Number:.............................

5. The plaintiff’s address for service, if different from the plaintiff’s address mentioned above, should be stated here:

This Garda compensation personal injuries summons was issued by the plaintiff

OR

This Garda compensation personal injuries summons was issued by ................, solicitor for the plaintiff, whose registered place of business is .........

INDORSEMENT OF SERVICE

This Garda compensation personal injuries summons was served by me at .......................... on the defendant ......... on ...... day the ...... day of ............. , 20

Indorsed the .... day of ......... 20 ... .

(Signed)
(Address)