Civil claim form

Begin your application
1. How much are you claiming? *
  - Up to $150,000Matters usually heard in the Magistrates Court
  - Between $150,000 and $750,000Matters usually heard in the District Court
  - More than $750,000Matters usually heard in the Supreme Court
2. Matters for $150,000 or less should be heard in the magistrates court. In some situations (e.g. seeking an injunction) you may need to have your matter heard in a higher jurisdiction.
  1. Would you like to lodge your matter with the Magistrates Court? *
    
    Yes—lodge in Magistrates Court
    
    No—apply to lodge in District Court
    
    No—apply to lodge in Supreme Court
3. Matters between $150,000 and $750,000 should be heard in the District Court. In some situations (e.g. seeking an injunction) you may need to have your matter heard in the Supreme Court.
  1. Would you like to lodge your matter in the District Court? *
    
    Yes—lodge in District Court
    
    No—apply to lodge in Supreme Court
4. Which supreme court location will the proceeding be heard in? *
5. Which district court location will the proceeding be heard in? *
6. Which magistrates court location will the proceeding be heard in? *
7. Who are you applying as? *
  - Plaintiff
  - Legal representative
Amount of claim
1. What amount are you claiming? *
2. What amount of interest are you claiming? *
3. What amount are you claiming for the cost of issuing the claim & statement of claim? *
4. What amount are you claiming for the cost of entering judgment in default?

Plaintiff details

List each plaintiff's details.

If a person is suing or being sued on behalf of another person or entity, this is known as suing or being sued in a representative capacity. For example, it could be a trustee, executor or guardian representing the entity.

Details of plaintiff/s
1	Name: Suing in representative capacity? *In what capacity?	Yes No

Defendant details

List each defendant's name, ABN/ACN if applicable and address for service.

You need to enter the defendant’s full name, which includes middle name if they have one. For example, John Adam Smith or, if no middle name, John Smith.

If your claim is against a trader or company, it is important to include their correct business details (including full name and address) on the application form. This ensures you take action against the right organisation.

Contact the Australian Securities and Investment Commission (ASIC) for business name and company information. They may charge a search fee.

Details of defendant/s
1	Name: ABN/ACN: Address: Sued in a representative capacity? In what capacity?	Yes No

Details of claim

What is the relief you want to claim? *

Enter each statement as an individual entry.

Refer to Legal Aid for sample forms that show what information is required for a claim and statement of claim.

This claim is made in reliance on the following facts: *

Statement of claim facts
1
2
3

Your details Plaintiff's details
1. Name
  1. Given name *
  2. Family name *
2. Residential / business address
  1. Address line 1 *
  2. Address line 2
  3. Town, city or suburb *
    
    State *
    
    Postcode *
3. Would you like to list a different address for service? *
  - Yes
  - No
4. Address for service
  1. Address line 1 *
  2. Address line 2
  3. Town, city or suburb *
    
    State *
    
    Postcode *
5. Phone * Home, mobile or work number
6. Email * Example: jane.smart@example.com
7. Do you have a solicitor? *
  - Yes
  - No
Solicitor's details
1. Name
  1. Given name *
  2. Family name *
2. Firm *
3. Address for service
  1. Address line 1 *
  2. Address line 2
  3. Town, city or suburb *
    
    State *
    
    Postcode *
4. Phone * Home, mobile or work number
5. Email * Example: jane.smart@example.com

Last updated:: 28 June 2017