Going to Court
Small Claims Court Forms
All forms mentioned below are available from the Clerk’s Office upon request.
- Form 1: Claim (to make your claim)
- Form 2: Response (to defend or admit the claim)
- Form 3: Third Party Claim (to include a party the Defendant feels is responsible for the claim)
- Form 4: Third Party Response (to defend or admit the third party claim)
- Form 5A: Notice of Withdrawal by Claimant
- Form 5B: Notice of Withdrawal by Defendant
- Form 6: Request for Judgment (to proceed with claim if no Response or if claim is admitted)
- Form 7: Default Judgment (to record a judgment where no response, where claim is admitted, or where terms of payment agreement not met)
- Form 8: Affidavit to Set Aside a Default or Interim Judgment (request a judgment be set aside when you didn’t file a Response)
- Form 9: Notice of Payment Hearing (to tell you when the payment hearing is)
- Form 10: Payment Agreement (to write down the agreement made at a payment hearing)
- Form 11: Notice of Hearing (to tell you when and where the hearing is)
- Form 12: Summons to Witness (to require a person to attend a hearing as a witness)
- Form 13: Settlement Agreement (to write down any agreement the parties make)
- Form 14: Judgment (to record the Adjudicator’s decision when a party’s claim is successful)
- Form 15: Affidavit to set aside a Judgment After a Hearing (to request a judgment be set aside when you didn’t attend a hearing)
- Form 16: Request for Appeal by Way of a New Hearing (to appeal a decision of the Adjudicator)
- Form 16A: Notice of New Hearing (to tell you when and where the new hearing is)
- Form 17: Notice of Appeal by Application (to appeal anything other than a decision)
- Form 18: Request for Leave to Appeal (to ask for permission to appeal to Court of Appeal)
- Form 19: Notice of Appeal (to tell the parties there is an appeal to the Court of Appeal)
- Form 20: Affidavit of Service (to prove you served documents to parties or witnesses)
- Form 21: Consent to Act as a Litigation Guardian (to apply to make or defend a claim on behalf of someone under 19 or disabled)
- Form 22: Application to Transfer Small Claim to the Court of Queen’s Bench (to move your case to the Court of Queen’s Bench so you can claim a higher amount or for other stated reasons)
- Form 23: Application for Order by Small Claims Court (to apply for an order of the Court)
- Form 24: Warrant to Apprehend (to request a sheriff’s officer or the police bring a witness to the hearing)
- Form 25A: Certificate of Adjudicator (certifying a witness failed to attend a hearing or remain in attendance as required)
- Form 25B: Certificate of Adjudicator (certifying a witness refused to do something at the hearing that the witness was required to do)
- Form 26A: Memorandum of Satisfaction of Judgment (signed by the person entitled to the benefit of the judgment)
- Form 26B: Memorandum of Satisfaction of Judgment (By Application) (signed by the Adjudicator once he or she has received sufficient evidence on an application that the judgment has been paid)
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