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Check your answers before sending your application

Application notice
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Name of court
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Claim no.
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Fee account no. (if applicable)
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Help with Fees - Ref. no. (if applicable)
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Warrant no. (if applicable)
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Claimant's name (including ref.)
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Defendant's name (including ref.)
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Date
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What is your name or, if you are a legal representative, the name of your firm?
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Are you a
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If you are a legal representative whom do you represent?
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What order are you asking the court to make and why?
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Have you attached a draft of the order you are applying for?
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How do you want to have this application dealt with?
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How long do you think the hearing will last?
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Is this time estimate agreed by all parties?
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Give details of any fixed trial date or period
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What level of Judge does your hearing need?
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Who should be served with this application?
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Please give the service address, (other than details of the claimant or defendant) of any party named in question 9.
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What information will you be relying on, in support of your application?
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Do you believe you, or a witness who will give evidence on your behalf, are vulnerable in any way which the court needs to consider?
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Statement of Truth
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Signature
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Applicant
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Date
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Full name
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Name of applicant's legal representative's firm
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If signing on behalf of firm or company give position or office held
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Applicant's address to which documents should be sent.
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Building and street
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Second line of address
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Town or city
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County (optional)
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Postcode
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Phone number
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Fax phone number
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DX number
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Your Ref.
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Email
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Now send your application

By submitting this application you are confirming that, to the best of your knowledge, the details you are providing are correct.