‘Queen’s Bench’ Claim Form
Court:
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For court use only
Claim No:
Issue Date:
Claimant(s):
Defendant(s) / Wrongdoer(s):
Brief details of claim:
Defendant’s / Wrongdoer’s
name and address for service :
Amount Claimed
=£
Court Fee
=£
Counsel’s Costs
=£
Total Amount
=£
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‘Queen’s Bench’, 384 The Manor, The Causeway, Great Billing, Northampton, NN3 9EX is open Monday to Sunday 24 hours a day.
When corresponding with the Court please address forms, notices or letters to Master Support Unit and quote the claim number.
Email: [email protected]
M1
Claim No:
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Particulars of Claim (attached) (to follow):
Declaration of Truth:
i believe the facts stated in these particulars of claim are true,
Date:
Claimant’s Full Name:
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‘Queen’s Bench’, 384 The Manor, The Causeway, Great Billing, Northampton, NN3 9EX is open Monday to Sunday 24 hours a day.
When corresponding with the Court please address forms, notices or letters to Master Support Unit and quote the claim number.
Email: [email protected]
M1