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Consent Order Form

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REGISTRY FILE NUMBER

CONSENT ORDER

REGISTRY LOCATION

IN THE PROVINCIAL COURT OF BRITISH COLUMBIA (SMALL CLAIMS COURT)

BETWEEN:

NAME

CLAIMANT(S)

Fill in the ﬁle number,

ADDRESS

court location and

names, copying them

from the notice of claim.

CITY, TOWN,

TEL. #

British Columbia

MUNICIPALITY

PROV.

POSTAL CODE

AND:

NAME

DEFENDANT(S)

ADDRESS

CITY, TOWN,

TEL. #

British Columbia

MUNICIPALITY

PROV.

POSTAL CODE

APPLICATION

The applicant asks the registrar for an order

FROM:

NAME

in the terms set out in the Consent Order

Fill in the name of the

PARTY

ALL parties have given their consent and have signed below.

applicant

Date

signature of applicant

CONSENT ORDER

TERMS:

Fill in the terms of the

agreement you have

reached.

Be sure you set out all

the conditions agreed

on.

Be careful to show the

full amount of any

money to be paid.

If you have agreed on

Interest be sure the

amount of interest and

how it is to be calcu-

lated is shown.

If you have agreed pay-

ments are to be made,

set out the date(s)

and amount(s) of the

payment(s).

Specify what will hap-

pen if a payment is

missed.

Fill in today’s date and

sign the agreement

date

signature of claimant

Be sure everyone in-

volved in the case signs

the order.

date

signature of defendant

Once the order is

signed by all the parties

take the order to the

court registry to be

signed by the registrar

date

signature of registrar

and ﬁled.

1-COURT COPY 2-CLAIMANT’S COPY 3-DEFENDANT’S COPY

SCL 021 02/2007

Consent Order Form

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