Request To Clerk
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1
2Request to Clerk
ONTARIO
Superior Court of Justice
Form 9B Ont. Reg. No.: 258/98
Small Claims Court
Claim No.
Address
Phone Number
BETWEEN
Plaintiff(s)
and
Defendant(s)
TO THE CLERK OF THE
SMALL CLAIMS COURT:
(Name of Small Claims Court location)
My name is
and I request that the clerk of the court:
(Name of party/representative)
(Check appropriate box(es)).
note defendant(s)
(Name of defendant(s))
in default for failing to file a Defence (Form 9A) within the prescribed time period [R. 11.01(1)].
schedule an assessment hearing (all defendants have been noted in default) [R. 11.03(2)(b)].
schedule a terms of payment hearing because I dispute the defendant’s proposed terms of payment contained in the Defence
(Form 9A) [R. 9.03(3)].
schedule a trial [R. 16.01(1)(b)].
accept payment in the amount of $
into court
(Amount)
according to an order of the court, dated
, 20
.
for a person under disability according to an order or settlement dated
, 20
[R. 4.08(1)].
pursuant to the attached written offer to settle, dated
, 20
[R. 14.05(2)].
according to the following legislation:
(Name of statute or regulation and section)
Les formules des tribunaux sont affichées en anglais et en français sur le site
Visitez ce site pour des renseignements sur des formats
accessibles.
RSCC-9B-E (2014/01)
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