Claim Form

CLAIM FORM
IN THE SUPREME COURT OF JUDICATURE OF JAMAICA

CLAIM NO. H.C.V. of 2018
BETWEEN DEBRA CUNNING. CLAIMANT

A N D CRISS CAR SALES LTD. 1ST DEFENDANT
A N D PETER SURESHOT. 2ND DEFENDANT
THE CLAIMANT, DEBRA CUNNING, Executive Assistant, of 15 Mello Way,

Kingston 6 claims against the Defendants CRISS CAR SALES LTD and PETER
SURESHOT both of 22 West Meade, Kingston 10. The CLAIMANT claims
damages for wrongful dismissal against the 1ST DEEFENDANT and damages for
assault and battery and false imprisonment against the 2ND DEFENDANT.
AND THE CLAIMANT ALSO CLAIMS:
i. Interest on damages pursuant to the Law Reform (Miscellaneous

Provisions) Act say such rate and for such period as the Court
determines;
ii. Costs
iii. Further or other relief
And the Claimant also claims costs and interest against the Defendants.
I certify that all facts set out in this Claim Form are true to the best of my
knowledge, information and belief.
DATED THE DAY OF , 2018
………………………………………
DEBRA CUNNING
NOTICE TO THE DEFENDANT
See the following notes served with this Claim Form.
This Claim Form must contain or have served with it either a Particulars of Claim or a
copy of a Court Order entitling the Claimant to serve the Claim Form without a
Particulars of Claim.
If you do not complete the form of Acknowledgement of Service served on you with this
Claim Form and deliver or send it to the registry (address below) so that it is received
within FOURTEEN days of service of the Claim Form on you, the Claimant will be
entitled to apply to have a Judgement entered against you. See Rules 9.2(5) 9.3(1)
The form of Acknowledgement of Service may be completed by you or an Attorney-at-

Law acting for you.
You should consider obtaining legal advise with regard to this claim.
This Claim Form has no validity if it is not served within six months of the date
below unless it is accompanied by an Order extending the same. See Rule 8.14(1)
The Registry is at King Street, Kingston telephone number (876) 922-8300 –9 fax (876)
967-0669. The office is open between [9:00 a.m.] and [4:00 p.m.] Monday to Thursday
and [9:00 a.m.] to [3:00 p.m.] on Fridays except on Public Holidays.
DATED THE DAY OF , 200
The Claimant’s address for service is that of its’ Attorneys-at-Law BARNES,

BARRETT,BROWN, COLLINS & COMPANY (Attention: STEPHANO DIMERO
telephone number (876) 111-1212 AND fax (876) 92-0000.
FILED by BARNES, BARRETT,BROWN, COLLINS & COMPANY of 27

SULLIVAN ROAD, KINGSTON 23 in the Parish of Saint Andrew, Attorneys-at-Law
for and on behalf of the Claimant herein.
PRESCRIBED NOTES FOR DEFENDANTS
(CLAIM FORM)
____________________________________________________________________
FORM 1A [Rule 8.16(1)(c)]
This Form is important

When you get this document you should consider getting legal advise
ACTION TO BE TAKEN ON RECEIPT OF THIS FORM
The Claimant is making a claim against you in the Court. If you do nothing Judgement
may be entered against you. That means that the Claimant will be entitled to take steps
to enforce payments from you of any money he is claiming and you will have no right to
be heard except as to the amount of any costs claimed and the way in which you can pay
the judgement unless you apply to set judgement aside.
WHAT CAN YOU DO
You can
A. Defend the claim
If you would like to do this you must:
(i) Complete the form of Acknowledgement of Service and return it to the registry so
that they receive it within FOURTEEN DAYS of the date on which you received
the Form; and
(ii) Provided that a Particulars of Claim was served on you with the Claim Form,
complete the form of Defence, form 5, or submit some other form of Defence
showing why you dispute the claim giving full details of all the facts on which
you intend to rely if there is a trial. This must be delivered or sent to the registry
so that they receive it within FORTY-TWO DAYS of the date on which you
received this Form and a copy must be served on the Claimant’s Attorneys-at-
Law (or the Claimant if he has no Attorney-at-Law) at the given address.
Note, where permission has been given under rule 8.2 for a Claim Form to be served
without a Particulars of Claim, the period for filing a Defence is the period of FORTY-
TWO DAYS after the service of the Particulars of Claim.
2
After you have filed you Defence you will be given details of the date, time and
place of a case management conference at which a Judge will decide what issues
have to be determined by the Court and give directions about what needs to be
done before the case is tried. You must attend that hearing.
B. Admit the whole of the Claim
Complete the form of Acknowledgement of Service stating that you admit to the
claim and return it to the registry so that they receive it within FOURTEEN
DAYS of the date on which you received this Form.
If you can pay the amount stated on the Claim Form including fees, costs and
interests, you should pay this to the Claimant within FOURTEEN DAYS and no
further steps can be taken against you. You must add interest at the daily rate
shown from the date stated on the Claim Form.
If you cannot pay this sum in full you may apply to pay by instalments. If you
wish to do so you must complete the form 6 and return this to the Court with your
Acknowledgement of Service.
C. Admit part of the claim and defend the rest
Complete the form of Acknowledgement of Service stating how much you admit
and return it to the registry so that they receive it within FOURTEEN DAYS of
the date on which you received this form AND complete the Defence form,
Form 5.
You may also:-

Pay the amount that you admit directly to the Claimant OR apply to pay that sum
by instalments. If so you should follow the procedure indicated under B.
D. Make a claim against the Claimant
If you would like to do this you must:
(i) Complete the form of Acknowledgement of Service and return it to the registry so
that they receive it within FOURTEEN DAYS of the date on which you received
this Form; and
(ii) Provided that a Particulars of Claim was served with the Claim Form, complete
the form of Defence, Form 5, giving details of your defence if any to the claim as
under A above and also the claim that you are making against the Claimant and
return it to the registry so that they receive it within FORTY TWO DAYS of the
date on which you received this Form.
Note, where permission has been given under rule 8.2 for a Claim Form to be served
without a Particulars of Claim, the period for filing a Defence is the period of FORTY
TWO DAYS after the service of the Particulars of Claim.
If you admit the Claim but wish to counterclaim you should say so. If your counterclaim
is for a lower sum than the claim, you may pay the difference between the amount that
the Claimants’ claims from you and the amount that you claim from him directly to the
Claimant OR apply to pay the sum by instalments. If you wish to pay by instalment,
you should follow the procedure directed under B.
You will then be given details of the date, time and place of a case management
conference at which a judge will decide what issues have to be determined by the court
and give directions about what needs to be done before the case is tried. You must attend
that hearing.
REMEMBER, IF YOU DO NOTHING, JUDGEMENT MAY BE ENTERED

AGAINST YOU WITHOUT AND FURTHER WARNING.
Copies of forms may be obtained from the registry or at www.sc.gov.jm

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IN THE SUPREME COURT OF JUDICATURE OF JAMAICA

BETWEEN DEBRA CUNNING. CLAIMANT

THE CLAIMANT, DEBRA CUNNING, Executive Assistant, of 15 Mello Way,

AND THE CLAIMANT ALSO CLAIMS:

i. Interest on damages pursuant to the Law Reform (Miscellaneous

NOTICE TO THE DEFENDANT

See the following notes served with this Claim Form.

The form of Acknowledgement of Service may be completed by you or an Attorney-at-

DATED THE DAY OF , 200

The Claimant’s address for service is that of its’ Attorneys-at-Law BARNES,

FILED by BARNES, BARRETT,BROWN, COLLINS & COMPANY of 27

This Form is important

ACTION TO BE TAKEN ON RECEIPT OF THIS FORM

WHAT CAN YOU DO

If you would like to do this you must:

B. Admit the whole of the Claim

C. Admit part of the claim and defend the rest

You may also:-

D. Make a claim against the Claimant

If you would like to do this you must:

REMEMBER, IF YOU DO NOTHING, JUDGEMENT MAY BE ENTERED

Copies of forms may be obtained from the registry or at www.sc.gov.jm

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