District Court Rules
Schedule: C - Forms in civil proceedings Form: 40A.07 Notice of application for approval of Injuries Board assessment
S.I. No. 17 of 2014
40A.07
Notice of application for approval of Injuries Board assessment
Schedule C
O.40A, r.13
District Court Area of
District No.
Record number:
In the matter of the Personal Injuries Assessment Board Act 2003 and
In the matter of an application relating to A.B., a *Child *Person of Unsound Mind, as claimant to the Injuries Board of ........ by C.D., acting as *next friend *committee on behalf of the said A.B.
........ of........ in the above Court *(area and) district
..... Respondent
NOTICE OF APPLICATION FOR APPROVAL OF INJURIES BOARD ASSESSMENT
Personal Injuries Assessment Board Act 2003, section 35
A claim has been made on behalf of A.B. against ........ as respondent and the assessment under section 20 of the Personal Injuries Assessment Board Act
2003 of the claim has been accepted, subject to the assessment being approved under section 35 of the Personal Injuries Assessment Board Act 2003.
TAKE NOTICE that an application will be made to the District Court sitting at ........ on the ...... day of ........ 20.... at ........ a.m./p.m., to approve the assessment under section 35 of the Personal Injuries Assessment Board Act 2003.
Signed: ........
*(Solicitor for the) *next friend *committee
To: ........
*(Solicitor for the) respondent
To: District Court Clerk at
........
This notice of application has been filed with the District Court Clerk at
........ and issued on the ...... day of ........ 20....
*delete where inapplicable
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