District Court Rules
Schedule: C - Forms in civil proceedings Form: 40C.01 Notice of statutory application
S.I. No. 17 of 2014
40C.01
Notice of statutory application
Schedule C
O.40C, r. 3
District Court Area of
District No.
Record number:
In the matter of section ...... of the ..... [insert details of the relevant enactment relied on]
*On the Application of
........ of ........ Claimant
†Between
........ Claimant
........ Respondent
NOTICE OF APPPLICATION
TAKE NOTICE that the above-named claimant will apply to the District Court sitting at ........ on the ...... day of ........ 20.... at ........ a.m./p.m. (the “return date”) for:
(1) An order †(against the first-named respondent of........ in the county of ........ (in the above Court *(area and) district under the provision of the enactment stated above [Specify the nature of the order sought, e.g. An order directing that the respondent ......., An order prohibiting the respondent from........ , An order requiring the respondent to comply with the notice (a copy of which is attached) served on him by the applicant on the ...... day of ........ 20...., An order granting the applicant a licence to........ , etc]
‡(2) An order under [...] against the second-named respondent of ........ in the county of ........ [......]
[Insert any further or consequential relief or orders sought]
The grounds for the application are as follows: ........... [set out in summary the grounds of the application].
Particular legal provisions relied on in the application ........... [identify any particular legal provisions relied on in the application].
LIST OF DOCUMENTS ON WHICH THE CLAIMANT WILL RELY AND COPIES OF WHICH ARE ATTACHED
 | Document | Date | Description |
| 1 | e.g. prohibition notice | 1 September 2013 | Prohibition notice issued by the claimant to the respondent |
| 2 | e.g. letter | 1 September 2013 | Letter by the claimant sending the prohibition notice to the respondent |
| Etc | | | |
Signed: ........
*(Solicitor for the) claimant
To: District Court Clerk at ........
†And: ........ *(Solicitor for the) respondent
of ........
This notice of application has been filed with the District Court Clerk at ........ and issued to the above return date on the ...... day of ........ 20....
*where the application is ex parte or no relief is sought against any other person
† where orders or other relief is sought against any respondent in the application
‡delete where inapplicable
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