Circuit Court Forms

FORM 2P

PERSONAL INJURIES SUMMONS

O. 5A, r. 3

AN CHÚIRT CHUARDA

THE CIRCUIT COURT

CIRCUIT                                                                                             COUNTY OF
 

Record No.:

Between

A.B.

Plaintiff

AND

C.D.

Defendant

To the defendant

(occupation)

who is ordinarily resident at .................. in the County of ..................

This personal injuries summons requires you to enter an appearance in person or by solicitor in [Insert address of appropriate Circuit Court Office] in the above action within ten days after the summons has been served on you (exclusive of the day of such service).

And TAKE NOTICE that if you do not enter an appearance the plaintiff may proceed in this action, and judgment may be given in your absence.

And further TAKE NOTICE that, if you intend to defend the proceedings on any grounds, you must not only enter an Appearance, but also, within six weeks after Appearance, deliver a statement in writing showing the nature and grounds of your Defence.

N.B.-This summons is to be served within twelve calendar months from the date hereof, unless the time for service has been extended by the Court.

The defendant may appear to this summons by entering an appearance either personally or by solicitor at the [Insert address of appropriate Circuit Court Office].

INDORSEMENT OF CLAIM.

The plaintiff's claim is for the reliefs set out herein for personal injuries suffered by the plaintiff [or state capacity in which the plaintiff sues] as follows:

WRONG ALLEGED AGAINST THE DEFENDANT (OR AGAINST EACH DEFENDANT)

1…….

2…….

PARTICULARS OF THE ACTS OF THE DEFENDANT (OR OF EACH DEFENDANT) CONSTITUTING THE WRONG

(Full particulars should be set out)

PARTICULARS OF CIRCUMSTANCES RELATING TO THE COMMISSION OF THE WRONG

(Full particulars should be set out)

PARTICULARS OF EACH INSTANCE OF NEGLIGENCE BY THE DEFENDANT (OR BY EACH DEFENDANT)

(Full particulars should be set out)

PARTICULARS OF THE INJURIES TO THE PLAINTIFF OCCASIONED BY THE WRONG OF THE DEFENDANT (OR OF EACH DEFENDANT)

RELIEFS CLAIMED

SCHEDULE

PARTICULARS OF ITEMS OF SPECIAL DAMAGE

(Full particulars should be set out. Add additional sheets if necessary)

(If applicable, insert particulars required by Order 5, rule 5A)

(Signed)

This summons was issued by the plaintiff .......... whose personal details are as follows:

1. The address at which the Plaintiff ordinarily resides is:

(state address accurately)

2. Plaintiff's occupation:

3. Plaintiff's date of birth: Day: ..... Month ......... Year ......

4. Plaintiff's Personal Public Service Number:

5. The plaintiff's address for service, if different from the plaintiff's address mentioned above, should be stated here:

This summons was issued by the plaintiff

OR

This summons was issued by ................, solicitor for the plaintiff, whose registered place of business is ,

INDORSEMENT OF SERVICE

This summons was served by me at ...........

on the defendant ......... on ...... day the ...... day of ............. , 20

Indorsed the .... day of ......... 20 ... .

(Signed) (Address)

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