Statement of Truth
*(I believe)(The Claimant believes) that the facts stated in these particulars of claim are true.
* I am duly authorised by the claimant to sign this statement.
signed position or oce held
*(Claimant)(Litigation friend)
(Legal representative)
*delete as appropriate
(if signing on behalf of rm or company)
Details of claim (continued)
Full name
Name of claimant’s legal representative’s rm
Claimant’s or claimant’s legal representative’s
address to which documents should be sent if
dierent from overleaf. If you are prepared to
accept service by DX, fax or e-mail, please add
details.
Claim no.
Find out how HM Courts and Tribunals Service uses personal information you give them when you ll
in a form: https://www.gov.uk/government/organisations/hm-courts-and-tribunals-service/about/
personal-information-charter