Forms for Small Claims Court

Below are fillable PDF versions of some of the Small Claims Court forms. Not all Small Claims Court forms are listed. All Small Claims Court forms can be found in the General Regulation – Small Claims Act.

Form Description
Form 1 – Claim To make your claim
Form 2 – Response To defend or admit the claim
Form 3 – Third Party Claim To include a party the Defendant feels is responsible for the claim
Form 4 – Third Party Response To defend or admit the third party claim
Form 5A – Notice of Withdrawal by Claimant For the Claimant to withdraw the claim from the court
Form 5B – Notice of Withdrawal by Defendant For the Defendant to withdraw the claim from the court
Form 6 – Request for Judgement To proceed with claim if no Response or if claim is admitted
Form 8 – Affidavit to Set Aside a Default or Interim Judgement Request a judgment be set aside when you didn’t file a Response
Form 10 – Payment Agreement To write down the agreement made at a payment hearing
Form 12 – Summons to Witness To require a person to attend a hearing as a witness
Form 13 – Settlement Agreement To write down any agreement the parties make
Form 15 – Affidavit to Set Aside a Judgement After a Hearing To request a judgment be set aside when you didn’t attend a hearing
Form 17.1 – Notice of Appeal To appeal a Small Claims Court decision to the Court of King’s Bench
Form 18 – Request for Leave to Appeal To ask for permission to appeal to Court of Appeal
Form 19 – Notice of Appeal To tell the parties there is an appeal to the Court of Appeal
Form 20 – Affidavit of Service To prove you served documents to parties or witnesses
Form 21 – Consent to Act as a Litigation Guardian To apply to make or defend a claim on behalf of someone under 19 or disabled
Form 22 – Application to Transfer Small Claim to the Court of King’s Bench To move your case to the Court of King’s Bench so you can claim a higher amount or for other stated reasons
Form 23 – Application for Order by Small Claims Court To apply for an order of the Court
Form 26A – Memorandum of Satisfaction of Judgment Signed by the person entitled to the benefit of the judgment