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CIVIL COMPLAINTS

Reference Number

1111111

Civil Complaints Portal

Steps

Case Details

Case Type

Initiation Type

Nature of Claim

Court Location

Fee Information

Are you applying for a fee waver?

Applicable Fee

Fee payer type

Type of Standard Fee Payer

In submitting this filing, I acknowledge that:
1. I undertake to provide true and correct information to the Court in relation to my/my client's financial circumstances in relation to the payment of Court fees during the lifetime of this proceeding.
2. The above data supplied regarding the fee payer's financial circumstances is true and correct to the best of my knowledge.
3. The fee payer may be required to supply additional documentary evidence to support this claim.

Document Details

Filling Document

Code / Name

Form SA . Complaint

Optional Documents

You may also file the following documents along with your Complaint:

• Overarching obligations certifications (Form 4A)
   OR
• Prior Overarching Obligations Certification (Form 4AB)
   AND
• Proper Basis Certification (Form 4B)

Document Details (1)

Code / Name

Choose File
*

Electronic Signature Consent

By selecting this box, I consent to my electronic signature being affixed to this document to satisfy the requirement for the signing of this document in accordance with Electronic Transaction Act 2000 (Vic).

Claim Details

Is this a monetary claim?

Claim Amount

Cost

Place of Claim

Was the place of claim outside the State of Victoria?

Where did the claim occur?

NOTE: Exact suburb must be specified and will validated against the details provided in the statement of claim.

Suburb/Town

Postcode

Claim Details

Statement of Claim

Legal Representation Details

Business Name or Solicitor Code

Address Type

Address Line 1

Address Line 2

Suburb/Town

Postcode

State

Country

Work Number

Fax Number

Email Address

Reference Number

Plaintiff Details(1)

Plaintiff Name

Party Designation Type

Party Type

Plaintiff

Organisation Name

Plaintiff Address

Address Type

Physical Address

This is an address for service

Start typing the address in the search box above and select the correct option from the results. If the correct option does not appear, please manually enter address below.

Property/Building Name

Unit/Apartment/Level/Lot
Number

Street Number

Street Name

Street Type

Street Suffix

Suburb/Town

Postcode

State

Country

Plaintiff Contact Details

Mobile Number

Home Number

Work Number

Fax Number

International Number

Country Code

Email Address

Plaintiff Identification Details

Australian Business Number (ABN)

Australian Company Number (ACN)

Plaintiff Financial Details

Account Name

BSB Number

Account Number

Plaintiff Details(2)

Plaintiff Name

Party Designation Type

Party Type

Plaintiff

Organisation Name

Plaintiff Address

Address Type

Physical Address

This is an address for service

Start typing the address in the search box above and select the correct option from the results. If the correct option does not appear, please manually enter address below.

Property/Building Name

Unit/Apartment/Level/Lot
Number

Street Number

Street Name

Street Type

Street Suffix

Suburb/Town

Postcode

State

Country

Plaintiff Contact Details

Mobile Number

Home Number

Work Number

Fax Number

International Number

Country Code

Email Address

Plaintiff Identification Details

Australian Business Number (ABN)

Australian Company Number (ACN)

Plaintiff Financial Details

Account Name

BSB Number

Account Number

Plaintiff Details(3)

Plaintiff Name

Party Designation Type

Party Type

Plaintiff

Organisation Name

Plaintiff Address

Address Type

Physical Address