Magistrates Court (Civil Jurisdiction) Rules 2004—Form 3 Small Claims Court
(see s 415 (1))
Admission of liability acceptance
Application No		of [year], between [applicant] and [respondent].
To the Registrar:
I accept the terms on which the respondent has admitted liability in full satisfaction of my application.
Date:
[signed]
Applicant

Endnotes
1	This form was originally in the Magistrates Court (Civil Jurisdiction) Act 1982 (the authorising Act), schedule 2.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the authorising Act and became a form approved under section 471 of that Act (see amdt 1.2791, amdt 1.2793).  
2	Under the Court Procedures Act 2004 A2004-59, pt 8, this form became a form approved under that Act.

©  Australian Capital Territory 2005