Supreme Court Rules 1937—Form 1.21
(see o 26 r 6)
Acceptance of amount paid into court
In the Supreme Court of the Australian Capital Territory

No		of (year)

(name/s)
Plaintiff[s]*

(name/s)
Defendant[s]*
[for an action other than an action under the Civil Law (Wrongs) Act 2002, part 5.3 (Rules governing litigation of civil claims—defamation)]
The plaintiff accepts $		[state amount] paid by the defendant [name of defendant] into court in satisfaction of the claim for which it was paid [*and abandons the plaintiff’s other claims in this action].
[or]
[for an action under the Civil Law (Wrongs) Act 2002, part 5.3)]
The plaintiff accepts $ [state amount] paid by the defendant [name of defendant] into court as compensation, satisfaction and amends [*and abandons the plaintiff’s other claims in this action].
Date:

Signature of * plaintiff/plaintiff’s solicitor:

To the *defendant/defendant’s solicitor:
[notice must be given to each defendant]
*Strike out if inapplicable

Endnote
1	This form was originally in the Supreme Court Rules 1937.  Under the Court Procedures Act 2004 A2004-59, pt 8, the form became a form approved under that Act. 

©  Australian Capital Territory 2005