Supreme Court Rules 1937—Form 1.2
(see o 2 r 4)
Originating application
In the Supreme Court of the Australian Capital Territory

No		of (year)

(name/s)
Plaintiff[s]*

(name/s)
Defendant[s]*
Application is hereby made to the Court for the plaintiff, against the defendant (if any), and in the action, set out below.
Plaintiff1
If the plaintiff is an individual—
Full name:
Occupation:
Residential*/Business* address:
If the plaintiff is a corporation—2
Name:
Australian Company Number*/Australian Registered Body Number*:  
Type of body:
Address:
Representative capacity in which plaintiff sues:*	
If the plaintiff is represented by a solicitor—
Solicitor’s full name:
Solicitor’s full business address:
Solicitor’s telephone no:
Name, address and telephone no. of agent solicitor:*
Service of documents—3
If represented by a solicitor the following information may be provided:
Address for service:
Document exchange box no:*
Postal address (if different from address for service:*
Fax:*
Email address:*
Defendant (so far as known)*
If the defendant is an individual—
Full name:
If the defendant’s name is unknown to plaintiff—
Defendant’s sex:
Occupation:
Residential*/Business* address:
If the defendant is a corporation—4
Name:
Australian Company Number*/Australian Registered Body Number*:  
Type of body:
Address:
Representative capacity in which defendant is sued:*
Action
Nature of action:5
Relief claimed:6
Interlocutory relief claimed:*
Summary judgment [is* / is not*] to be applied for.
Statement of claim:  [Attached* / Not attached*].7
Other attachments—*
Debt or liquidated demand:* 
A form 1.3 statement is attached.8
Motor vehicle personal injury claim:*
A form 1.4 statement is attached.9
Employment personal injury claim:*
A form 1.5 statement is attached.10
No defendant to action:*
An affidavit of evidence is attached.
Appearance*
Time within which defendant is required to appear:11
Notice to defendant
If you do not enter an appearance in the Registrar’s office within the time specified here—
•	proceedings in this action may be heard in your absence; and
•	you may become liable to suffer judgment or an order against you. 
Date:
Signature of plaintiff*/plaintiff’s solicitor*:
*Strike out where inapplicable.
Note 1	In the case of a relator action, include particulars of relator here.
Note 2	See the Supreme Court Rules 1937, order 2 rule 5.
Note 3	See the Supreme Court Rules 1937, order 1 rule 4 (1), def of address for service and order 2 rule 4 (4) (e) and rule 4 (5).
Note 4	See the Supreme Court Rules 1937, order 2 rule 5.
Note 5	See the Supreme Court Rules 1937, order 2 rule 8.
Note 6	See the Supreme Court Rules 1937, order 2 rule 9.
Note 7	See the Supreme Court Rules 1937, order 2 rule 10.
Note 8	See the Supreme Court Rules 1937, order 2 rule 11 and form 1.3.
Note 9	See the Supreme Court Rules 1937, order 2 rule 12 and form 1.4.  If the claim involves a motor vehicle accident in the course of employment, it is necessary to complete both form 1.4 and form 1.5. 
Note 10	See the Supreme Court Rules 1937, order 2 rule 13 and form 1.5.  If the claim involves a motor vehicle accident in the course of employment, it is necessary to complete both form 1.4 and form 1.5.
Note 11	See the Supreme Court Rules 1937, order 2 rule 7.

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