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FORM 14A

Courts of Justice Act


STATEMENT OF CLAIM (GENERAL)
(Generalheading)
(Courtseal)
STATEMENTOFCLAIM
TOTHEDEFENDANT
ALEGALPROCEEDINGHASBEENCOMMENCEDAGAINSTYOUbytheplaintiff. Theclaimmadeagainstyouissetoutinthe
followingpages.
IFYOUWISHTODEFENDTHISPROCEEDING,youoranOntariolawyeractingforyoumustprepareastatementofdefenceinForm18A
prescribedbytheRulesofCivilProcedure,serveitontheplaintiffslawyeror,wheretheplaintiffdoesnothavealawyer,serveitontheplaintiff,
andfileit,withproofofserviceinthiscourtoffice,WITHINTWENTYDAYSafterthisstatementofclaimisservedonyou,ifyouareservedin
Ontario.
IfyouareservedinanotherprovinceorterritoryofCanadaorintheUnitedStatesofAmerica,theperiodforservingandfilingyourstatement
ofdefenceisfortydays.IfyouareservedoutsideCanadaandtheUnitedStatesofAmerica,theperiodissixtydays.
Insteadofservingandfilingastatementofdefence,youmayserveandfileanoticeofintenttodefendinForm18BprescribedbytheRulesof
CivilProcedure.Thiswillentitleyoutotenmoredayswithinwhichtoserveandfileyourstatementofdefence.
IFYOUFAILTODEFENDTHISPROCEEDING,JUDGMENTMAYBEGIVENAGAINSTYOUINYOURABSENCEANDWITHOUT
FURTHERNOTICETOYOU.IFYOUWISHTODEFENDTHISPROCEEDINGBUTAREUNABLETOPAYLEGALFEES,LEGALAID
MAYBEAVAILABLETOYOUBYCONTACTINGALOCALLEGALAIDOFFICE.
(Wheretheclaimmadeisformoneyonly,includethefollowing:)
IFYOUPAYTHEPLAINTIFFSCLAIM,and$.......................... forcosts,withinthetimeforservingandfilingyourstatementofdefence
youmaymovetohavethisproceedingdismissedbythecourt.Ifyoubelievetheamountclaimedforcostsisexcessive,youmaypaytheplaintiffs
claimand$400forcostsandhavethecostsassessedbythecourt.
TAKENOTICE:THISACTIONWILLAUTOMATICALLYBEDISMISSEDifithasnotbeensetdownfortrialorterminatedbyanymeans
withinfiveyearsaftertheactionwascommencedunlessotherwiseorderedbythecourt.

Date ...........................................................................

Issued by ...........................................................................
Local registrar
Address of
court office .........................................................................
.........................................................................

TO

(Nameandaddressofeachdefendant)

(InanactionunderthesimplifiedprocedureprovidedinRule76,add:)
THISACTIONISBROUGHTAGAINSTYOUUNDERTHESIMPLIFIEDPROCEDUREPROVIDEDINRULE76OFTHERULESOF
CIVILPROCEDURE.
CLAIM
1. Theplaintiffclaims:(Stateheretheprecisereliefclaimed.)
(Thensetoutinseparate,consecutivelynumberedparagraphseachallegationofmaterialfactreliedontosubstantiatetheclaim.)
(WherethestatementofclaimistobeservedoutsideOntariowithoutacourtorder,setoutthefactsandthespecificprovisionsofRule17relied
oninsupportofsuchservice.)

(Date of issue)

(Name, address and telephone number of lawyer or plaintiff)

RCP-E 14A (June 9, 2014)

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