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Skip Navigation LinksHome > Publications > Factsheets and guides > Legal information guides > Have you been in an accident? > Sample documents and forms

Sample documents and forms 

  • These are sample forms to give you an idea of the information you might need to put in. Do not copy the information on the sample forms. Use them as a guide only and put in the information about your situation.
  • You will not need to use all these forms. Only use the ones that apply to you.
  • If you need help filling in any forms, call Legal Aid Queensland on 1300 65 11 88.
  • Type your answers or write neatly in black or blue pen.
  • Make sure the information you use is correct and always double-check the spelling of the names of other people involved.
  • The QCAT sample forms are based on the following scenario:

    “Jane Wright was driving along White Street towards the intersectionwith Black Street. Jane was in her Mitsubishi Magna, registration number ABC246.

    As Jane approached the intersection, a green Ford sped up and ran a red light on Black Street. The Ford, registration number XYZ890, was driven by George Getz. George’s Ford collided head on with the front of Jane’s Mitsubishi Magna.

    Jane’s Magna sustained $2500 damage and she paid $200 to have her car towed. The speed limit was 60 km/h.”

Queensland Civil and Administrative Tribunal forms

Forms are available from the Queensland Civil and Administrative Tribunal (or your local courthouse outside the Brisbane metropolitan area).

Sample 1 – Application for minor civil dispute – consumer dispute form (PDF, 760 KB)

Sample 2 – Loss adjuster’s affidavit (PDF, 173 KB)

Sample 3 – Repairer’s affidavit (PDF, 167 KB)

Sample 4 – Affidavit of service (PDF, 507 KB)

Magistrates court forms

Forms are available from your local courthouse.

Sample 5 – Magistrates court claim (PDF, 355 KB)

Sample 6 – Statement of claim (PDF, 187 KB)

Sample 7 – Request for default judgment (PDF, 201 KB)

Sample 8 – Plaintiff’s affidavit (PDF, 219 KB)

Sample 9 – Repairer’s affidavit (PDF, 225 KB)

Sample 10 – Default judgment (PDF, 185 KB)

Sample 11 – Affidavit of service (PDF, 201 KB)

Sample 12 – Notice of intention to defend (PDF, 164 KB)

Sample 13 – Defence and counterclaim (PDF, 214 KB)

Sample 14 – Answer to the counterclaim (PDF, 200 KB)

Sample 15 – List of documents (PDF, 185 KB)

Sample 16 – Request for subpoena (PDF, 159 KB)

Sample 17 – Subpoena for production (PDF, 207 KB)

Last modified: 3 May 2012 5:29PM
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Sample documents and forms