Official form guide
Form 40A.09 Garda Compensation Personal Injuries Summons: Garda Síochána Compensation Act 2022
Form 40A.09 is a Garda Compensation Personal Injuries Summons under the Garda Síochána Compensation Act 2022. It is used to start a claim for personal injury compensation by a member of the Garda Síochána.
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Form Overview
Courts Service of Ireland - Form 40A.09 Garda Compensation Personal Injuries Summons: Garda Síochána Compensation Act 2022
Form 40A.09 is a Garda Compensation Personal Injuries Summons under the Garda Síochána Compensation Act 2022. It is used to start a claim for personal injury compensation by a member of the Garda Síochána.
Risk Radar
Scan points- 1The most common mistake is filing after the two‑year limitation period has expired.
- 2Missing the statutory limitation period
- 3Leaving key injury details blank
- 4Submitting to the wrong court jurisdiction
- 5Failing to attach required medical evidence
Plain English
If a Garda has been injured on duty and wants compensation, they fill out this summons. It tells the court you are making a claim and starts the legal process. The form is part of the special compensation scheme for police officers.
Submission Date
- Filing date: The summons should be filed within two years of the injury date, unless a court‑granted extension is obtained.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use when a Garda wants to claim personal injury compensation under the 2022 Act.
- Do not use for general civil claims unrelated to Garda service injuries.
- If the injury occurred before the 2022 Act, a different legacy form may apply.
- When the claim involves death or fatal injury, a separate death claim form is required.
- For claims involving multiple incidents, each incident may need its own summons.
Form selector
Use this form or another form?
Injury before 2022 Act
Different statutory provisions apply
✓ Verify the injury date
Legacy Garda Compensation Form (pre‑2022)
Fatal injury to a Garda
Different benefits and procedures
✓ Use the death form
Garda Death Compensation Claim Form
Civil claim unrelated to Garda service
Not covered by Garda scheme
✓ Choose the appropriate civil form
Standard Personal Injuries Claim (Form A)
Deadline or filing window
The summons should be filed within two years of the injury date, unless a court‑granted extension is obtained.
Before you submit
- 1Garda's full name and service number entered correctly
- 2Accurate date and location of the incident recorded
- 3Clear description of the injury and medical diagnosis
- 4Compensation amount calculated according to the 2022 Act
- 5All required medical reports attached
- 6Signature of the Garda (or authorized representative) present
- 7Date of signing filled in
- 8Correct court jurisdiction identified
- 9Cover letter included (if required)
- 10Copies of all attachments kept for personal records
How to file this form
- 1Prepare all supporting medical and service documents.
- 2Complete Form 40A.09 using printed or electronic version.
- 3Attach the supporting documents in the order specified.
- 4Sign and date the form.
- 5Deliver the package to the appropriate District or Circuit Court in person or by post.
- 6If using e‑filing, upload the PDF to the Courts Service portal and confirm receipt.
- 7Obtain and keep the court's filing receipt or acknowledgment.
Known limitations
- 1Form only applies to injuries occurring after the 2022 Act came into force.
- 2Does not cover claims for psychological injury without a physical component unless medically documented.
- 3Limited to personal injury; property damage or third‑party claims require separate forms.
- 4No online payment of fees is possible through the form itself; fees are paid at the court.
Field map
Compact field-by-field guide
Proceedings
3 items
The names of the parties exactly as they appear on the originating document.
The court record number for the case, if one has been assigned.
The court and the office where the document is being filed.
Substance
2 items
What you are asking the court to do, or the information the form requires.
The facts relied on and any documents exhibited with the filing.
Execution
1 items
Signed, sworn or certified as the form requires, with proof of service where needed.
Almost done reviewing the fields?
Fillable formOpen in Editor->Form 40A.09 is the current version introduced after the Garda Síochána Compensation Act 2022. No further amendments have been published as of June 2026.
What changed or needs a fresh check
- Confirm the form bears the 2022 Act reference.
- Check for any updated court filing addresses on the Courts Service website.
- Verify that the e‑filing option is available for the selected court.
- Ensure the compensation amount field reflects the latest statutory caps.
- Review the attached guidance notes for any new supporting document requirements.
Quick Facts
Form Details
- Revision date
- 23/10/25
Downloads & source
Sources
- SRCForm title and number taken from the Courts Service of Ireland catalogue.
- SRCGarda Síochána Compensation Act 2022 referenced as the governing legislation.
- SRCStatutory limitation period for personal injury claims (two years) inferred from Irish law.
- SRCCourt filing methods (in person, post, e‑filing) based on standard Courts Service procedures.
- SRCNot confirmed in official source: exact fee amount and whether electronic payment is accepted.
- SRCNot confirmed in official source: specific medical documentation required.
- SRCNot confirmed in official source: exact list of courts with e‑filing capability.
Common confusion points
Mixing up the two‑year limitation period with the statutory limitation for other civil claims.
Submitting to the wrong district court based on the Garda's home station rather than incident location.
Leaving the compensation amount blank or using an outdated calculation method.
Failing to attach the original medical report, only providing a summary.
Not signing the form, causing it to be returned as incomplete.
Assuming e‑filing is available for all courts without checking the specific court’s capabilities.
Confusing this summons with the separate death compensation form.
Source transparency
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