Official form guide
This form is used when a plaintiff agrees to accept a sum of money offered by a defendant to settle a legal case. It formally documents the acceptance of payment and helps conclude civil proceedings without a court judgment.
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Form Overview
This form is used when a plaintiff agrees to accept a sum of money offered by a defendant to settle a legal case. It formally documents the acceptance of payment and helps conclude civil proceedings without a court judgment.
Plain English
This form lets someone who sued another person (the plaintiff) accept money offered by the person they sued (the defendant). It's a simple way to record that the payment has been received and the legal case is being settled.
Submission Date
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Form selector
Defendant offers payment but plaintiff refuses
Different form required for rejection
✓ Confirm rejection reason is valid
Notice of Rejection of Sum Tendered
Partial payment offered but full settlement needed
May require additional documentation
✓ Verify if partial acceptance is permitted
Form 6B (if exists) or other settlement form
Payment offered but agreement not yet reached
Different forms for different stages
✓ Ensure proper stage of proceedings
Form 4 (Summons) or other court forms
Payment offered through court but not directly
Different legal process required
✓ Check if court intervention is necessary
Submit this form promptly after receiving payment to prevent the case from continuing unnecessarily. No specific deadline is indicated, but timely submission helps close the legal matter efficiently.
Field map
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.
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Fillable formOpen in Editor->Not confirmed in official source: This form is likely still in active use but may have been updated recently. Check the Courts Service website for the most current version.
Quick Facts
Form Details
Downloads & source
Confusing this form with forms for offering payment rather than accepting it
Uncertainty about whether to submit before or after receiving payment
Not understanding the difference between accepting payment and admitting fault
Confusion about which court office to submit to
Misunderstanding the finality of the settlement once accepted
Uncertainty about whether legal advice is needed before completing
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