About this form
Use this form to admit to part or all of a claim made against you. Completing this form gives you the chance to explain your financial situation and propose a repayment plan that works for you. The form is 2 pages long—be sure to fill out all sections, sign it, and submit it.
If you do not respond to the claim or complete this form, a judgment will still be requested, and the court may issue a judgment in default. This could require you to pay the full amount immediately.
What you’ll need
(1) Details of the claim (check the claim form you received).
(2) Information about your income, expenses, and any debts.
How long it will take
About 20 minutes.
Why complete this form?
By completing this form, you take control of the process and ensure the repayment terms set by the court are manageable. We will not ask you to pay more than you can afford, and it gives you the chance to influence the amount and terms of the judgment granted.
Admitting to the debt:
Only complete this form if you admit to the debt in full or in part. If you do not admit to the debt, either in full or in part, you should carefully read the information you received from the court and consider seeking independent legal advice before deciding what action to take.