Form test page

Apply for a claim to be heard by the Small Claims Beis Din

Name*
First Last
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Contact Telephone Number*
Mobile Phone Number*
Email Address*
Enter Email Confirm Email
Respondent: Name*
First Last
Respondent: Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Respondent: Contact Telephone Number
Respondent: Mobile Telephone Number*
Respondent: Email Address*
Enter Email Confirm Email
Are you applying in your personal capacity?*
Are you claiming against the Respondent in his/her personal capacity?*
Brief Description of the Nature of the Claim*
Amount of Claim*
Please select which days of the week you would be available on. Choose as many as apply (by holding down the ctrl key while clicking).*
Please tick to confirm that the other party is aware of the claim and has agreed to come to the Federation Small Claims Beis Din*
- YES the other party has been informed.
PAYMENT / FEES
There is a non-refundable processing fee for the submission of an application to the Small Claims Beis Din. Claims must not exceed £5000. Please note this fee is non-refundable, however it is deductible from the charge for the Din Torah itself.
Small Claim Fee*
Price:
Please tick the box below to confirm you are human

PAYMENT / FEES