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Court of Queen's Bench Forms


Form 76A
Small Claim

Form 76A is one of the forms prescribed by the Court as part of the Court of Queen's Bench Rules. Two versions of the form are available.

User-friendly version — in PDF format (fillable).
The user-friendly version is based on the prescribed version and is provided by the Court as a public service. You can fill in the form on a computer and print the completed form, or you can print the form and complete it in handwriting.

When printing the form, use good quality letter-size printer paper, 216 mm x 279 mm (8.5" x 11").


If you print the form and complete it in handwriting, make sure the handwriting is readable.


If your form includes a dollar amount, use a decimal point to show dollars and cents (e.g. $250.00).


Prescribed version — in MicroSoft Word format or PDF format.
In many cases, the prescribed version cannot be simply printed for use in court proceedings. It is usually designed as a template with instructions for creating and completing the form as required. For example, a Statement of Claim must be in Form 14A, which requires you to include the general heading in Form 4A and the covering page in Form 4C.

If you create a form based on the prescribed version, the formatting should match the formatting of the user-friendly version and you should follow the instructions provided above for the user-friendly version.

If you need legal advice, call a lawyer or Legal Aid.