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Form44 (version3)
UCPR 36.1A

CONSENT #JUDGMENT #ORDER

COURT DETAILS
Court
#Division
#List
Registry
Case number
TITLE OF PROCEEDINGS
[First] plaintiff / [name]
#Second plaintiff #Number of plaintiffs (if more than two)
[First] defendant / [name]
#Second defendant #Number of defendants (if more than two)
PREPARATION DETAILS
Prepared for / [name] [role of party eg plaintiff]
#Legal representative / [solicitor on record] [firm]
#Legal representative reference / [reference number]
Contact name and telephone / [name] [telephone]
Contact email / [email address]
TERMS OF #JUDGMENT #ORDER MADE BY THE COURT BY CONSENT

1[ ]

2[ ]

[See UCPR 36.1A for more information about what can be included in a consent judgment or order.]

SIGNATURES

[Role of party]

[name], [role of party] consents.

#Signature of legal representative
#Signature of or on behalf of party if not legally represented
Capacity / [eg solicitor, authorised officer, role of party]
Date of signature

[repeat as required for each party signing]

SEAL AND SIGNATURE
Court seal
Signature
Capacity
Date made or given
Date entered
NOTICE

Subject to limited exceptions, no variation of a judgment or order can occur except on application made within 14 days after entry of the judgment or order.

[on separate page]

[Include only if more than two plaintiffs and/or more than two defendants and/or any cross-claims. There is no need to include this page for interlocutory orders.]

#PARTY DETAILS

PLAINTIFF['S][S'] CLAIM

Plaintiff[s] / Defendant[s]
[name] [role of party eg first plaintiff] / [name] [role of party eg first defendant]
[repeat as required for each additional plaintiff] / [repeat as required for each additional defendant]

#[FIRST] CROSS-CLAIM

Cross-claimant[s] / Cross-defendant[s]
[name] [role of party eg first cross-claimant to first cross-claim] / [name] [role of party eg first cross-defendant to first cross-claim]
[repeat as required for each additional cross-claimant] / [repeat as required for each additional cross-defendant]

[repeat as required for each additional cross-claim]