Requisition for trial by jury23B http://www.ucprforms.lawlink.nsw.gov.au/ucprforms/index.html

Form 23B (version 3)
UCPR 29.2

REQUISITION FOR TRIAL BY JURY

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)
FILING DETAILS
Filed 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]
JURY REQUISITION

[Name of party] requires a trial with a jury.

SIGNATURE
#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