District Court Area of

District No.

Record number:

Between

........ Claimant

........ Respondent

TAKE NOTICE THAT the above civil proceedings have been listed at the sitting of the District Court to be held at........ on the ...... day of ........ 20 .... at ........ a.m./p.m.

*The listing is to explain the failure of the parties to proceed and you are required either to provide a sufficient explanation of the failure to proceed in writing to this office at least seven days before the date listed above or to attend at the date and time listed above to explain the failure to proceed.

Dated this ..... day of ........ 20.....

Signed:........

District Court Clerk assigned to the above Court area.

To *(Solicitor for) claimant

of........

To *(Solicitor for) respondent of........

* Delete where inapplicable