Sample Statement of claim for goods
This page links to an example of a completed form. This is the actual form with sample text added in each section.
You should make sure that your form relates to your circumstances. If you need more help to prepare your form, get legal advice.
Do not try to file this sample form.
This sample form is provided in Microsoft Word format.
For more information about completing this form, see Instructions for completing a Statement of claim for goods.
Case study - Natalie and her pet dog
Natalie and Rachel were in a relationship for five months. During their relationship, Natalie went to Queensland for a three-month work contract. She could not take her pet dog, Charlie, with her. She asked Rachel to look after her dog while she was gone. Natalie and Rachel broke up during this time. When Natalie returned to Sydney, Rachel told her she was not going to give Charlie back because she spent money looking after him while she was away. Rachel also refused to give back the laptop that she had given to Natalie as a birthday gift when they were together. Natalie sent a letter of demand to recover her pet dog and her laptop. Rachel refused. Natalie decided to apply to the Local Court.