Government of Canada / Gouvernement du Canada
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Federal Courts Rules

Version of the schedule from 2013-02-08 to 2021-06-16:

FORM 171ARule 171Statement of Claim

(General Heading — Use Form 66)

(Court seal)

Statement of Claim


A LEGAL PROCEEDING HAS BEEN COMMENCED AGAINST YOU by the Plaintiff. The claim made against you is set out in the following pages.

IF YOU WISH TO DEFEND THIS PROCEEDING, you or a solicitor acting for you are required to prepare a statement of defence in Form 171B prescribed by the Federal Courts Rules, serve it on the plaintiff’s solicitor or, where the plaintiff does not have a solicitor, serve it on the plaintiff, and file it, with proof of service, at a local office of this Court, WITHIN 30 DAYS after this statement of claim is served on you, if you are served within Canada.

If you are served in the United States of America, the period for serving and filing your statement of defence is forty days. If you are served outside Canada and the United States of America, the period for serving and filing your statement of defence is sixty days.

Copies of the Federal Courts Rules, information concerning the local offices of the Court and other necessary information may be obtained on request to the Administrator of this Court at Ottawa (telephone 613-992-4238) or at any local office.

IF YOU FAIL TO DEFEND THIS PROCEEDING, judgment may be given against you in your absence and without further notice to you.


Issued by: (Registry Officer)

Address of local office: blank line

TO: (Name and address of each defendant)

(Separate page)


  • 1 The plaintiff claims: (State here the precise relief claimed.)

    (In consecutively numbered paragraphs, set out each allegation of material fact relied on to substantiate the claim.)

The plaintiff proposes that this action be tried at (place).


blank line
(Signature of solicitor or plaintiff)
(Name, address, telephone and fax number of solicitor or plaintiff)

blank line

  • SOR/2004-283, s. 35
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