Application Form - Beth-Din

Court case application form

Claimant information

Claimant Name and Surname*

Company/Trust (If applicable)

Telephone*

Email address*

Vat number (If applicable)

Address*

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Attorney (If applicable)*

Firm*

Telephone*

Email address

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Advocate (If applicable)*

Telephone*

Email address

Claim amount*

Respondent information

Company/Trust (If applicable)*

Telephone*

Email address

Fax number*

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Attorney (If applicable)*

Firm*

Telephone*

Email address

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Advocate (If applicable)*

Telephone*

Email address

Are you claiming in your personal capacity or as a member of a company/trust?**

Is the claim against the Respondent in their personal capacity or against the company/trust?**

Brief description of claim*

Date*

Submitted by*

Upload any relevant documents

Drop files here or

Accepted file types: pdf, doc, docx, rtf, jpg, jpeg, xlsx, csv, css, html, png, js, jsx, ttf, otf, woff, woff2, pptx, pptm, ppt, Max. file size: 6 MB.

Court case application form

Claimant information

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Respondent information

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Beis Hora’ah Fees

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*The claimant pays to open the case.

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