Chapter: 338C SMALL CLAIMS TRIBUNAL (FORMS) RULES Gazette Number Version Date
Empowering section 30/06/1997
(Cap 338, section 36)
[1 October 1976]
(Originally L.N. 77 of 1976)
Rule: 1 Citation 30/06/1997
These rules may be cited as the Small Claims Tribunal (Forms) Rules.
Rule: 2 Forms 30/06/1997
The forms contained in the Schedule shall be used in the tribunal with such variations as the circumstances may require.
Schedule: SCHEDULE L.N. 257 of 1999 19/10/1999
[rule 2]
FORM 1
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
TITLE TO CLAIM: GENERAL FORM
Claim No. of 19 .
Between (a) ................................................................................................. Claimant(s)
and
(b) .............................................................................................. Defendant(s)
Note: (a) Insert full name and address of each claimant and, in the case of a representative claim, the name and address of each person represented.
(b) Insert full name and address of each defendant. (L.N. 14 of 1995)
FORM 2 [section 12]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
FORM OF CLAIM
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 1
[title as in Form 1]
To the Defendant.
The claimant claims the amount of ................................................................................. particulars of the grounds for which and the manner in which it is calculated are set out as follows:
(a) 1. The grounds for the claim are: ............................................................................................................... ............................................................................................................... ...............................................................................................................
(b) 2. The amount of claim is calculated as follows: ..................................................................................................................... ..................................................................................................................... .....................................................................................................................
Dated this ........... day of ........................... 19 .......
....................................................... (c) (Signature of Claimant).
Filed this ........... day of ............................. 19 .......
....................................................... Registrar.
L.S.
Note: (a) Set out sufficient particulars to inform the defendant of the grounds for the claim. (b) Set out in full the manner in which the amount of claim is calculated and whether it includes any interest
or expenses. (c) This claim must be signed by each claimant or person represented before the date of hearing.
(L.N. 14 of 1995)
FORM 3 [section 14]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF PLACE AND DAY FIXED FOR HEARING
[title as in Form 1]
To the Defendant.
Take Notice that this claim has been made by the claimant against you and will be heard at a tribunal to be held at ............................................................................................................ before ................................................................................................................ Adjudicator, on the ..................... day of ............................................... 19 ........, at ................ *a.m./p.m.
And Take Notice that if you do not attend at the time and place mentioned, either in person or by a person
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 2
______________________________________________________________________
______________________________________________________________________
authorized by the tribunal to appear on your behalf, the claim may be heard in your absence and such award or order may be made in your absence as the tribunal thinks fit.
Dated this ......... day of .................... 19 .......
....................................................... Registrar.
L.S.
(a) This notice and a copy of the claim was served by me on .......................................... ............................................ by means of .............................................................................. on the ........................ day of ................................................. 19 .........
........................................................ ....................................................... (Signature of recipient of claim (Signature of process server). and notice if obtained).
* Delete whichever is not applicable.
Note: (a) Service shall be effected in accordance with section 14(2) of the Small Claims Tribunal Ordinance. (L.N. 254 of 1988; L.N. 14 of 1995)
FORM 4 [section 14]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF NEW PLACE AND NEW DAY FIXED FOR HEARING
[title as in Form 1]
To The Defendant.
Take Notice that this claim will be heard at ..................................................................... on the ........................... day of ................................................ 19 ......., at ........... *a.m./p.m. and any previous notice of the place and date of hearing is hereby cancelled.
Dated this ............ day of ................................... 19 .......
....................................................... Registrar.
L.S.
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 3
______________________________________________________________________
(a) This notice was served by me on ............................................................................. ..................... by means of ..................................................................................................... on the ................ day of ...................................... 19 .......
........................................................ ....................................................... (Signature of recipient notice (Signature of process server).
if obtained).
* Delete whichever is not applicable.
Note: (a) Service shall be effected in accordance with section 14(2) of the Small Claims Tribunal Ordinance. (L.N. 254 of 1988; L.N. 14 of 1995)
FORM 5 [section 16]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
SUMMONS TO WITNESS
[title as in Form 1]
To (a) ......................................................................................................................
YOU ARE HEREBY SUMMONED to attend at ........................................................... .................................................... on ...................................................... the ................. day of ................... 19 ...... at ............ o'clock, and so from day to day, until the proceedings are heard, to give evidence in the above claim *and also bring with you and produce the several documents hereunder specified:
[Here insert list of documents required to be produced.]
In default of your attendance you will be liable for forfeit a fine not exceeding level 2 if there was paid or tendered to you at the time of service of this summons a reasonable sum in respect of your expenses including any loss of salary or wages.
Dated this .......... day of ...................................... 19 ........
................................................... Registrar.
L.S.
Sum to be paid or tendered to witness $ .................................................................................. (b) This summons was served by me on ......................................................................
by means of .......................................................................... on the .............. day of ..................................... 19 .............
........................................................ .......................................................
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 4
(Signature of recipient of summons (Signature of process server). if obtained).
* Delete if witness not required to produce documents.
Note: (a) Insert name of person to be served. (b) Service to be effected in accordance with the Small Claims Tribunal (General) Rules (Cap 338 sub. leg.
A). (L.N. 254 of 1988; L.N. 14 of 1995; 28 of 1999 s. 18)
FORM 6 [section 18]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
FORM OF *AWARD/ORDER
[title as in Form 1]
IT IS ADJUDGED that (a) ............................................................................... obtained against (b) ................................................................................... the following *award/order.
Dated this .................. day of .................................... 19 .........
...................................................... Adjudicator.
L.S.
* Delete whichever is not applicable.
Note: (a) Insert full name of the party in whose favour the award or order is made. (b) Insert full name of the party against whom the award or order is made.
For attention of parties: (i) An application in Form 8C for review of an award or order must be made to the Adjudicator within 7 days
after the date of the award or order. (ii) An application in Form 8D to set aside an award or order must be made to the tribunal within 7 days after
the hearing. (iii) An application in Form 9 for leave to appeal against an award or order must be lodged with the Registrar,
High Court, within- (A) 7 days after the date on which the written award or order is served on the aggrieved party; or (B) if within that period the aggrieved party applies to the tribunal for the reasons for the award or order,
7 days after the date on which the reasons are served on him. (L.N. 27 of 1978; L.N. 14 of 1995; 25 of 1998 s. 2)
FORM 7 [section 27]
SMALL CLAIMS TRIBUNAL ORDINANCE
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 5
(Chapter 338)
APPLICATION FOR REVIEW BY THE COURT OF FIRST INSTANCE OF TRIBUNAL'S DECISION TO TRANSFER A CLAIM
[title as in Form 1]
To The Court of First Instance.
I, (a) ............................................................................................. , a party to this claim, pursuant to section 27 of the Small Claims Tribunal Ordinance, do hereby make application for a review of the tribunal's decision made on the ............... day of ................................. 19 .......... to transfer this claim to the *Minor Employment Claims Adjudication Board/Labour Tribunal/Lands Tribunal/District Court/Court of First Instance.
(b) Dated this ........... day of ............................... 19 .......
....................................................... (Signature of Applicant).
* Delete whichever is not applicable.
Note: (a) Insert full name of the party making application. (b) An application for a review of the tribunal's decision to transfer a claim must be made within 7 days of the
decision. (L.N. 214 of 1982; 14 of 1986 s. 12; L.N. 14 of 1995; 25 of 1998 s. 2; 28 of 1999 s. 18)
FORM 8 [section 27]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF REVIEW BY THE COURT OF FIRST INSTANCE ON THE APPLICATION OF A PARTY
[title as in Form 1]
To All Parties Interested.
An Application has been made by (a) .............................................................................. a party to this claim, for a review under section 27 of the Small Claims Tribunal Ordinance of the tribunal's decision made on the ................. day of ................................................ 19 .......... to transfer this claim to the *Minor Employment Claims Adjudication Board/Labour Tribunal/Lands Tribunal/District Court/Court of First Instance.
Take Notice that the Court of First Instance will review the decision at ...................................... .................................................................................................... on the .................... day of ................................. 19 ............. at ............................. *a.m./p.m.
Dated this ............. day of ...................................... 19 ........
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 6
______________________________________________________________________
______________________________________________________________________
....................................................... Registrar, High Court.
L.S.
(b) This notice was served by me on ............................................................................ by means of .......................................................................... on the ........................... day of ........................ 19 ............
........................................................ ....................................................... (Signature of recipient of notice (Signature of process server).
if obtained).
* Delete whichever is not applicable.
Note: (a) Insert full name of the party by whom the application has been made. (b) Service shall be effected in the manner prescribed under the Small Claims Tribunal (General) Rules (Cap
338 sub. leg. A). (L.N. 214 of 1982; 14 of 1986 s. 12; L.N. 254 of 1988; L.N. 14 of 1995; 25 of 1998 s. 2; 28 of 1999 s. 18)
FORM 8A [section 27A(2)(a)]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF REVIEW BY AN ADJUDICATOR OF HIS OWN MOTION
[title as in Form 1]
To All Parties Interested.
TAKE NOTICE that in exercise of the powers conferred by section 27A(1) of the Small Claims Tribunal Ordinance, .................................................................................. Adjudicator, will review the *award/order made on the ......................... day of ................................ 19 ...... against (a) ............................................................................................................................. *claimant(s)/defendant(s) to this claim.
AND TAKE NOTICE that the review will be heard at .................................................... ............................. on the ................. day of ............................................................ 19 ........ at ................... *a.m./p.m.
Dated this .............. day of .................................. 19 .........
....................................................... Registrar.
L.S.
(b) This notice was served by me on ............................................................................ by means
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 7
______________________________________________________________________
of ............................................................................................. on the ............ day of ..................................... 19 .......
........................................................ ....................................................... (Signature of recipient of notice (Signature of process server).
if obtained)
* Delete whichever is not applicable.
Note: (a) Insert full name and address of party against whom award/order was made. (b) Service shall be effected in the manner prescribed under the Small Claims Tribunal (General) Rules (Cap
338 sub. leg. A). (L.N. 27 of 1978; L.N. 254 of 1988; L.N. 14 of 1995)
FORM 8B [section 27A(2)(b)]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF REVIEW BY AN ADJUDICATOR ON THE APPLICATION OF A PARTY
[title as in Form 1]
To All Parties Interested.
An Application has been made by (a) ............................................................................, a party to this claim, for a review under section 27A of the Small Claims Tribunal Ordinance of an *award/order made on the ............... day of .......................................................... 19 ........ in respect of this claim.
TAKE NOTICE that .................................................................................., Adjudicator will review the *award/order at .............................................................................................. on the ............... day of ....................................................... 19 ...... at ................. *a.m./p.m.
Dated this ........... day of .................................. 19 ......
....................................................... Registrar.
L.S.
(b) This notice was served by me on ............................................................................ by means of ...................................................................................... on the ................... day of ............................... 19 ............
........................................................ ....................................................... (Signature of recipient of notice (Signature of process server)
if obtained)
* Delete whichever is not applicable.
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 8
Note: (a) Insert full name of the party by whom the application has been made. (b) Service shall be effected in the manner prescribed under the Small Claims Tribunal (General) Rules (Cap
338 sub. leg. A). (L.N. 27 of 1978; L.N. 254 of 1988; L.N. 14 of 1995)
FORM 8C [section 27A]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
APPLICATION FOR REVIEW OF AN *AWARD/ORDER BY A PARTY
[title as in Form 1]
To ...................................., Adjudicator.
I, (a) ...................................................................., a party to this claim which was heard and determined before you on the ............... day of ................................................... 19 ......., being dissatisfied with the *award/order made by you in respect of this claim, hereby, pursuant to section 27A(2)(b) of the Small Claims Tribunal Ordinance, make application to you to review the *award/order.
(b) Dated this ......... day of .............................. 19 .........
................................................. (Signature of Applicant).
* Delete whichever is not applicable.
Note: (a) Insert full name of the party making application (b) An application for a review of an award or order must be made within 7 days after the date of the award or
order. (L.N. 27 of 1978; L.N. 14 of 1995)
FORM 8D [section 32A]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
APPLICATION TO SET ASIDE AN *AWARD/ORDER
[title as in Form 1]
To The Tribunal.
I, (a) ............................................................., a party to this claim, which was heard and determined by the tribunal in my absence and an *award/order made on the ....................... day of .............................................. 19 ........,
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 9
______________________________________________________________________
hereby, pursuant to section 32A of the Small Claims Tribunal Ordinance, make application to set aside the *award/order.
The *reason/reasons for my non-appearance at the hearing *is/are ................................... .............................................................................................................................................. ..............................................................................................................................................
(b) Dated this .......... day of ........................... 19 .........
....................................................... (Signature of Applicant).
* Delete whichever is not applicable.
Note: (a) Insert full name of the party making application. (b) This application must be made to the tribunal within 7 days after the hearing.
(L.N. 27 of 1978; L.N. 14 of 1995)
FORM 8E [section 32A]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF DAY FIXED FOR HEARING OF AN APPLICATION TO SET ASIDE AN *AWARD/ORDER
[title as in Form 1]
To All Parties Interested.
An Application has been made by (a) ............................................................................, a party to this claim, to set aside under section 32A of the Small Claims Tribunal Ordinance the *award/order made in the absence of the applicant on the ................................................. day of .................................................... 19 ............... in respect of this claim. The reasons for the non-appearance of the applicant are set out in the Application, a copy of which is annexed hereto.
TAKE NOTICE that the Application will be heard at ...................................................... on the ..................... day of ............................................. 19 ........ at ................... *a.m./p.m.
Dated this ................. day of .................................. 19 .......
....................................................... Registrar.
(b) This notice was served by me on ............................................................. by means of ....................................... on the ................ day of ........................................... 19 ...........
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 10
........................................................ ....................................................... (Signature of recipient of notice (Signature of process server).
if obtained).
* Delete whichever is not applicable.
Note: (a) Insert full name of party by whom the application has been made. (b) Service shall be effected in the manner prescribed under the Small Claims Tribunal (General) Rules (Cap
338 sub. leg. A). (L.N. 27 of 1978; L.N. 254 of 1988; L.N. 14 of 1995)
FORM 9 [section 28]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
APPLICATION FOR LEAVE TO APPEAL ON POINT OF LAW
[title as in Form 1]
To The Court of First Instance.
I, (a) ............................................................................................., a party to this claim, pursuant to section 28 of the Small Claims Tribunal Ordinance do hereby apply for leave to appeal against the *award/order by ..................................., Adjudicator, made in respect of this claim on the ............. day of ............................................................................... 19 .........
The grounds on which I desire to appeal are that-
*the *award/order is erroneous in point of law in that-(b) 1. .............................................................................................................................. 2. .............................................................................................................................. 3. .............................................................................................................................. 4. ..............................................................................................................................
*the *award/order is outside the jurisdiction of the tribunal in that-(c) 1. .............................................................................................................................. 2. .............................................................................................................................. 3. .............................................................................................................................. 4. ..............................................................................................................................
Dated this ............... day of ..................................... 19.........
....................................................... (Signature of Applicant).
(d) Lodged this ............... day of ............................... 19 .......
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 11
______________________________________________________________________
....................................................... Registrar, High Court.
L.S.
* Delete whichever is not applicable.
Note: (a) Insert full name of the party making the application for leave to appeal. (b) Set out the point of law in question. (c) Set out the reasons. (d) This application must be lodged with the Registrar, High Court, within-
(i) 7 days after the date on which the written award or order is served on the party making this application; or
(ii) if within that period the party applies to the tribunal for the award or order, 7 days after the date on which the reasons are served on him.
(L.N. 27 of 1978; L.N. 214 of 1982; L.N. 14 of 1995; 25 of 1998 s. 2)
FORM 10 [(General) rule 8]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF DAY FIXED FOR HEARING OF AN APPLICATION FOR LEAVE TO APPEAL
[title as in Form 1]
To (the applicant).
Take Notice that your application dated .......................................... 19 ......... for leave to appeal against the *award/order of ........................................................, Adjudicator, made on the ............ day of .............................................. 19 ....... in respect of this claim will be heard at ................................................................................... on the .............. day of .................. 19 ........ at .........................................
Dated this ............ day of ................................... 19 ........
....................................................... Registrar, High Court.
L.S.
(a) This notice was served by me on ............................................................................ by means of ............................................. on the .............. day of ......................................... 19 ........
........................................................ ....................................................... (Signature of recipient of notice (Signature of process server)
if obtained)
* Delete whichever is not applicable.
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 12
______________________________________________________________________
Note: (a) Service to effected in accordance with the Small Claims Tribunal (General) Rules (Cap 338 sub. leg. A). (L.N. 254 of 1988; L.N. 14 of 1995; 25 of 1998 s. 2)
FORM 11 [(General) rule 9(1)(c)]
SMALL CLAIMS TRIBUNAL ORDINANCE
(Chapter 338)
NOTICE OF DAY FIXED FOR HEARING OF AN APPEAL
In the Court of First Instance
[title as in Form 1]
To All Parties Interested.
Take Notice that leave to appeal against the *award/order of ........................................... ..................................................................................., Adjudicator, made on the ............ day of ....................................... 19 ........ in respect of this claim has been granted. The grounds of appeal are set out in the application for leave to appeal, a copy of which is annexed hereto.
And Take Notice that this appeal will be heard at ............................................................ on the ............. day of ......................................................................... 19 ......... at ...............
Dated this ......... day of ........................................ 19 .......
....................................................... Registrar, High Court.
L.S.
(a) This notice was served by me on ............................................................................ by means of ............................... on the .............. day of ....................................... 19 ..........
........................................................ ....................................................... (Signature of recipient of notice (Signature of process server)
if obtained)
* Delete whichever is not applicable.
Note: (a) Service to be effected in accordance with the Small Claims Tribunal (General) Rules (Cap 338 sub. leg. A).
(L.N. 214 of 1982; L.N. 254 of 1988; L.N. 14 of 1995; 25 of 1998 s. 2)
Cap 338C - SMALL CLAIMS TRIBUNAL (FORMS) RULES 13
章： 338C 《小額錢債審裁處(表格)規則》 憲報編號 版本日期
賦權條文 30/06/1997
(第338章第36條)
[1976年10月1日]
(本為1976年第77號法律公告)
條： 1 引稱 30/06/1997
本規則可引稱為《小額錢債審裁處(表格)規則》。
條： 2 表格 30/06/1997
審裁處使用附表所載表格時，可視乎情況所需而加以更改。
附表： 附表 L.N. 247 of 2000 01/09/2000
[第2條]
表格1
小額錢債審裁處條例
(第338章)
申索書標題︰通用表格
申索書編號︰19 年 第 號
(a) ! .......................................................................
..................................申索人
及
(b) ! .......................................................................
..................................被告人
註︰ (a) 填上每一申索人的全名及地址，如屬代表申索，則須填上每名被代表的人的姓名及地址。
(b) 填上每一被告人的全名及地址。
第 338C 章 - 《小額錢債審裁處(表格)規則》 1
表格2 [條例第12條]
小額錢債審裁處條例
(第338章)
申索書
[標題如表格1所示]
致被告人︰
申 索 人 現 申 索 款
額.....................................................................................
..........，
所根據的理由詳情及計算方法列明如下︰
(a) 1. 申索理由為︰
........................................................................... !
.........................................
........................................................................... !
.........................................
........................................................................... !
.........................................
(b) 2. 申索款額的計算方法如下︰
........................................................................... !
.........................................
........................................................................... !
.........................................
........................................................................... !
.........................................
日期︰19..........年..........月..........日
............................................................
(c) (申索人簽署)
提交日期︰19..........年..........月..........日
............................................. !
第 338C 章 - 《小額錢債審裁處(表格)規則》 2
______________________________________________________________________
..............
司法常務官
蓋印處
註︰ (a) 列明詳情，使被告人得以知悉申索的理由。
(b) 詳列申索款額的計算方法及說明是否已包括利息或開支在內。
(c) 每一申索人或被代表的人均須於聆訊日期前簽署本申索書。
(2000年第28號第47條)
表格3 [條例第14條]
小額錢債審裁處條例
(第338章)
聆訊日期地點通知書
[標題如表格1所示]
致被告人︰
此宗申索是由申索人針對你而提出的，將於19..........年..........月..........日*上/下
午 .......... 時 .......... 分 ，
在.....................................................................................
...........
..................................................小額錢債審裁處由審裁
官...............................................主持聆訊，特此通知。
又如你不依照上述時間地點親自出席或由審裁處批准的人代為出席，審裁處會在你缺席的情況
下聆訊此宗申索，並在你缺席的情況下作出其認為適當的裁斷或命令，特此通知。
日期︰19..........年..........月..........日
.............................................
..............
司法常務官
蓋印處
第 338C 章 - 《小額錢債審裁處(表格)規則》 3
(a) 本人已將此通知書及申索書副本於19..........年 ..........月 ..........日，
以 .......................................................................... 方 式 送
達..................................。
.................................................... ! ..........................................
.........
(申索書及通知書收件人簽署， (法律程序文件送達人簽署)
如取得其簽署的話)
*請將不適用者刪去。
註︰(a) 此等文件的送達須按照《小額錢債審裁處條例》第14(2)條所規定的方式完成。
(1988年第254號法律公告；2000年第28號第47條)
表格4 [條例第14條]
小額錢債審裁處條例
(第338章)
更改聆訊日期地點通知書
[標題如表格1所示]
致被告人︰
此宗申索將於19.............年.............月.............日*上/下午..............
時 .............. 分 ，
在..........................................................................聆訊，至於
前此有關聆訊日期地點的通知書現已取消，特此通知。
日期︰19..........年..........月..........日
.............................................
..............
司法常務官
第 338C 章 - 《小額錢債審裁處(表格)規則》 4
______________________________________________________________________
蓋印處
(a) 本 人 已 將 此 通 知 書 於 19....................... 年 .......................
月 ....................... 日 ，
以 .................................................................... 方 式 送
達................................................。
.................................................
..........................................
.........
(通知書收件人簽署，如 (法律程序文件送達人簽署)
取得其簽署的話)
*請將不適用者刪去。
註︰(a) 本通知書的送達須按照《小額錢債審裁處條例》第14(2)條所規定的方式完成。
(1988年第254號法律公告；2000年第28號第47條)
表格5 [條例第16條]
小額錢債審裁處條例
(第338章)
證人傳票
[標題如表格1所示]
致 ︰ (a)
...............................................................................
..............................................
現傳召你於19..............年 ..............月 ..............日星期..............
時..............分前往....................................................，並於以後每
日前往該地點，直至聆訊完畢為止，以便就上述申索作證，*你亦須攜備及交出下列各項文件︰
[在此開列須交出的文件]
如在此傳票送達時，曾有人就你的開支(包括薪金或工資損失)向你付給或提供一筆合理款項，而你
不出席聆訊，則可被處以不高於第2級的罰款。
第 338C 章 - 《小額錢債審裁處(表格)規則》 5
______________________________________________________________________
日期︰19..........年..........月..........日
.............................................
.............
司法常務官
蓋印處
付 給 或 提 供 給 證 人 的 款 項 為
$...................................................................................
...。
(b) 本 人 已 將 此 傳 票 於 19........................ 年 ........................
月 ........................ 日 ，
以 ........................................................................ 方 式 送
達............................................。
....................................................
..........................................
.........
(傳票收件人簽署，如 (法律程序文件送達人簽署)
取得其簽署的話)
*如證人無須交出文件，請刪去。
註︰ (a) 填上傳票所須送達的人的姓名。
(b) 傳票的送達須按照《小額錢債審裁處(一般)規則》(第338章，附屬法例A)所規定的方式完
成。
(1988年第254號法律公告；1999年第28號第18條；2000年第28號第47條)
表格6 [條例第18條]
小額錢債審裁處條例
(第338章)
第 338C 章 - 《小額錢債審裁處(表格)規則》 6
*裁斷/命令表格
[標題如表格1所示]
現 判 決
(a)....................................................................................
.................勝訴而
(b)............................................................................敗訴，有
關*裁斷/命令如下所述。
日期︰19..........年..........月..........日
.............................................
............
審裁官
蓋印處
*請將不適用者刪去。
註︰ (a)填上裁斷或命令的勝訴一方的全名。
(b) 填上裁斷或命令的敗訴一方的全名。
各方注意︰
(i) 凡申請將裁斷或命令覆核，必須於裁斷或命令作出的日期後7天內，以表格8C向審裁官提
出。
(ii) 凡申請將裁斷或命令作廢，必須於聆訊後7天內，以表格8D向審裁處提出。
(iii) 凡針對裁斷或命令申請上訴許可，必須於以下時間內，向高等法院司法常務官遞交以
表格9作出的申請書 ─
(A) 在書面裁斷或命令送達感到受屈的一方的日期後7天內；或
(B) 如感到受屈的一方在上述期限內向審裁處要求解釋作出裁斷或命令的理由，則在該等
理由送達感到受屈的一方的日期後7天內。
(1978年第27號法律公告；1998年第25號第2條)
表格7 [條例第27條]
小額錢債審裁處條例
(第338章)
第 338C 章 - 《小額錢債審裁處(表格)規則》 7
要求原訟法庭覆核審裁處移交
申索決定的申請書
[標題如表格1所示]
呈原訟法庭︰
本人(a)....................................................................是此宗申
索的其中一方，現依據《小額錢債審裁處條例》第27條，申請將審裁處於19...........
年...........月...........日所作將此宗申索移交*小額薪酬索償仲裁處/勞資審裁處/土地審裁處
/區域法院/原訟法庭的決定，加以覆核。
(b) 日期︰19..........年..........月..........日
...............................................
.............
(申請人簽署)
* 請將不適用者刪去。
註︰ (a) 填上提出申請的一方的全名。
(b) 凡要求對審裁處移交申索的決定予以覆核者，須於決定作出後7天內提出申請。
(1982年第214號法律公告；1986年第14號第12條；1998年第25號第2條；1999年第28號第18條)
表格8 [條例第27條]
小額錢債審裁處條例
(第338章)
原訟法庭應一方申請
進行覆核的通知書
[標題如表格1所示]
致所有有關各方︰
此 宗 申 索 的 其 中 一 方
(a)............................................................................，已根據
《小額錢債審裁處條例》第27條，申請將審裁處於19............年............月............
日所作將此宗申索移交*小額薪酬索償仲裁處/勞資審裁處/土地審裁處/區域法院/原訟法庭的決定，
第 338C 章 - 《小額錢債審裁處(表格)規則》 8
______________________________________________________________________
加以覆核。
原訟法庭將於19............年............月............日*上/下午..............
時 .............. 分 ，
在.....................................................................................
.......覆核該項決定，特此通知。
日期︰19..........年..........月..........日
.............................................
..............
高等法院司法常務官
蓋印處
(b) 本 人 已 將 此 通 知 書 於 19...................... 年 .......................
月 ....................... 日 ，
以 .............................................................. 方 式 送
達......................................................。
.................................................
..........................................
.........
(通知書收件人簽署，如 (法律程序文件送達人簽署)
取得其簽署的話)
*請將不適用者刪去。
註︰ (a) 填上提出申請的一方的全名。
(b) 本通知書的送達須按照《小額錢債審裁處(一般)規則》(第338章，附屬法例A)所訂明的方
式完成。
(1982年第214號法律公告；1986年第14號第12條；1988年第254號法律公告；1998年第25
號第2條；1999年第28號第18條)
表格8A [條例第27A(2)(a)條]
小額錢債審裁處條例
第 338C 章 - 《小額錢債審裁處(表格)規則》 9
______________________________________________________________________
(第338章)
審裁官主動覆核的通知書
[標題如表格1所示]
致有關各方︰
審裁官......................................................................現行使
《小額錢債審裁處條例》第27A(1)條所授予的權力，將覆核在19............年............
月............日判決此宗申索的*申索人/被告人(a)....................................敗訴
的*裁斷/命令，特此通知。
又該項覆核將於19............年............月............日*上/下午............
時 ............ 分 ，
在.....................................................................................
...................進行，特此通知。
日期:19............年............月............日
.............................................
..............
司法常務官
蓋印處
(b) 本 人 已 將 此 通 知 書 於 19....................... 年 .......................
月 ...................... 日 ，
以 ............................................................ 方 式 送
達........................................................。
....................................................
..........................................
.........
(通知書收件人簽署， (法律程序文件送達人簽署)
如取得其簽署的話)
*請將不適用者刪去。
第 338C 章 - 《小額錢債審裁處(表格)規則》 10
______________________________________________________________________
註︰ (a) 填上被裁斷/命令敗訴的一方的全名及地址。
(b) 本通知書的送達須按照《小額錢債審裁處(一般)規則》(第338章，附屬法例A)所訂明的方
式完成。
(1978年第27號法律公告；1988年第254號法律公告；2000年第28號第47條)
表格8B [條例第27A(2)(b)條]
小額錢債審裁處條例
(第338章)
審裁官應一方申請進行覆核的通知書
[標題如表格1所示]
致有關各方︰
此 宗 申 索 的 其 中 一 方
(a)................................................................................已根
據《小額錢債審裁處條例》第27A條，申請對一項於19............年............月............
日就此宗申索而作出的*裁斷/命令加以覆核。
審裁官將於19.............年.............月.............日*上/下午...............
時 .............. 分 ，
在..............................................................................覆核該
項*裁斷/命令，特此通知。
日期︰19............年............月............日
.............................................
..............
司法常務官
蓋印處
(b) 本 人 已 將 此 通 知 書 於 19........................ 年 .......................
月 ....................... 日 ，
以 .................................................................. 方 式 送
達..........................................。
第 338C 章 - 《小額錢債審裁處(表格)規則》 11
....................................................
..........................................
.........
(通知書收件人簽署， (法律程序文件送達人簽署)
如取得其簽署的話)
*請將不適用者刪去。
註︰ (a) 填上提出申請的一方的全名。
(b) 本通知書的送達須按照《小額錢債審裁處(一般)規則》(第338章，附屬法例A)所訂明的方
式完成。
(1978年第27號法律公告；1988年第254號法律公告；2000年第28號第47條)
表格8C [條例第27A條]
小額錢債審裁處條例
(第338章)
一方要求覆核*裁斷/命令申請書
[標題如表格1所示]
呈審裁官............................︰
本人(a)............................................................................
是此宗申索的其中一方，此宗申索已於19.............年.............月.............日由你聆
訊及裁定，但本人不滿你就此宗申索而作出的*裁斷/命令，現依據《小額錢債審裁處條例》第
27A(2)(b)條向你申請覆核該項*裁斷/命令。
(b) 日期︰19............年............月............日
.............................................
..............
(申請人簽署)
*請將不適用者刪去。
第 338C 章 - 《小額錢債審裁處(表格)規則》 12
註︰ (a) 填上提出申請的一方的全名。
(b) 要求覆核裁斷或命令的申請必須於裁斷或命令作出的日期後7天內提出。
(1978年第27號法律公告)
表格8D [條例第32A條]
小額錢債審裁處條例
(第338章)
要求將*裁斷/命令作廢的申請書
[標題如表格1所示]
呈審裁處︰
本人(a)............................................................................
是此宗申索的其中一方。審裁處已在本人缺席的情況下聆訊及裁定此宗申索，並於19............
年............月............日作出*裁斷/命令；本人現依據《小額錢債審裁處條例》第32A條申
請將該項*裁斷/命令作廢。
本 人 當 日 未 能 出 席 聆 訊 的 理 由 是
︰.......................................................................
....................................................................................... !
.....................................................
....................................................................................... !
.....................................................
(b) 日期︰19............年............月............日
.............................................
..............
(申請人簽署)
*請將不適用者刪去。
註︰ (a) 填上提出申請的一方的全名。
(b) 本申請必須於聆訊後7天內向審裁處提出。
(1978年第27號法律公告)
第 338C 章 - 《小額錢債審裁處(表格)規則》 13
______________________________________________________________________
表格8E [條例第32A條]
小額錢債審裁處條例
(第338章)
申請將*裁斷/命令作廢
聆訊日期通知書
[標題如表格1所示]
致有關各方︰
此 宗 申 索 的 其 中 一 方
(a)....................................................................................
....現根據《小額錢債審裁處條例》第32A條，申請將於19............年.............
月.............日在申請人缺席的情況下就此宗申索而作出的*裁斷/命令作廢。申請人缺席的理
由，已經列明於有關的申請書內，現附上該申請書副本一份。
該項申請將於19............年............月............日*上/下午..............
時 .............. 分 ，
在.....................................................................................
................聆訊，特此通知。
日期︰19............年............月............日
.............................................
..............
司法常務官
(b) 本 人 已 將 此 通 知 書 於 19....................... 年 .......................
月.......................日，以........................................................
方式送達....................................................。
.................................................... ! .......................................... !
.........
第 338C 章 - 《小額錢債審裁處(表格)規則》 14
(通知書收件人簽署， (法律程序文件送達人簽署)
如取得其簽署的話)
*請將不適用者刪去。
註︰ (a) 填上提出申請的一方的全名。
(b) 本通知書的送達須按照《小額錢債審裁處(一般)規則》(第338章，附屬法例A)所訂明的方
式完成。
(1978年第27號法律公告；1988年第254號法律公告；2000年第28號第47條)
表格9 [條例第28條]
小額錢債審裁處條例
(第338章)
基於法律論點而提出的上訴許可申請書
[標題如表格1所示]
呈原訟法庭︰
本人(a)............................................................................
是此宗申索的其中一方，現依據《小額錢債審裁處條例》第28條申請許可，就審裁
官....................................於19............年............月............日對
此宗申索所作出的*裁斷/命令提出上訴。
本人擬提出上訴的理由是─
*該項*裁斷/命令在法律論點上有錯，因為─(b)
1. ! ............................................................................... !
.............................................
2. ! ............................................................................... !
.............................................
3. ! ............................................................................... !
.............................................
4. ! ............................................................................... !
.............................................
第 338C 章 - 《小額錢債審裁處(表格)規則》 15
*該項*裁斷/命令超越審裁處的司法管轄權範圍，因為─(c)
1. ! ............................................................................... !
.............................................
2. ! ............................................................................... !
.............................................
3. ! ............................................................................... !
.............................................
4. ! ............................................................................... !
.............................................
日期︰19............年............月............日
.............................................
..............
(申請人簽署)
(d) 遞交日期︰19............年............月............日
.............................................
..............
高等法院司法常務官
蓋印處
*請將不適用者刪去。
註︰ (a) 填上申請上訴許可的一方的全名。
(b) 列明有關的法律論點。
(c) 列明理由。
(d) 本申請書須於以下時間內向高等法院司法常務官遞交─
(i) 書面裁斷或命令送達提出此項申請的一方的日期後7天內；或
(ii) 如該一方在上述期限內向審裁處要求解釋作出裁斷或命令的理由，則在該等理
由送達該一方的日期後7天內。
(1978年第27號法律公告；1982年第214號法律公告；1998年第25號第2條)
第 338C 章 - 《小額錢債審裁處(表格)規則》 16
______________________________________________________________________
表格10 [(一般)規則第8條]
小額錢債審裁處條例
(第338章)
上訴許可申請的聆訊日期通知書
[標題如表格1所示]
致(申請人)︰
你 於 19............ 年 ............ 月 ............ 日 就 審 裁
官 ........................................................ 於 19............
年............月............日對此宗申索所作出的*裁斷/命令而提出的上訴許可申請，將於
19................ 年 .................. 月 .................. 日 ..................
時 .................. 分 ，
在.....................................................................................
.......................聆訊，特此通知。
日期︰19............年............月............日
.............................................
..............
高等法院司法常務官
蓋印處
(a) 本 人 已 將 此 通 知 書 於 19........................ 年 .......................
月 ...................... 日 ，
以 ............................................................ 方 式 送
達........................................................。
....................................................
..........................................
.........
(通知書收件人簽署，如 (法律程序文件送達人簽署)
取得其簽署的話)
第 338C 章 - 《小額錢債審裁處(表格)規則》 17
______________________________________________________________________
*請將不適用者刪去。
註︰ (a) 本通知書的送達須按照《小額錢債審裁處(一般)規則》(第338章，附屬法例A)所規定的方
式完成。
(1988年第254號法律公告；1998年第25號第2條)
表格11 [(一般)規則第9(1)(c)條]
小額錢債審裁處條例
(第338章)
上訴聆訊日期通知書
香港原訟法庭
[標題如表格1所示]
致有關各方︰
就 審 裁 官 ............................................................ 於
19............年............月............日對此宗申索所作出的*裁斷/命令而提出的上訴許
可申請，現已獲准，特此通知。上訴理由已列明於上訴許可申請書內，現附上該申請書副本一份。
又該宗上訴將於19..............年..............月................日................
時 ................ 分 ，
在.....................................................................................
...................聆訊，特此通知。
日期︰19............年............月............日
.............................................
..............
高等法院司法常務官
蓋印處
(a) 本 人 已 將 此 通 知 書 於 19....................... 年 .......................
月 ....................... 日 ，
以 ...................................................................... 方 式 送
第 338C 章 - 《小額錢債審裁處(表格)規則》 18
達......................................。
.................................................... ! ..........................................
.........
(通知書收件人簽署， (法律程序文件送達人簽署)
如取得其簽署的話)
*請將不適用者刪去。
註︰ (a) 本通知書的送達須按照《小額錢債審裁處(一般)規則》(第338章，附屬法例A)所規定的方
式完成。
(1982年第214號法律公告；1988年第254號法律公告；1998年第25號第2條)
第 338C 章 - 《小額錢債審裁處(表格)規則》 19