Small Claims Court Forms and Procedures Regulations

Applicant declares:

☐ Approved

I state that the above information is true and complete. I consent to have this information investigated for verification and will notify court administration of any change.

Signature of applicant

made under Section 33 of the

Small Claims Court Act

R.S.N.S. 1989, c. 430

O.I.C. 93-110 (effective January 30, 1993), N.S. Reg. 17/93

amended to O.I.C. 2019-204 (effective September 3, 2019), N.S. Reg. 114/2019

1 A Notice of Claim shall be in Form 1.

2 Except where the fee is waived in accordance with Section 2A, the fee for filing a Notice of Claim shall be

(a) $99.70 where the claim is in an amount less than $5000.00;

(b) $199.35 where the claim is in an amount not less than $5000.00 and not more than $25 000.00; or

2A (1) The clerk of the court must waive the fee for filing a notice of claim if a claimant meets the financial eligibility criteria set out in subsection (2) and completes and files with the clerk an application in Form 14 together with 1 of the following:

(a) proof of the claimant’s income in the form of

(i) a current pay or income assistance or benefit stub, or

(ii) a copy of the claimant’s most recent income tax return or most recent notice of assessment;

(b) if the claimant [is] not receiving any income, a letter signed by their medical doctor, priest or other official confirming that the claimant is not receiving any income and is not surviving from any savings.

(2) A claimant meets the financial eligibility criteria for waiving the fee under subsection (1) for filing a notice of claim if the claimant’s monthly income is less than or equal to the amount that corresponds to the number of dependants they have, as set out in the following table:

Maximum Monthly Income per Number of Dependants
One adult		$1067.00	Two adults		$1424.00
	and 1 child	$1416.00		and 1 child	$1708.00
	and 2 children	$1700.00		and 2 children	$1932.00
	and 3 children	$1924.00		and 3 children	$2156.00
	and 4 children	$2148.00		and 4 children	$2380.00
	and 5 children	$2372.00		and 5 children	$2604.00

(3) If a claimant’s filing fee is waived under subsection (1), all of the following items and services must be made available to the claimant free of charge:

(a)a maximum of 25 photocopies;

(b) a maximum of 3 court searches;

3 (1) The time for serving the Notice of Claim and a form for a Defence/Counterclaim on the defendant shall be within 20 days from the date on which the claim is filed or within any additional time the clerk or adjudicator may allow.

(2) The claimant shall serve the Notice of Claim and a form for a Defence/Counterclaim at the time of service.

(3) Service of a Notice of Claim and a form for a Defence/Counterclaim shall be by personal service or such other manner of service as directed by the Court.

4 (1) A Defence shall be in Form 2, Part A.

(1A) A Counterclaim shall be in Form 2, Part B.

(2) Except where the fee is waived in accordance with Section 2A, the fee for filing a Counterclaim shall be $66.00.

5 (1) The time for filing a Defence/Counterclaim and serving it on the claimant shall be within 20 days from the date on which the defendant was served or within any additional time the clerk or adjudicator may allow.

(2) Service of a Defence or Counterclaim shall be by registered mail or such other manner of service as directed by the Court.

6 A claim may be brought or defended in the name under which the business or partnership carries on its business or the name of one or more persons believed to own or carry on the business.

7 A person under a legal disability may commence or defend a claim by a representative.

8 A subpoena shall be in Form 3.

9 (1) A subpoena issued by the clerk must be served personally on the witness or by another manner of service as directed by the Court.

(2) No person is bound to appear or give evidence pursuant to a subpoena unless the person is paid or tendered witness fees in the amount of $5.00 plus $0.20 per kilometre one way from the place of residence of the person to the place of the hearing not less than four days before the date set for the hearing.

10 (1) A party to a proceeding commenced in the Supreme Court in which the trial has not begun or judgment has not been entered who elects to have the proceeding adjudicated in the Small Claims Court pursuant to subsection 19(2) or (3) of the Act, may do so by paying a transfer fee of $99.70 and serving a Notice in Form 4 on the prothonotary, the plaintiff and any other party to the proceeding.

(2) The prothonotary, upon receiving a Notice referred to in subsection (1), shall, if the matter is within the jurisdiction of the Small Claims Court, transfer the file to the clerk of the Small Claims Court who shall affix an identifying number to the file and provide the parties with Form 5, Notice of Adjudication in the Small Claims Court of Nova Scotia, notifying the parties of the date, time and place of the hearing.

11 Where a judge elects to transfer a proceeding commenced in the Supreme Court to an adjudicator pursuant to subsection 19(4) of the Act, the prothonotary shall transfer the file to the clerk of the Small Claims Court who shall affix an identifying number to the file and provide the parties with Form 5, Notice of Adjudication in the Small Claims Court of Nova Scotia, notifying the parties of the date, time and place of the hearing.

12 Service of a Notice of Adjudication by a court clerk pursuant to Section 11 or any other document served by a court clerk shall be by registered mail or such other manner of service as directed by the Court.

13 The following fees apply in Small Claims Court

(a) for copies of any document, per page.............................................$ 0.65

(b) certifying any document on file not including copy

charge (no charge for 1 certified copy requested at

time of filing document)...............................................................$13.26

parties to the action or their solicitors)............................................$6.61

(d) searching a file where an agreement has been

entered into with the Department of Justice for

bulk rate search fees .....................................................................$ 0.65

14 An Application for Quick Judgment shall be in Form 6.

15 (1) The adjudicator may award the following costs to the successful party:

(a) filing fee;

(b) transfer fee;

(d) witness fees;

(e) costs incurred prior to a transfer to the Small Claims Court pursuant to Section 10;

(f) reasonable travel expenses where the successful party resides or carries on business outside the county in which the hearing is held;

(g) additional out of pocket expenses approved by the adjudicator.

(2) No agent or barrister fees of any kind shall be awarded to either party.

16 An adjudicator may award prejudgment interest at a rate of four percent per annum in the same circumstances in which prejudgment interest may be awarded by the Supreme Court.

17 An order made by an adjudicator shall be in Form 7(a), (b) or (c).

18 (1) The fee payable to the sheriff for an Execution Order shall be $99.70, including kilometrage, together with any commission or hourly fee for selling or appraising inventory or goods as set out in Schedule “B” of the regulations respecting fees and allowances made under the Costs and Fees Act.

(2) The fee payable to the sheriff for a Recovery Order shall be the fee as set out in Schedule “B” of the regulations respecting fees and allowances made under the Costs and Fees Act, but shall not in any case exceed $199.35.

(3) The fee payable to the sheriff for an order for the sheriff to deliver possession of property pursuant to Section 3 of the Small Claims Court Residential Tenancies Appeal Regulations made under the Small Claims Court Act shall be the fee as set out in Schedule “B” of the regulations respecting fees and allowances made under the Costs and Fees Act, but shall not in any case exceed $199.35.

19 An Execution Order shall be in Form 11.

20 A Recovery Order shall be in Form 12.

21 A Certificate of Judgment shall be in Form 8.

22 (1) A Notice of Appeal shall be in Form 9.

(2) An appeal shall be commenced by the appellant

(a) filing 2 copies of the Notice of Appeal with the prothonotary; and

(b) serving 1 copy of the Notice of Appeal on the respondent

not later than 30 days after the adjudicator’s order or determination is filed.

(3) Service of the Notice of Appeal on the respondent shall be by personal service or registered mail.

(4) The appellant shall file proof of service of the Notice of Appeal on the respondent with the prothonotary not later than 7 days after the last day for service of the Notice of Appeal.

(5) Proof of service may consist of a letter certifying the fact of service and the mode of service, and where service is by registered mail, the appellant shall file the Canada Post registration receipt with the prothonotary.

(6) Where a Notice of Appeal is filed, the prothonotary shall send 1 copy to the adjudicator who shall within 30 days complete a Summary Report in Form 10 and send 4 copies to the prothonotary.

(7) Where the prothonotary has received 4 copies of a Summary Report from the adjudicator, the prothonotary shall immediately

(a) send 1 copy to the appellant;

(b) send 1 copy to the respondent by Canada Post Corporation Priority Courier;

(d) set a date for the appeal to be heard and advise the parties of that date by Canada Post Corporation Priority Courier.

(8) A judge may direct what additional material may be filed and may request a restatement of the case from an adjudicator.

(9) When both parties to an appeal submit briefs, the Court may dispense with oral argument.

(10) An appellant’s brief shall be submitted at least 4 clear days prior to the date set for the appeal to be heard.

(11) A respondent’s brief shall be submitted at least 2 clear days prior to the date set for the appeal to be heard.

(12) Noncompliance with this Section shall not render any proceeding void, but the proceeding may be amended, set aside as irregular or otherwise dealt with as the Court may direct.

23 On an appeal from a decision of an adjudicator, the judge may award the following costs:

(a) any costs which the adjudicator could have awarded under Section 15;

(b) a barrister fee not to exceed $50;

24 A Certificate of Satisfaction shall be in Form 13.

________________________________________________________________

Form 1—Notice of Claim

in the Small Claims Court of Nova Scotia

Will this matter take longer than 2 hours?		For Court use only
		Claim no.
Yes	No

1.1 CLAIMANT(S) (your information)		☐	Additional claimant(s) listed on the attached page
Full legal name:
Street address:				Postal code:
Mailing address: (if different)				Postal code:
Phone:	Fax or email address:

1.2 LEGAL REPRESENTATION (leave blank if you are representing yourself)
Lawyer’s name:			Address:
Lawyer’s phone number:			Email address:

1.3 DEFENDANT(S) (the person you are claiming against)		☐	Additional defendant(s) listed on the attached page
Full legal name:
Street address:				Postal code:
Mailing address: (if different)				Postal code:
Phone:	Fax or email address:

1.4 ABOUT YOUR CLAIM
I CLAIM FROM THE DEFENDANT(S)
	payment of money	return of goods	general damages		interest		costs
				claim amount:		$
REASON FOR THIS CLAIM (What happened? Where?) (If you need more space, attach another sheet of paper.)




Date			Signature of claimant(s) or lawyer(s) for claimants

1.5 FOR COURT USE ONLY
This claim must be served on the defendant within __________ days of the _______ day of ____________________, 20_____.
Hearing date	Hearing time	a.m. ☐	p.m. ☐
Place of hearing

	Clerk of the Small Claims Court

________________________________________________________________

Form 2—Part A: Defence

in the Small Claims Court of Nova Scotia

2.1 ABOUT YOUR DEFENCE
To (name of claimant or organization):
Reason for disputing this claim (if you need more space, attach another sheet of paper)




Date		Signature of defendant(s) or lawyer(s) for defendants

Street address:		Postal code:
Mailing address: (if different)		Postal code:
Phone:	Email address:

Lawyer’s name:			Address:
Lawyer’s phone number:			Email address:

Part B: Counterclaim

in the Small Claims Court of Nova Scotia

2.2 ABOUT YOUR COUNTERCLAIM

To (name of claimant or organization):

I counterclaim for:

payment of money

return of goods

general damages

interest

costs

claim amount:

REASON FOR THIS COUNTERCLAIM (What happened? Where?) (If you need more space, attach another sheet of paper.)

Date

Signature of defendant(s) or lawyer(s) for defendants

2.3 FOR COURT USE ONLY (All parties will appear on the date shown on Form 1—Notice of Claim to present their evidence before the adjudicator.)
This defence and/or counterclaim must be served on the claimant(s) within __________ days of the _______ day of ____________________, 20_____.

	Clerk of the Small Claims Court

________________________________________________________________

Form 3—Subpoena to Witness

in the Small Claims Court of Nova Scotia

Claim No. ______

Between:

Name _____________________________________________________________ Claimant(s)

- and -

Name ____________________________________________________________ Defendant(s)

To: _________________________________________________________________________

(name of witness)

You must attend the hearing of this proceeding in the Small Claims Court, to be held at ___________________ in ________________ , Nova Scotia on _________________ , 20__ , at __________ a.m./p.m. You must be present each day of the hearing and until the hearing ends. You will be called upon to give evidence on behalf of the ________________________.

(Claimant(s)/Defendant(s))

You must bring the following documents or things with you and produce them at the hearing:

____________________________________________________________________________

If you do not obey this subpoena and do not have an adequate excuse for disobeying this subpoena, then you may be found to be in contempt of court and you could be arrested.

Issued on _______________________ , 20__.

_________________________________

Clerk of the Small Claims Court

Affidavit

I, _________________________________________ , swear that on _______________, 20__,

I served this subpoena on _________________________________ , by leaving a true copy of it

(name of witness)

with him/her personally, and that I travelled ____________ kilometres to do so.

Sworn before me on ____________, 20__.	)
	)
______________________________________	) ________________________________
Clerk of the Small Claims Court of	)
Nova Scotia, Barrister, Commissioner	)
of the Supreme Court of Nova Scotia	)

________________________________________________________________

Form 4—Notice of Election to Transfer

in the Small Claims Court of Nova Scotia

BETWEEN:

Name Claimant

Address

Phone

Name Defendant

Address

Phone

TAKE NOTICE that _________________________, a party to the proceeding begun in the Supreme Court as No. ________ elects to have the proceeding adjudicated in the Small Claims Court of Nova Scotia at _____________________.

DATED ____________________________, 20______.

_______________________________________

Claimant/Defendant

TO: Prothonotary

Claimant/Defendant

________________________________________________________________

Form 5—Notice of Adjudication

in the Small Claims Court of Nova Scotia

Claim No: _______

BETWEEN:

Name Claimant

Address

Phone

Name Defendant

Address

Phone

WHEREAS _____________________, a party to a proceeding in the Supreme Court as

No. ________________, has served notice of election to transfer;

TAKE NOTICE that the hearing of this claim is set for _________________, 20____,

at ____________ a.m./p.m. at _____________________________.

DATED _______________________________, 20______.

_________________________________

Clerk of the Small Claims Court

________________________________________________________________

Form 6---Application for Quick Judgment

in the Small Claims Court of Nova Scotia

County of _______________________ File No. _____________

BETWEEN:

CLAIMANT

- and -

DEFENDANT

AFFIDAVIT IN PROOF OF APPLICATION

I, ___________________ of ___________________ in the County of __________________, Province of Nova Scotia, make oath and say as follows:

1. ____ That I am the Claimant and Applicant herein.

1. ____ That I am the ____________ of the Claimant (if the Claimant is a body corporate).

(Check one of the above)

2. That I served the Claim on the defendant by ________________________ and

(method of service)

documentation proving service is attached.

3. That 10 days have expired since the date of service.

4. That I have had no communication, either written or oral, from the Defendant to the effect that the Defendant intends to defend this action.

5. ____ That no payments have been credited.

5. ____ That payments of $____________ have been credited to my account since the date of the issuance of this Claim.

(Check one of the above)

6. That the following breakdown of my claim is a true and accurate statement of the account owing by the Defendant, and documentation supporting my claim is attached:

Debt (amount claimed before costs)	$ _________________
Credit (if any)	$ _________________
Cost of filing claim	$ _________________
Cost of service	$ _________________
Interest to date (if applicable)	$ _________________
TOTAL	$ _________________

7. That I request judgment be issued in this matter in the amount of $ _________.

SWORN TO at ________________,

in the County of ________________,

Province of Nova Scotia, on

______________________, 20 ____.

_________________________________ _________________________________

A Commissioner of the Supreme Applicant

Court of Nova Scotia

________________________________________________________________

Form 7(a)—Order

in the Small Claims Court of Nova Scotia

Claim No: _______

BETWEEN:

Name Claimant

Address

Phone

Name Defendant

Address

Phone

On _______________________ 20 ____, a hearing was held in the above matter and the following Order is made:

The Claimant having appeared, and the Defendant □ appearing □ not appearing;

AND UPON FINDING

(a) that the Defendant was served with a notice of the claim; and

(b) that the Defendant did not file a defence and the time for filing a defence has elapsed; and

I THEREFORE ORDER that the Defendant pay to the Claimant the sums as follows:

Debt:

Costs:

Total:

Dated at ____________________

on __________________, 20 ___

_________________________________

Adjudicator

Original Court File

Copy Claimant(s)

Copy Defendant(s)

________________________________________________________________

Form 7(b)—Order

in the Small Claims Court of Nova Scotia

Claim No: _______

BETWEEN:

Name Claimant

Address

Phone

Name Defendant

Address

Phone

UPON FINDING

(a) that the Defendant was served with notice of the claim; and

(b) that the Defendant did not file a defence and the time for filing a defence has

elapsed; and

I THEREFORE ORDER that the Defendant pay to the Claimant the sums as follows:

Debt:

Costs:

Total:

Dated at ____________________

on ____________________, 20___

_____________________________

Adjudicator

Original Court File

Copy Claimant(s)

Copy Defendant(s)

________________________________________________________________

Form 7(c)—Order

in the Small Claims Court of Nova Scotia

Claim No: _______

BETWEEN:

Name Claimant

Address

Phone

Name Defendant

Address

Phone

On _____________________________, 20___, a hearing was held in the above matter and the following Order is made:

Dated at _____________________

on ____________________, 20___ _____________________________

Adjudicator

Original Court File

Copy Claimant(s)

Copy Defendant(s)

________________________________________________________________

Form 8—Certificate of Judgment

in the Small Claims Court of Nova Scotia

Claim No: _______

BETWEEN:

Claimant

- and -

Defendant

By order of the Adjudicator, Judgment is entered in the above action for __________________ against _____________________________________

for:

DEBT $

COSTS $

__________________

TOTAL $ __________________

_________________________________

Clerk of the Small Claims Court

I certify that this is a true abstract of the original Judgment in this Court on _________________, 20 _____.

Given under the seal of the Court at __________________, on ________________, 20___.

_______________________________________

Clerk of the Small Claims Court

NOVA SCOTIA, )

)

S.S. ) OFFICE OF THE REGISTRY OF DEEDS

)

I certify that the foregoing abstract of Docket of Judgment ____________, duly certified by the Clerk of the Small Claims Court under the seal of the Court, was produced to be registered in this office at the hour of ______________ on _________________, 20 _____, and was registered in Book ________, Page ____.

___________________________________

Registrar of Deeds

________________________________________________________________

Form 9—Notice of Appeal

in the Supreme Court of Nova Scotia

Small Claims Court

20 ____ S_____ No. ______

NAME

ADDRESS

APPELLANT

- and -

NAME

ADDRESS

RESPONDENT

TO: The Prothonotary

The Appellant appeals from an order or determination made by an adjudicator of the Small Claims Court on ____________, 20 ____, in the Small Claims Court of Nova Scotia at _______________, in the County of ______________ on the grounds of

□ (a) jurisdictional error;

□ (b) error of law;

□ (c) failure to follow the requirements of natural justice,

and the particulars of the error or failure which form the grounds of appeal are:

And the Appellant requests that the adjudicator within 30 days, transmit to the court a summary report of the findings of law and fact, including the basis of any findings raised in this Notice of Appeal and any interpretation of documents made by the adjudicator with a copy of any written reasons for the decision to the Court.

DATED at ________________, on ______________________________, 20____.

_________________________________

Appellant

________________________________________________________________

Form 10—Summary Report

in the Supreme Court of Nova Scotia

S_____ No. ______

APPELLANT

- and -

RESPONDENT

TO: The Prothonotary

Summary report of findings by _____________________________, an Adjudicator of the Small Claims Court of Nova Scotia.

1. On ________________, 20___ I adjudicated a claim between the above named parties, a copy of which is attached hereto.

2. On the attached pages, I set out for the consideration of this Honourable Court a summary report of the findings of law and fact made in the case on appeal including the basis of any findings raised in the Notice of Appeal and any interpretation of documents made by me, and a copy of the written reasons for my decision, if any.

DATED at ______________, on _________________________, 20____.

_________________________________

Adjudicator

________________________________________________________________

Form 11—Execution Order

in the Small Claims Court of Nova Scotia

Claim No: _______

BETWEEN:

CLAIMANT

-and-

DEFENDANT

TO ANY SHERIFF OR INTERESTED PERSON:

Judgment Debt	$_______	UPON being satisfied that the judgment creditor has entered judgment against the judgment debtor, on __________________, 20_____ .
Judgment Cost	$_______
Less Credits	$_______	IT IS ORDERED THAT
Judgment amount	$_______	1. Any sheriff shall seize, accept as a receiver, hold and sell at public auction, any real or personal property in which the judgment debtor has an interest, including any debt, rent, legacy, share, bond, debenture or other security, currency, wages, or other demand, due or accruing due at any time while this order is valid, whether in the possession of the judgment debtor or other person and not exempt by law from seizure , that will satisfy the judgment creditor’s claim in the amount of $ together with interest on the judgment debt at the rate of 5% per annum from the date hereof to the date of satisfaction, and probable costs of $75.00, and to disburse the proceeds as provided by law.
Registering Judgment	$_______
PPS Registry filing fee	$_______
Execution	$_______
Interest to date	$_______
Total Fees & Interest	$_______
TOTAL CLAIM	$_______
		2. The sheriff, at the time of making a seizure under this order, shall, unless the Court otherwise orders,
		(a) serve a true copy of this order on the judgment debtor or other person in possession of the property at the time of the seizure; and
		(b) make forthwith a true inventory and appraisement of the seized property and the interest of the judgment debtor therein.

Judgment (date) ___________. (Execution Order effective for 6 years from the judgment date.)

Order renewed or reissued (date) ______________ for 12 months.

3. Where there is any property in the possession of a third person that cannot be seized immediately, the sheriff shall serve a copy of this order on the third person whereupon the property, in an amount as will secure in whole or in part the amount of the judgment creditor’s claim against the judgment debtor as stated herein, shall be deemed to have been seized, and the third person shall, within 10 days of the service of the order on him/her and from time to time thereafter as any such additional property is available for delivery,

(a) deliver the property to the sheriff and the delivery shall release the third person from any liability to the judgment debtor with respect to the value of the property so delivered or;

(b) when delivery is not made under clause (a), or the value of any property so delivered is not sufficient to satisfy the judgment creditor’s claim, or when a sheriff in writing demands it,

(i) the third person shall file with the sheriff a certificate that describes and gives the location of any such property in the possession of the third person, states the approximate value of the interest of the judgment debtor therein and when any payment in respect thereof becomes payable to the judgment debtor, and gives the name and address of any other person with an interest in the property and the nature of that interest, and

(ii) pending further order of the Court, the third person shall retain possession of the property referred to in clause (i) and withhold payment of any debt, rent, legacy, share, bond, debenture or other currency, wages or other demand, and the amount of the claim shall become a lien on the property held by the third person from the time of the service of the order on him/her or of the subsequent acquisition of any such property by him/her.

4. When the sheriff serves this Execution Order on a body corporate with the intention of seizing any share, bond, debenture or other interest of the judgment debtor therein, the body corporate or any transfer agent thereof shall

(a) not transfer the title or deliver possession of any such share, bond, debenture or other interest to any person until the Court otherwise orders; and

(b) forthwith file with the sheriff a certificate setting out

(i) the number and class of any share so seized, with the certificate number and the name and address of any registered owner thereof,

(ii) the number, face value and description of any seized bond or debenture, with the serial number and the name and address of any registered owner thereof, and

(iii) a description of any other seized interest of the judgment debtor in the body corporate so retained.

5. When a sheriff serves this Execution Order on an employer with the intention of seizing any wages of a judgment debtor hereunder, the employer shall

(a) pay to the sheriff 15% of the gross wages of the judgment debtor, provided that when the payment would reduce the net amount of wages payable to the judgment debtor, after the deduction of all amounts required by law to be deducted from such wages, to an amount of $450.00 per week payable to a judgment debtor supporting a family or $330.00 per week to any other judgment debtor, then only the difference by which the payment of 15% exceeds these respective amounts, shall be paid to the sheriff hereunder;

(b) pay the wages to the sheriff hereunder once every month or as otherwise agreed upon by the employer and sheriff; and

(c) forthwith answer any written interrogatory sent to him by the sheriff with respect to any wages due or accruing due to the judgment debtor.

6. Any person who fails to comply with the provisions of paragraphs 3, 4 and 5 may be deemed to be in contempt of the Court and may be dealt with as the Court thinks just.

7. Where real property is seized under an Execution Order, the sheriff shall proceed to sell the property as provided by the Sale of Land under Execution Act.

8. The sheriff shall file this Execution Order with the Clerk of the Small Claims Court within 10 days after the execution thereof and not later than the expiry date of this Execution Order, or when directed by the Court, with his/her report endorsed thereon or attached thereto.

Dated on __________________, 20 ____

____________________________________

Clerk of the Small Claims Court

________________________________________________________________

Form 12—Recovery Order

in the Small Claims Court of Nova Scotia

Claim No: _______

BETWEEN:

CLAIMANT

- and -

DEFENDANT

TO:

Any sheriff or interested person:

Upon reading the order of the Small Claims Court Adjudicator dated _______________, 20 ______, the Claimant shall recover from the Defendant the following:

It is ordered that you, as sheriff for the County of _______________, enter upon the lands of ______________________________________ or wherever the above-described property may be located and cause the Claimant, or as the case may be, to have possession of the above-described property;

It is further ordered that upon the execution of this Order, you shall immediately file it in my office with a report of your doings under the Order endorsed on or attached to it.

Issued at _________________, Nova Scotia, on ______________ , 20 _____.

___________________________________

Clerk of the Small Claims Court

________________________________________________________________

Form 13—Certificate of Satisfaction

in the Small Claims Court of Nova Scotia

Claim No. _________

Date of Judgment___________

BETWEEN:

CLAIMANT

- and -

DEFENDANT

I certify that a satisfaction piece was filed in full satisfaction of judgment in the above cause for the CLAIMANT against the DEFENDANT, for the sum of

$______________ (debt) and $ _______________ (costs) and that the judgment is discharged.

Given under the seal of the Court at _________________, Nova Scotia, on ___________________, 20____.

_______________________________

Clerk of the Small Claims Court

________________________________________________________________

Form 14—Waiver of Fees Application

(s. 2A, Small Claims Court Forms and Procedures Regulations)

Please print in BLOCK LETTERS:

Last name:_____________________________________

Mailing address: ______________________ Apt # ____

City or town/province: __________ Postal code:_______

Telephones: Home: ______ Work: ______ Msg:______

Given names: ________________

Date of birth: ________________

Age: ___________ (mm/dd/yr)

☐ Male

☐ Female

☐ X

☐ Employed

☐ Unemployed

☐ Unable to work

☐ Student/training

☐ Not married

☐ Common law

☐ Divorced

☐ Married

☐ Separated

☐ Widowed

I apply to have the following court filing fees waived:
SPOUSE (including common-law) Name:_____________________________ Address: ___________________________ Telephone: _________			DEPENDANTS (spouse, child or other person supported by applicant): Total ___ Living with client ___ Living apart ___
			Name	Relationship	Birth date (mm/dd/yy)
			1.
			2.
Do you receive social or other municipal assistance?			3.
			4.
☐ Yes	☐ No		5.
			6.
			7.
Person who can verify financial information		Name:__________________________________________________ Address: _________________________ Telephone: ___________

GROSS MONTHLY INCOME	IMPORTANT: This application will not be processed unless you attach 1 of the following:
Salary (wages + tips)
Unemployment ins.
Social assistance	●	a copy of your pay stub
Old age assistance	●	a copy of your benefit stub
Pension	●	a copy of your most recent Income Tax Return or Notice of Assessment
Spouse’s income (including common law)	●	a letter from a doctor, priest or other official stating that you have no income
Support received
Specify other income
Gross monthly income
Less support you pay per month
Monthly income:

The current consolidation of the Small Claims Court Forms and Procedures Regulations made under the Small Claims Court Act includes all of the following regulations:

The following regulations are not yet in force and are not included in the current consolidation:

N.S. Regulation	In force date*	How in force	Royal Gazette Part II Issue
17/1993	Jan 30, 1993	date specified	Feb 19, 1993
71/1994	May 1, 1994	date specified	May 13, 1994
2/1995	Jan 15, 1995	date specified	Jan 20, 1995
11/1998	Feb 1, 1998	date specified	Feb 27, 1998
58/2000	Apr 1, 2000	date specified	Apr 21, 2000
37/2001	Apr 1, 2001	date specified	Apr 20, 2001
124/2001	Oct 11, 2001	date specified	Nov 2, 2001
132/2003	Jul 4, 2003	date specified	Jul 25, 2003
111/2004	Apr 1, 2004	date specified	Apr 6, 2004
39/2004	Apr 1, 2004	date specified	Apr 16, 2004
18/2005	Feb 17, 2005	date specified	Mar 4, 2005
201/2006	Oct 27, 2006	date specified	Nov 10, 2006
157/2007	Apr 1, 2007	date specified	Mar 30, 2007
213/2008	Apr 1, 2008	date specified	Apr 18, 2008
153/2009	Apr 1, 2009	date specified	Apr 14, 2009
129/2011	Apr 1, 2011	date specified	Apr 15, 2011
156/2013	Apr 1, 2013	date specified	Apr 12, 2013
156/2015	Apr 1, 2015	date specified	Apr 8, 2015
114/2019	Sep 3, 2019	date specified	Aug 16, 2019

*See subsection 3(6) of the Regulations Act for rules about in force dates of regulations.

ad. = added am. = amended	fc. = fee change ra. = reassigned	rep. = repealed rs. = repealed and substituted
1........................................................	am. 58/2000
2........................................................	rs. 71/1994, 58/2000; am. 114/2019
2(a)..............................................	fc. 111/2004, 157/2007, 213/2008, 153/2009, 129/2011, 156/2013, 156/2015
2(b)..............................................	fc. 111/2004, 39/2004; am. 201/2006; fc. 157/2007, 213/2008, 153/2009, 129/2011, 156/2013, 156/2015
2(c)..............................................	fc. 111/2004, 157/2007, 213/2008, 153/2009, 129/2011, 156/2013, 156/2015
2A.....................................................	ad. 114/2019
3........................................................	rs. 58/2000
3(1)..............................................	am. 114/2019
3(2)..............................................	am. 18/2005
4........................................................	ra. 4(1) 58/2000; am. 114/2019
4(1)..............................................	ra. from 4 58/2000
4(1A)...........................................	ad. 114/2019
4(2)..............................................	ad. 58/2000; fc. 111/2004, 157/2007, 213/2008, 153/2009, 129/2011, 156/2013, 156/2015; am. 114/2019
5........................................................	ra. 5(1) 58/2000
5(1)..............................................	ra. from 5 58/2000; am. 201/2006, 114/2019
5(2)..............................................	ad. 58/2000
9(1)...................................................	am. 18/2005
9(2)...................................................	am. 58/2000
10......................................................	rs. 11/1998
10(1)............................................	fc. 111/2004, 157/2007, 213/2008, 58/2000, 153/2009, 129/2011, 156/2013, 156/2015
11......................................................	rs. 11/1998
12......................................................	ra. as 13 58/2000
12......................................................	ad. 58/2000
13......................................................	ra. as 14 58/2000
13......................................................	ra. from 12 58/2000
13(a)............................................	fc. 111/2004, 157/2007, 213/2008, 153/2009, 129/2011, 156/2013
13(b)-(c)......................................	fc. 111/2004, 157/2007, 213/2008, 153/2009, 129/2011, 156/2013, 156/2015
13(d)............................................	fc. 213/2008, 153/2009, 129/2011, 156/2013
14......................................................	ra. as 15 58/2000
14......................................................	ra. from 13 58/2000
15......................................................	rs. 2/1995
15......................................................	ra. from 13 58/2000
15(1)(e)........................................	am. 58/2000
17......................................................	rs. 58/2000
18......................................................	rs. 58/2000
18(1)-(2)......................................	fc. 111/2004, 157/2007, 213/2008, 153/2009, 129/2011, 156/2013, 156/2015
18(3)............................................	ad. 132/2003; fc. 111/2004, 157/2007, 213/2008, 153/2009, 129/2011, 156/2013, 156/2015
19-20.................................................	rs. 58/2000
21......................................................	ra. as 23 58/2000
21-22.................................................	ad. 58/2000
23......................................................	ra. from 21 58/2000
23(a)............................................	am. 58/2000, 37/2001
24......................................................	ad. 58/2000
Forms
Form 1..............................................	rs. 58/2000, 18/2005; am. 201/2006; rs. 114/2019
Form 2..............................................	rs. 58/2000, 18/2005, 114/2019
Form 3..............................................	rs. 58/2000, 18/2005
Forms 4-5.........................................	rs. 58/2000
Form 6..............................................	rs. 58/2000
Form 6(a)..........................................	am. 11/1998
Form 7..............................................	am. 11/1998; rs. 58/2000
Forms 8-9.........................................	rs. 58/2000
Form 10............................................	ad. 58/2000
Form 11............................................	ad. 58/2000
Form 11(5)(a)..............................	am. 124/2001, 114/2019
Form 11(8)..................................	rs. 37/2001
Forms 12-13.....................................	ad. 58/2000
Form 14............................................	ad. 114/2019

Note: Only regulations that are specifically repealed and replaced appear in this table. It may not reflect the entire history of regulations on this subject matter.

Small Claims Court Forms and Procedures Regulations	N.S. Reg. 17/1993
Small Claims Court Act
Note: The information in these tables does not form part of the regulations and is compiled by the Office of the Registrar of Regulations for reference only.

	Note	Effective date