Request for a Default Costs Certificate

Published date21 March 2018
Subject MatterCounty Court forms
N254 Request for a Default Costs Certicate (05.14) © Crown copyright 2014
The court oce at
is open between 10 am and 4 pm Monday to Friday. When corresponding with the court, please address forms or letters to the Court Manager and quote the claim number.
Request for a
Default Costs Certicate
I certify that (1) notice of commencement (2) the bill of costs and (3) a copy of the document giving the right
to detailed assessment, were served on the paying party
(and give details of any other party served with the notice)
on (insert date)
Copies of (1) and (3) are attached.
I also certify that I have not received any points of dispute and that the time for receiving them has now
elapsed.
I now request the court to issue a certicate for the amount of the bill of costs plus such xed costs and court
fees as are appropriate in this case.
Signed Date
(Claimant)(Defendant)(’s legal representative)
Name of court
Claim no.
Fee Account no.
Claimant
(include Ref.)
Defendant
(include Ref.)
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