All templatesREPUBLIC OF KENYA
IN THE SMALL CLAIMS COURT AT MILIMANI
CLAIM NO. ............ OF 20......
WANJIRU KAMAU CLAIMANT
VERSUS
BARAKA EVENTS LIMITED RESPONDENT
STATEMENT OF CLAIM
(Form No. SCC 1 — rule 3)
1. Claimant's Personal Details:
Name: Wanjiru Kamau
Postal Address: P.O. Box 123-00100, Nairobi
Physical Address: ............................................................
Telephone Contact: +254712000111
Email Address: ............................................................
Nature of Business: ............................................................
Location/Sub/Village: ............................................................
☒ Claiming in Person
☐ Claiming as a Representative
2. Respondent's Personal Details:
Name: Baraka Events Limited
Postal Address: ............................................................
Physical Address: ............................................................
Telephone Contact: +254733000222
Email Address: ............................................................
Nature of Business: ............................................................
Location/Sub/Village: ............................................................
Legal Status of the Respondent:
☐ Individual
☐ Sole Proprietorship
☐ Partnership
☒ Company
☐ Cooperative
☐ State Department
3. Nature of Claim
☐ Goods sold and delivered
Litigation & Dispute Resolution
Statement of Claim (Small Claims Court) template (Kenya)
What it is for
Official Small Claims Court Form 1 Statement of Claim under ss. 12, 13 & 24 Small Claims Court Act 2016.
The Kenyan law it follows
- Small Claims Court Act No. 2 of 2016 — ss.12, 13, 24
- Small Claims Court Rules 2019
Who prepares it
This is normally drawn by an advocate, and where it is a court paper, filed by one. The sample shows what the finished document looks like.
Draft this for your matter
Advocates draft this on Lex from their own facts and download it in Word. If you need one prepared for you, find an advocate.
Sample statement of claim (small claims court)
The first part of the sample is shown here. The names, amounts and facts are made up to show how the document reads.
The rest of this statement of claim (small claims court) is for Lex members
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This is a sample for general information. It is not legal advice and may not suit your situation. Laws change, and a document has to fit your own facts; have an advocate check it before you rely on it.