FORM HC11 APPEAL NOTICE (APPELLANT) PAGE 5 FOR COURT

For court use only

Claim No.

Issue date

Date and time of case management

IN THE HIGH COURT OF JUSTICE OF THE ISLE OF MAN

insert division 

DIVISION

insert procedure type

PROCEDURE

Parties

insert appellant(s) name

insert appellant(s) address 1

insert appellant(s) address 2

insert appellant(s) address 3

Appellant(s)

(Full name(s) & address(es))

insert respondents) name

insert respondent(s) address 1

insert respondent(s) address 2

insert respondent(s) address 3

Respondent(s)

(Full name(s) & address(es))

The appellant(s) appeal(s) against the decision particulars of which are given below

Court or tribunal

insert court or tribunal

Name of judge (if any)

insert name of judge

Date of decision

insert date of decision

Nature of decision

insert nature of decision

In case of appeal to Staff of Government Division from Civil Division, give status of appellant(s) in existing proceedings

Claimant(s)

Defendant(s)

Give claim no:

insert claim number

Set out the decision (or the part of the decision) appealed against

(use numbered paragraphs)

1. insert decision appealed against

2. insert decision appealed against

3. insert decision appealed against

4. insert decision appealed against

5. insert decision appealed against

6. insert decision appealed against

If you need to continue on a separate sheet please use the prescribed form – ‘HCC CONTINUATION SHEET’

Is permission to appeal required? Yes No

If so, has permission been given? Yes No

If so, give date when and by which tribunal or court permission was given

insert date

insert court or tribunal

If not, the Appellant(s) apply/applies for permission to appeal

Set out the grounds upon which the appellant relies

(use numbered paragraphs)

1. insert grounds

2. insert grounds

3. insert grounds

4. insert grounds

5. insert grounds

6. insert grounds

If you need to continue on a separate sheet please use the prescribed form – ‘HCC CONTINUATION SHEET’

The appeal court is requested to

set aside the decision (or the part of the decision) appealed against

order a new trial or hearing

vary the decision (or the part of the decision) appealed against and substitute the following decision

Set out the decision applied for (if appropriate)

(use numbered paragraphs)

1. insert decision applied for

2. insert decision applied for

3. insert decision applied for

4. insert decision applied for

5. insert decision applied for

6. insert decision applied for

If you need to continue on a separate sheet please use the prescribed form – ‘HCC CONTINUATION SHEET’

The grounds of the appeal are as set out below:

(use numbered paragraphs)

1. insert grounds of appeal

2. insert grounds of appeal

3. insert grounds of appeal

4. insert grounds of appeal

5. insert grounds of appeal

6. insert grounds of appeal

If you need to continue on a separate sheet please use the prescribed form – ‘HCC CONTINUATION SHEET’

Other applications

The Appellant(s) apply/applies for a stay of execution

Set out the grounds for which the application is made

(use numbered paragraphs)

1. insert grounds for application

2. insert grounds for application

3. insert grounds for application

4. insert grounds for application

5. insert grounds for application

6. insert grounds for application

If you need to continue on a separate sheet please use the prescribed form – ‘HCC CONTINUATION SHEET’

The Appellant(s) apply/applies for an extension of time for bringing the appeal

The grounds of the application are as follows

(use numbered paragraphs)

1. insert grounds of application

2. insert grounds of application

3. insert grounds of application

4. insert grounds of application

5. insert grounds of application

6. insert grounds of application

If you need to continue on a separate sheet please use the prescribed form – ‘HCC CONTINUATION SHEET’

Any other applications:

Please specify the precise application and the grounds therefore

(use numbered paragraphs)

1. insert precise application

2. insert precise application

3. insert precise application

4. insert precise application

5. insert precise application

6. insert precise application

If you need to continue on a separate sheet please use the prescribed form – ‘HCC CONTINUATION SHEET’

Documents

A list of the documents filed with this appeal notice is attached

A further list of documents to be used in the appeal but not filed with

this notice is attached

Full name of [Appellant ][‘s advocate ]*

*indicate as appropriate

Signed

(type or print full name here) insert full name

[Appellant ]['s advocate ][Litigation friend ] indicate as appropriate

Name of appellant’ advocate’s firm

insert name of firm

Position or office held (if signed on behalf of a company or other corporation)

insert position or office held

Date insert date

Appellant or appellant’s advocate's address in the Isle of Man (including postcode) to which documents or payments should be sent:

insert address 1

insert address 2

insert address 3

Telephone no. insert telephone number

Fax no. (if appropriate) insert fax number

E-mail (if appropriate) insert email address

Reference (if any) insert reference

Name and address (including postcode) of Respondent

insert respondent name

insert respondent address 1

insert respondent address 2

insert respondent address 3