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European Payment Order forms
Form A - Application for a European order for payment

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Parties and their representatives

This field must identify the parties and their representatives, if any, in accordance with the codes indicated on the form.

01 Claimant

Corporate name of company or organisation :

Surname :

First name :

Identification code (if applicable) :

The box [Identification code] should refer, where applicable, to the special number which solicitors have in certain Member States for the purposes of electronic communication with the court (see Art. 7(6), second subparagraph, of Regulation (EC) No 1896/2006), to the registration number for companies or organisations or to any applicable identification number for natural persons.

Address :

Postal code :

City :

Country

Please specify :

Phone :

Fax :

e-Mail :

Occupation :

Other details :

The box [Other details] may contain any other information that helps to identify the person (e.g. date of birth, position of the named person in the company or organisation concerned).

02 Defendant