Residential Rental Dispute
Small Claims Template
1. Claimant Information
Full Name
Address
Phone / Email
2. Respondent Information
Full Name
Address
Phone / Email
3. Rental Property Information
Property Address
Rental Term (start & end date)
4. Details of Dispute
Description of Dispute
Amount Claimed
5. Supporting Documents
List of Attached Documents
6. Declaration
Declaration Statement
Name / Signature
Date