RULES 15.08(6)

Form 15B

ORDER APPROVING COMPROMISE OF CLAIM under part iii of wrongs act for benefit PERSON UNDER DISABILITY

IN THE COUNTY COURT

OF VICTORIA

AT

CI-___-______

BETWEEN

Plaintiff
and
Defendant
Date of Document: / Solicitors Code:
Filed on behalf of: / Telephone:
Prepared by: / DX:
Ref:

JUDGE:

DATE MADE:

ORIGINATING PROCESS:

HOW OBTAINED:

ATTENDANCE:

OTHER MATTERS:

1.The names and dates of birth of the minors on whose behalf the proceeding is brought are:

[name] [date of birth].

[name] [date of birth].

2.By a compromise entered into on [date] the defendant proposes to pay and the plaintiff desires to accept [amount] for the benefit of the plaintiff and [amount] and [amount], respectively, for the minors referred to above, together with the plaintiff's costs, including the cost of this application, in full settlement of the plaintiff's claim in the proceeding.

3.The Court read the following material:

(a)affidavit of [name of deponent] *sworn/*affirmed on [date];

(b)affidavit of [name of deponent] *sworn/*affirmed on [date];

(c)the exhibits to the affidavits including the opinion of [name] of Counsel dated [date].

4.The defendant consents to the proposed compromise.

5.The Court is not aware of any legal disability of the minors referred to above save for their minority and if the funds were to be paid out in accordance with an order of the Court the funds would be paid out upon the minors respectively attaining the age of 18 years.

or,if a minor is under a legal disability other than or in addition to minority—

*5.[Name of minor] is under a legal disability and, if the funds were to be held by the Court, the funds would not be paid without further order of the Court.

*6.(If there has been a delay of more than 30 days in application for approval of the compromise) Although the compromise was entered into on [date], no application for approval of the compromise was made to the Court until [insert details of any explanation for delay].

THE COURT ORDERS THAT:

1.The compromise be approved.

2.The defendant within [number of days] days after service of a copy of this order:

(a)pay [amount] to the Senior Master of the Supreme Court to be held in that Court on behalf of the plaintiff and [amount] for the benefit of [name] and [amount] for the benefit of [name].

(and, if appropriate)

*(b)pay [amount] to the solicitors for the plaintiff, to be disbursed or retained by them in payment of the items totalling [amount] referred to in the affidavit of [name] sworn/*affirmed on [date].

3.The defendant pay the plaintiff the costs of the plaintiff, including the costs of this application to be taxed on Scale [appropriate Scale].

4.Upon payment by the defendant of the amount and costs referred to, the proceeding is forever stayed.

5.Each party have liberty to apply.

6.A copy of the affidavits and the exhibits to the affidavits be sent to the solicitor to the Senior Master and the original exhibits be retained on the Court file.

DATE AUTHENTICATED

Judge

*Strike out as appropriate