N1 claim form: a worked example

A completed N1 names both parties with addresses, summarises the claim in one sentence, states its value, and adds up the amount claimed, interest and court fee into a total, signed with a statement of truth. Below is a fictional faulty goods claim filled in from start to finish, with the arithmetic shown. Use it to see the shape of the form, then write your own facts.

What does a completed N1 claim form look like?

The front of the N1 names the claimant and defendant with addresses for service, gives a one-sentence summary of the claim and its value, and sets out the amount claimed, the court fee, any legal representative’s costs and the total. The full story goes in the particulars of claim, either on the form or attached, and the form is signed with a statement of truth. The example on this page shows every part for a fictional faulty goods claim.

How is the court fee worked out on the N1?

The fee is based on the amount claimed including interest to the date of issue, using the HMCTS EX50 fee bands. In the example, the price and interest together fall in the £500.01 to £1,000 band.

Do I have to file the N1 on paper?

No. You can issue many money claims online through Money Claim Online, which asks for the same information. The court fee is the same online or on paper.

Can I copy this example for my own claim?

Use it to see the shape of a completed form, not as your wording. The names, amounts and facts are invented. Your particulars must describe your own facts, and you sign a statement of truth confirming they are true.

N1 claim form example

Small Claims · Template

N1 claim form: a worked example

Sam Example bought a sofa from Example Sofas Limited for

. It developed a fault, one repair failed, and the trader refused a refund under the final right to reject in section 24 of the Consumer Rights Act 2015. After a letter before action went unanswered, Sam issues a small claim

days after the refund was refused. All names and details are invented.

Get the current form free from GOV.UK (form N1), which also tells you where to send a paper claim, or use Money Claim Online. Use the defendant’s correct legal name: for a company, check Companies House.

How were the figures worked out?

What goes in the particulars of claim?

The particulars tell the court and the defendant what happened and why you are owed the money, in short numbered paragraphs: who the parties are, what was agreed, what went wrong, what you asked for, and what you now claim. They end with a statement of truth.

For a faulty goods claim like this one, start from the

faulty goods particulars template

. For a box-by-box explanation of the form, see the

Questions people ask

Particulars: faulty goods

Witness statement template

Compensation for faulty goods