Form 47A

Courts of Justice Act

jury notice

(General heading)

jury notice

THE (identify party) REQUIRES that this action be tried (or that the issues of fact or that the damages in this action be assessed) by a jury.

(Date)

(Name, address and telephone number of solicitor or party delivering notice)

TO (Name and address of solicitor or party receiving notice)

RCP-E 47A (November 1, 2005)