Form 7—Statement of claim: limitation prForm 7—Statement of claim: limitation proceeding

## Form 7—Statement of claim: limitation proceeding (subrule 21(2)) (Title) STATEMENT OF CLAIM: LIMITATION PROCEEDING 1. I, 1, am the 2. 2. The respondent, 3, is 4,5. 3. On 6, 7. 4. I claim to be entitled to limit my liability arising out of these circumstances on the following grounds: 8 5. I therefore seek the following orders: 9 1. insert name and address of applicant 2. insert relationship of applicant with ship and specify name and port of registry of ship 3. insert name and address of respondent 4. set out the relationship of the defendant with the circumstances out of which the liability in respect of which the applicant claims to be entitled to limit liability arose 5. repeat paragraph 2 for each defendant named as defendant, numbering the paragraphs 2A, 2B, etc. 6. insert date of circumstances out of which the liability in respect of which the applicant claims to be entitled to limit liability arose 7. give short, factual description of circumstances out of which the liability in respect of which the applicant claims to be entitlied to limit liability arose 8. set out short statement of grounds for limiting liability 9. set out precise orders sought