[Insert date]

[insert name] Employment tribunal

[Insert address]

To the [insert] Employment Tribunal

[Insert name of case, eg X v Y]

Claim Number: [insert claim number]

We apply on behalf of the [Claimant OR Respondent] for [an order striking out [part of] the [claim OR response OR reply]][ or, in the alternative,] [[an order OR orders] requiring the payment of a deposit].

[We request that a preliminary hearing is listed to consider the application with a time estimate of [insert time estimate] OR We request that the application is considered at the forthcoming Preliminary Hearing listed for [insert time estimate] on [insert date].]

[ Application for order striking out [part of] the [claim OR response OR reply]

We apply for an order under rule 38 striking out [part of] the [claim OR response OR reply] on the ground[s] that [insert the grounds applicable for the facts of the particular case, eg the claim has no reasonable prospect of success (rule