Case No. [insert number] IN THE HIGH COURT OF JUSTICE BUSINESS AND PROPERTY COURTS OF ENGLAND & WALES INTELLECTUAL PROPERTY LIST (ChD) [ [INTELLECTUAL PROPERTY ENTERPRISE COURT (IPEC) OR PATENTS COURT] ] BETWEEN [insert full name of claimant] and Claimant [insert full name of defendant] Defendant _____________________________________________________________________ PARTICULARS OF CLAIM _____________________________________________________________________ The Parties 1 The Claimant is and has at all material times been [insert details of Claimant]. 2 The Claimant[ is a company incorporated under the laws of [insert jurisdiction] on [insert date] with company number [insert number], with a registered address of [insert address] and] is engaged in [insert brief description of Claimant’s business]. 3 The Defendant is and has at all material times been [insert details of Defendant]. 4 The Defendant[ is a company incorporated under the laws of [insert jurisdiction] on [insert date] with company number [insert number], with a registered address of [insert address] and] is engaged in [insert brief description of Defendant’s business]. 5 The Defendant has infringed the Claimant’s [[registered design] AND/OR [unregistered design]] rights, as further detailed below. The Claimant’s Rights Registered Design 6 UK Registered Design No. [insert number] was registered in the name of [insert

Case No. [insert number] IN THE HIGH COURT OF JUSTICE BUSINESS AND PROPERTY DIVISION [INSERT COURT/LIST/SUB-LIST] BETWEEN [insert full name of claimant] Claimant and [insert full name of defendant] Defendant _____________________________________________________________________ PARTICULARS OF CLAIM _____________________________________________________________________ The Claimant 1 The Claimant is and has at all material times been [insert details of claimant]. It[ was incorporated on [insert date] and] is engaged in the [insert brief description of claimant’s business]. 2 Since [insert date] the Claimant has supplied [an extensive range of [insert description of claimant’s goods] AND/OR the following services: [insert description of claimant’s services]]. 3 Since [insert date], the Claimant has supplied its [goods AND/OR services] through [insert details of sales channels, both current and historic]. 4 At all times since [insert date], the Claimant has done business and supplied its [goods AND/OR services] under and by reference to the [name OR device OR slogan] [insert trade mark used]. 5 The [name OR device OR slogan] [insert claimant’s trade mark] has been used in relation to its [goods AND/OR services] in the following ways: [insert description of types of use made of the trade mark by the claimant—eg on labels, packaging or goods, or online or in-store].

IN THE COUNTY COURT AT [insert location] Claim No. [insert number] [insert name]        Claimant and [insert name]        Defendant _____________________________________________________________________________ PARTICULARS OF CLAIM _____________________________________________________________________________ 1 The Defendant is and was at all material times a pharmacist, practising from shop premises at [insert address]. 2 On 18 October 2025 the Claimant, who suffers from irritable bowel syndrome and was in receipt of regular prescriptions of Loperamide, attended the pharmacy for their prescription. On this occasion the Defendant prepared and the Claimant was dispensed a different drug in error, namely Loratadine. 3 The Claimant paid to the Defendant the sum of £[insert prescription charge paid] for the NHS prescription. 4 In

IN THE [INSERT NAME OF COURT] Claim no.                   Parties AB        Claimant and (1) C D First Defendant (2) MOTOR INSURERS’ BUREAU (acting through its agent X Y INSURANCE PLC)        Second Defendants ______________________________ PARTICULARS OF CLAIM ______________________________ 1 At all material times the First Defendant was the driver of a vehicle [insert description], [insert registration] (“the vehicle”), and the Claimant was a passenger therein. 2 The Second Defendant (hereinafter “MIB”) is a company limited by guarantee under the Companies’ Acts. Pursuant to an Agreement with the Secretary of State dated 3 July 2015 (hereinafter “the Agreement”), MIB provides compensation in certain circumstances to persons suffering injury or damage as a result of the negligence of the uninsured motorist. 3 The Claimant has used all reasonable endeavours to ascertain the identity and liability of an insurer for the First Defendant and, at the time of commencement of these proceedings, believes that the First Defendant was not insured to drive the said vehicle at the material time. 4 The Claimant accepts that, only if a final judgment

[IN THE COUNTY COURT AT [INSERT] OR IN THE HIGH COURT OF JUSTICE] [[SPECIFY DIVISION]] [[INSERT LOCATION] DISTRICT REGISTRY] Claim No: [insert claim number] Between [Insert the Claimant’s name]        Claimant and [Insert the Defendant’s name]        Defendant _____________________________________________________________________________ PARTICULARS OF CLAIM _____________________________________________________________________________ 1 At all material times, the Defendant was the owner and driver of a [insert make and model of vehicle] registration number [insert vehicle registration number]. 2 At [insert time] on [insert date], the Claimant was lawfully crossing the street at the pedestrian crossing on [insert street name, town, county]. As the Claimant crossed, the Defendant approached at excessive speed and in an erratic manner,

Claim No. [insert claim number] In the COUNTY COURT AT [insert] Between: Mrs a.b.        Claimant -and- C.d. Limited        Defendant ______________________ PARTICULARS OF CLAIM ______________________ 1 At all times material to this action: 1.1 The Defendant was the owner of a bus, registration number [insert registration number] (‘the bus’); 1.2 The bus was being driven and/or operated by an employee or agent of the Defendant (whose identity is unknown to the Claimant) acting in the course of their employment or agency (‘the driver’). Consequently, the Defendant is vicariously liable for the negligent acts and omissions and/or breaches of statutory duty of the aforesaid employee or agent; 1.3 The bus and the driver were subject to the provisions of the Public Service Vehicles (Conduct of Drivers, Inspectors, Conductors and Passengers) Regulations 1990 (as amended, ‘the Regulations’); and 1.4 The Claimant was a fare paying passenger on board the bus.

Claim No. [insert claim number] In the county court AT [insert] Between: AA        Claimant ((a child) by BB as litigation friend) -and- XY        Defendant 1 At all times material to this action: 1.1 the Claimant is and was a child, who was born on [insert date of birth] and who was aged [insert age] at the time of the accident and is now aged [insert age]. The Claimant brings these proceedings by their Litigation Friend, BB and 1.2 the Defendant was the driver of a [insert make] motor vehicle, registration number [insert registration number] (‘the Defendant’s vehicle’). 2 At or around [insert time] on [insert date], the Claimant was crossing

In the County Court at [insert] Claim No. [insert number] Between A        Claimant and B        Defendant _______________________ Particulars of claim _______________________ 1 At all material times the Claimant was a British national habitually resident and domiciled within the jurisdiction of England and Wales. 2 On 3 February 2024 the Claimant booked accommodation at the Jupiter hotel in Punta Cana, in the Dominican Republic, for the fortnight between 5 and 20 August 2024. The said contract was formed over the internet via the Defendant’s website. 3 It was an express term of the said contract that: ‘We are responsible for the provision of the accommodation you book with us. If it is not provided with reasonable skill and care, we will be liable to you for any injury you may sustain as a result.’ [clause 10.] 4 The Claimant duly paid the contract

[IN THE COUNTY COURT AT [INSERT] OR IN THE HIGH COURT OF JUSTICE] [[SPECIFY DIVISION]] [[INSERT LOCATION] DISTRICT REGISTRY] Claim No: BETWEEN A        Claimant and (1) B [Insert name of driver (First Defendant)] (2) C [Insert name of insurer (Second Defendant)]        Defendants ______________________ PARTICULARS OF CLAIM ______________________ 1 On [insert date of the accident eg 2 December 2023] the Claimant was a pedestrian walking along [insert the location of the accident eg High Street, London E18]. They were an entitled party within the meaning of the European Communities (Rights Against Insurers) Regulations 2002 (the Regulations). 2 The First Defendant was the driver of a [insert make and model of vehicle] registration number [insert registration number]. The First Defendant’s

[IN THE COUNTY COURT AT [insert]ORIN THE HIGH COURT] Claim No: Parties: [Insert name of Claimant]        Claimant and [Insert name of Defendant NHS Trust]        Defendant ____________________________________________________________________________ PARTICULARS OF CLAIM ____________________________________________________________________________ 1 This is a claim for personal injuries arising from clinical negligence. 2 At all material times: 2.1 The Defendant owned, managed and administered the E F Hospital (“the Hospital”) pursuant to the provisions of the National Health Service Acts and provided, through its employees, servants and agents, medical, specialist and other services to patients; 2.2 The Claimant was the Defendant’s patient. The Defendant’s duties 3 The Defendant owed the following duties to the Claimant: 3.1 A direct, non-delegable duty to ensure that reasonable care was taken at all times in relation to the care with which the Claimant was provided; 3.2 A duty to take reasonable care to ensure that there was a safe system of health care within the Hospital; 3.3 In respect of the care provided by the those employees, servants and agents of the Defendant professing clinical knowledge and skills, a duty that they would provide care to the level expected of a reasonable member of that

Note: • this Practice Note gives specific guidance on matters proceeding in the Technology and Construction Court (TCC) under the provisions set out in CPR 60, CPR PD 60 and the TCC Guide. As these provisions are additional to the general provisions set out elsewhere in the CPR, this Practice Note should be read in conjunction with general guidance on preparing for and attending trial including that in Trial—overview which, in turn, links through to detailed guidance on specific aspects of preparing for and attending trials • shorter and flexible trials schemes—claims started on or after 1 October 2015 in the TCC may be suitable for and/or be subject to one or both of the schemes operating under CPR PD 57AB, namely the shorter trials scheme and/or the flexible trials scheme. For more information on these schemes, see Practice Notes: Business and Property Division—shorter trials scheme and Business and Property Division—flexible trials scheme • electronic working—for information on electronic working in the TCC, see Practice Note: TCC—starting a claim—High Court or County Court?—Electronic working and filing of documents • multi-track—all

IN THE [INSERT COURT] COURT Claim No [claim number] BETWEEN:— [CLAIMANT’S NAME]        Claimant and [DEFENDANT’S NAME]        Defendant ______________________________________________________________________________ PARTICULARS OF CLAIM ______________________________________________________________________________ 1 The Claimant was born on [insert date]. 2 At all material times, the Claimant was a patient of the Defendant who carried out a practice as a self-employed general dental practitioner from premises at [insert address] (“the clinic”) and held [himself OR herself] out to be an experienced, skilled and competent dental practitioner. 3 The Claimant first attended an appointment with the Defendant on [insert date] for [insert details of treatment]. 4 In summary, the Claimant alleges that the dental treatment provided to [him OR her] between [insert dates] was negligent as set out in these Particulars of Claim. As a result, [insert details of causation and loss]. The events giving rise to the Claim 5 On [insert date], the Claimant attended an appointment with the Defendant for [insert details] [[Insert background facts—setting out chronology in relation to appointments]] 6 The Claimant’s condition was caused by the breach of duty of the Defendant and/or its servants and/or agents. (Please include suitable points from below): PARTICULARS OF BREACH OF DUTY The Defendant and/or