Modèle de document
Template for the form for acceptance of participation in the simplified recovery procedure (Document template)
Attn. [the bailiff shall insert his name, mailing address and, where available, his fax number and e-mail address] :
I/ We (*) hereby notify you/ Notify you (*) my/ our (*) agreement to participate in the simplified procedure for the recovery of the claim for an amount of [total amount claimed] consisting of:
- [total principal amount]
- [total amount of interest]
invoked by [Madam, Sir or corporate name of the creditor] based on [basis of claim: date of the contract or obligation of a statutory nature] .
Signature of consignee(s) (only in case of notification of this form on paper).
For details, please use the practical information sheets :
J'ai réalisé une démarche administrative
Je donne mon avis sur Services Publics +. L'administration concernée me répondra.
Émetteur du modèle de lettre : Directorate for Legal and Administrative Information
Verified 20 February 2024 - Directorate for Legal and Administrative Information (Prime Minister)