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Din Torah Application

Din Torah Application

 

Please click here to download PDF file

* Please fill in as much information as possible in the fields below

Claimant (Toveah)

Name*

Address*

City*

State*

Zip

Phone Number*

Email Address

Defendant (Nitvah)

Name*

Address*

City*

State*

Zip

Phone Number*

Email Address

Brief Description of case*

Claim*

Note: Multiple forms must be submitted for multiple defendants.
Note: A $300 application fee must be submitted with this form. There will be an additional $150 filing fee for any settlement negotiated with the aid of the Bais Din or for issuance of Hasraas Siruv and/or Siruv.

I have read and understand the “Din Torah Fact Sheet” and/or the sections entitled Bais Din Facts and frequently asked questions at www.queensvaad.org before initiating this Din Torah.

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