Application for damages for unlawful eviction
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69. Where a former residential occupier makes an application under section 36(6A) or (6B) (damages for unlawful eviction) of the 1988 Act, the application must—
(a)state—
(i)the name and address of the former residential occupier;
(ii)the name, address and profession of any representative of the former residential occupier;
(iii)the name and address and registration number (if any) of the landlord; and
(iv)the details of the amount of damages sought based on section 37 of the 1988 Act in respect of the loss of the right to occupy the premises; and
(b)be signed and dated by the former residential occupier or a representative of the former residential occupier.