Form 1 (Rule 3-1 (1) ) No.

23011 Kamloops Registry In the Supreme Court of British Columbia Between Plaintiff(s) an !efen ant(s) NOTICE OF CIVIL CLAIM This action has been started by the plaintiff(s) for the relief set out in art ! belo"# "f you inten to respon to t#is a$tion% you or your lawyer must (a) file a response to $i&il $laim in Form 2 in t#e a'o&e-name registry of t#is $ourt wit#in t#e time for response to $i&il $laim es$ri'e 'elow% an (') ser&e a $opy of t#e file response to $i&il $laim on t#e plaintiff. "f you inten to ma(e a $ounter$laim% you or your lawyer must (a) file a response to $i&il $laim in Form 2 an a $ounter$laim in Form 3 in t#e a'o&e-name registry of t#is $ourt wit#in t#e time for response to $i&il $laim es$ri'e 'elow% an (') ser&e a $opy of t#e file response to $i&il $laim an $ounter$laim on t#e plaintiff an on any new parties name in t#e $ounter$laim. )*!+,-N. /"00 B- PR1N1*N2-! 3+3"N4. 51* "F 51* F3"0 to file t#e response to $i&il $laim wit#in t#e time for response to $i&il $laim es$ri'e 'elow. Ti$e for response to ci%il clai$ 3 response to $i&il $laim must 'e file an ser&e on t#e plaintiff(s) wit#in 10 ays after t#at ser&i$e% or efault 6u gment will 'e ser&e . 2laim of t#e Plaintiff(s) art &' (TATEMENT OF FACT( 7Using numbered paragraphs, set out a concise statement of the material facts giving rise to the plaintiff's(s') claim.8 1 2 7If any party sues or is sued in a representative capacity, identify the party and describe the representative capacity.8 art !' )ELIEF (O*+,T 7Using numbered paragraphs, set out the relief sought and indicate against hich defendant(s) that relief is sought. !elief may be sought in the alternative.8

1 2 art -' LE+AL .A(I( 7Using numbered paragraphs, set out a concise summary of the legal bases on hich the plaintiff(s) intend(s) to rely in support of the relief sought and specify any rule or other enactment relied on. "he legal bases for the relief sought may be set out in the alternative.8 1 2 Plaintiff9s(s9) a ress for ser&i$e: 7Set out the street address of the address for service. #ne or both of a fa$ number and an e%mail address may be given as additional addresses for service.8 Fa; num'er a ress for ser&i$e (if any): --mail a ress for ser&i$e (if any): Pla$e of trial: .#e a ress of t#e registry is: !ate: ................7dd&mmm&yyyy8................. ................................................................................. 4ignature of 7 8 plaintiff 7 8 lawyer for plaintiff(s) ...........................7type or print name8.......................... Rule <-1 (1) of t#e 4upreme 2ourt 2i&il Rules states: (1) *nless all parties of re$or $onsent or t#e $ourt ot#erwise or ers% ea$# party of re$or to an a$tion must% wit#in 3= ays after t#e en of t#e plea ing perio % (a) prepare a list of o$uments in Form 22 t#at lists (i) all o$uments t#at are or #a&e 'een in t#e party9s possession or $ontrol an t#at $oul % if a&aila'le% 'e use 'y any party at trial to pro&e or ispro&e a material fa$t% an (ii) all ot#er o$uments to w#i$# t#e party inten s to refer at trial% an (') ser&e t#e list on all parties of re$or .

Appendi/ 7"he follo ing information is provided for data collection purposes only and is of no legal effect.8 art &' CONCI(E (*MMA)0 OF NAT*)E OF CLAIM' art !' T,I( CLAIM A)I(E( F)OM T,E FOLLO1IN+' 7Chec' one bo$ belo for the case type that best describes this case.8 3 personal in6ury arising out of:

7 8 a motor &e#i$le a$$i ent 7 8 me i$al malpra$ti$e 7 8 anot#er $ause 3 ispute $on$erning: 7 8 $ontaminate sites 7 8 $onstru$tion efe$ts 7 8 real property (real estate) 7 8 personal property 7 8 t#e pro&ision of goo s or ser&i$es or ot#er general $ommer$ial matters 7 8 in&estment losses 7 8 t#e len ing of money 7 8 an employment relations#ip 7 8 a will or ot#er issues $on$erning t#e pro'ate of an estate 7 8 a matter not liste #ere art -' T,I( CLAIM INVOLVE(' 7Chec' all bo$es belo that apply to this case8 7 8 a $lass a$tion 7 8 maritime law 7 8 a'original law 7 8 $onstitutional law 7 8 $onfli$t of laws 7 8 none of t#e a'o&e 7 8 o not (now art 2' 7If an enactment is being relied on, specify. (o not list more than ) enactments.8