Trespass Evidence Gathering Questionnaire Litigation - Trespass Evidence Gathering QuestionnaireTrespass occurredParties - PlaintiffParties - Defendant(s)Trespass to PersonTrespass to PropertyTrespass to ChattelTrespass to PrivilegeEvent TimelineDamages ItemisedRemedy ProposedThis questionnaire is used to gather detailed information and evidence for your litigation. Before you begin, please ensure that your evidence is ready to be uploaded. The questionnaire is divided into the following sections: 1. Parties Plaintiff Defendant(s) / Trespasser(s) 2. Trespass to Person (e.g. assault or battery) Property (e.g. land) Chattel (e.g. car, boat or other chattel) Privilege (e.g. privacy, legal rights, trade or intellectual property) 3. Event Timeline 4. Itemised Damages 5. Proposed Remedy Which type(s) of trespass do you claim?Trespass to PersonTrespass to PropertyTrespass to ChattelTrespass to PrivilegePreviousNextParties - Plaintiff DetailsYou are the plaintiff.Full (straw/legal) name of the Plaintiff:PRDJ Name:PRDJ Member No:PRDJPlaintiff's Email:Plaintiff's Phone:Occupation:Profession (Do you earn an income from a particular activity?): No YesIs your current address is different to your address when the events occurred? Yes NoCurrent AddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwePrevious AddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweSave & Continue laterPreviousNextParties - Defendants/Trespassers InformationHow many defendants are involved in this case? 1 2 3 4 5 6 7 8Defendant 1Defendant 1 - Full NameDefendant 1 - AddressDefendant 1 - PhoneDefendant 1 - EmailDefendant 1 - DescriptionDefendant 1 - Relationship to you None Specify RelationshipDefendant 2Defendant 2 - Full NameDefendant 2 - AddressDefendant 2 - PhoneDefendant 2 - EmailDefendant 2 - DescriptionDefendant 2 - Relationship to you None Specify RelationshipSave & Continue laterPreviousNextPlease proceed, this section is not relevant to your case.TPN - Trespass Person(e.g. assault or battery)Did the incident involve any unwanted physical contact? Yes NoIf yes, what unwanted physical contact occurred?Did you suffer any injuries? Yes NoIf yes, describe the injuries.Have you sought medical attention? Yes No If yes, provide details of medical interactions (tick + to add more lines): Date of Medical Interaction Medical Practitioner Name Details of Medical Interaction Upload all Medical EvidenceChoose File Save & Continue laterPreviousNextPlease proceed, this section is not relevant to your case.TPY - Trespass Property(e.g. land)Full address of the property where the alleged trespass occurredAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)RomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweDo you own the property? Yes NoIf no, what is your legal relationship to the property? (e.g. registered proprietor, tenant, equity as de facto, etc.)When did you acquire ownership or legal right to the property? (e.g. when you purchased or leased)How did the trespasser(s) enter your property? (e.g., forced entry, walked through an open gate)How long did the trespasser(s) remain on your property? (e.g., 3 minutes, 30 minutes etc.)What specific areas of your property did they access?What actions did the trespasser(s) take while on your property?Save & Continue laterPreviousNextPlease proceed, this section is not relevant to your case.TPC - Trespass Chattel(e.g. chattels, car, boat)Please describe in detail the personal property (chattel) that was interfered with.Do you own this personal property (chattel)? Yes NoIf no, what is your legal right to possess or use this chattel?Describe how the defendant interfered with your chattel? (e.g. Unauthorized use, Damage, Deprivation of use, Unauthorized movement or relocation, Duration)Did the Defendant intentionally interfere with your chattel? Yes NoAnd if yes, is there a reasonable explanation?Prior Permission Yes NoIf yes, please explain the nature and extent of the prior permission.Save & Continue laterPreviousNextPlease proceed, this section is not relevant to your case.TPE - Trespass Privilege(e.g. privacy, legal rights, trade, IP)Do you believe there has been an interference with your legal rights? Yes Nof yes, which rights were interfered with?Has there been any interference with your business or trade relationships? Yes NoIf yes, which business rights were interfered with?Have you experienced any loss of privacy or confidentiality? Yes NoIf yes, describe intrusion to privacy.Has there been any unauthorized use of your intellectual property? Yes NoIf yes, describe unauthorised use of Intellectual Property.Save & Continue laterPreviousNextEvent TimelineFor each trespass event, provide the following details: Event date and time Location of event Description of what happened Who was involved? (Identify the parties and any witnesses) Any supporting evidence? How many trespass events have happened? 1 2 3 4 5Event 1 - Date and timeLocation of event 1Description event 1 of what happenedWho was involved in event 1? (Identify the parties and any witnesses) Any supporting evidence for event 1? Yes NoIf yes, Evidence 1 description (e.g. audio x2, video x1, photographs x 7, medical report x1, copy of letter etc.)Save & Continue laterPreviousNextDamages ItemisedWhat specific physical damage have you suffered as a result of the trespass? (e.g. damage to property, chattels, deprived of use, bodily injury, pain, restriction of movement, etc.)Have you incurred any financial losses? * (e.g. loss of wages, future earnings, decline in takings, medical expenses, replacement and repair costs) Yes NoIf yes, provide details and amounts of financial losses.Have you experienced any non-financial harm? (e.g., emotional distress, loss of reputation) Yes Nof yes, describe the non-financial harmPrior IncidentsHave there been any previous similar incidents involving the same defendant(s)? Yes NoIf yes, provide dates and brief details of prior incidents.If yes, describe the actions you have taken.Have you taken any steps to mitigate your losses? (e.g. repaired damage, replaced item, hired rental vehicle, received medical treatments) Yes NoIf yes, describe the steps taken to mitigate lossesHave you attempted to resolve the issue directly with the defendant(s)? Yes NoIf yes, what steps have you taken? (If there are multiple actions, please insert dates, times, the action you took and the person you dealt with)Have you reported the incident to anyone? Yes NoIf yes, provide details of who you filed a report with.Save & Continue laterPreviousNextRemedy ProposedWhat specific remedy are you seeking? * (e.g., damages, injunction)Are you open to alternative dispute resolution methods? Yes NoAdditional Information: Is there any other relevant information you believe is important for your case?Legal Process Concerns: Do you have any concerns or questions about the legal process? Previous Submit the Questionnaire