Statement of claim for monetary recovery under the simplified procedure — Worked input example

Prepares facts, relief and evidence for the current Cabinet No 305 form; the principal debt limit is EUR 3000. Worked input example.

Key template information and options
What to clarify	Example or option on this page
Claimant	Individual / Legal entity
Basis for email communication	I agree to use email / The procedure requires an email address / I do not use email for communication
Have you registered with the online system?	Yes / No

Prepare information from this template’s actual fields. Your choices determine additional inputs; selecting an option does not establish authority, a right or an event.

Legal templates and their PDF/Word text are in Latvian. This is a completion guide, not a signed document or a legal opinion.

DEMONSTRATION — invented input examples. They are never inserted into your document and do not establish identity, payment, authority, rights or an event.

Information and checks before completion

Input field	What to prepare	Demonstration entry
Claimant	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Input field 2Exact field label in the Latvian editor: Tiesas nosaukums	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 3Exact field label in the Latvian editor: Prasītāja vārds, uzvārds vai nosaukums	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Personal identity or registration number	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Declared residence or, if none, residence or registered office	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Additional correspondence address	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Input field 7Exact field label in the Latvian editor: Prasītāja tālrunis	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Basis for email communication	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Email	Enter the actual contact email of the relevant person. The field does not verify that email address. Not unconditionally marked as required; a particular choice may make it required.	demo@example.invalid — a non-working demonstration address
Have you registered with the online system?	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Input field 11Exact field label in the Latvian editor: Kredītiestādes nosaukums	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 12Exact field label in the Latvian editor: Konts samaksai/izdevumu atlīdzināšanai	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Is there a representative?	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Representative's full name	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active. Shown when you choose: Is there a representative? = Yes.	DEMO — enter the verifiable actual circumstances here.
Input field 15Exact field label in the Latvian editor: Pārstāvja personas kods	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active. Shown when you choose: Is there a representative? = Yes.	DEMO — enter the verifiable actual circumstances here.
Representative’s correspondence address	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active. Shown when you choose: Is there a representative? = Yes.	DEMO — enter the verifiable actual circumstances here.
Basis of representation	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active. Shown when you choose: Is there a representative? = Yes.	DEMO — enter the verifiable actual circumstances here.
Input field 18Exact field label in the Latvian editor: Pārstāvja tālrunis	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required. Shown when you choose: Is there a representative? = Yes.	DEMO — enter the verifiable actual circumstances here.
Input field 19Exact field label in the Latvian editor: Pārstāvja e-pasts	Enter the actual contact email of the relevant person. The field does not verify that email address. Not unconditionally marked as required; a particular choice may make it required. Shown when you choose: Is there a representative? = Yes.	demo@example.invalid — a non-working demonstration address
Input field 20Exact field label in the Latvian editor: Pārstāvja reģistrācija tiešsaistes sistēmā	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required. Shown when you choose: Is there a representative? = Yes.	DEMO — enter the verifiable actual circumstances here.
Input field 21Exact field label in the Latvian editor: Atbildētāja vārds, uzvārds vai nosaukums	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Type of defendant	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Input field 23Exact field label in the Latvian editor: Atbildētāja personas kods,ja zināms,vai reģistrācijas numurs	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Defendant’s declared, additional, actual or registered office address	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 25Exact field label in the Latvian editor: Atbildētāja tālrunis,ja zināms	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Subject of the claim	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 27Exact field label in the Latvian editor: Galvenais parāds	Enter the amount in the currency stated by the field and separately check whether tax belongs in it. A planned payment is not money received. Required when the field is active. Limits stated in the schema: minimum: 0, step: 0.01.	DEMO: 125.00
Input field 28Exact field label in the Latvian editor: Galvenā parāda aprēķins	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Contractual or statutory interest	Enter the amount in the currency stated by the field and separately check whether tax belongs in it. A planned payment is not money received. Required when the field is active. Limits stated in the schema: minimum: 0, step: 0.01.	DEMO: 125.00
Input field 30Exact field label in the Latvian editor: Līgumsods	Enter the amount in the currency stated by the field and separately check whether tax belongs in it. A planned payment is not money received. Required when the field is active. Limits stated in the schema: minimum: 0, step: 0.01.	DEMO: 125.00
Input field 31Exact field label in the Latvian editor: Procentu un līgumsoda aprēķins ar periodu	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 32Exact field label in the Latvian editor: Kopējā prasības summa	Derived field: it is not entered directly; the actual editor derives it from other inputs.	Derived field: it is not entered directly; the actual editor derives it from other inputs.
Input field 33Exact field label in the Latvian editor: Kopējā summa vārdiem	Derived field: it is not entered directly; the actual editor derives it from other inputs.	Derived field: it is not entered directly; the actual editor derives it from other inputs.
Input field 34Exact field label in the Latvian editor: Valsts nodeva	Enter the amount in the currency stated by the field and separately check whether tax belongs in it. A planned payment is not money received. Not unconditionally marked as required; a particular choice may make it required. Limits stated in the schema: minimum: 0, step: 0.01.	DEMO: 125.00
Input field 35Exact field label in the Latvian editor: Formas kancelejas nodevas pozīcija	Enter the amount in the currency stated by the field and separately check whether tax belongs in it. A planned payment is not money received. Not unconditionally marked as required; a particular choice may make it required. Limits stated in the schema: minimum: 0, step: 0.01.	DEMO: 125.00
Input field 36Exact field label in the Latvian editor: Ar izskatīšanu saistītie izdevumi	Enter the amount in the currency stated by the field and separately check whether tax belongs in it. A planned payment is not money received. Not unconditionally marked as required; a particular choice may make it required. Limits stated in the schema: minimum: 0, step: 0.01.	DEMO: 125.00
Input field 37Exact field label in the Latvian editor: Atbrīvojuma vai atvieglojuma pamats	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Input field 38Exact field label in the Latvian editor: Apstākļi un pierādījumi	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 39Exact field label in the Latvian editor: Ziņas par mediācijas izmantošanu	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 40Exact field label in the Latvian editor: Normatīvais akts,pants,daļa,punkts	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Claims	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Requests for the court to obtain evidence	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Do you request a court hearing?	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Input field 44Exact field label in the Latvian editor: Tiesas sēdes vajadzības pamatojums	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active. Shown when you choose: Do you request a court hearing? = Yes.	DEMO — enter the verifiable actual circumstances here.
Input field 45Exact field label in the Latvian editor: Citi būtiski apstākļi	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Person for the court to contact	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Input field 47Exact field label in the Latvian editor: Pielikumu saraksts	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 48Exact field label in the Latvian editor: Parakstīšanas/sagatavošanas datums	Choose the date that fits this field’s purpose. The document date, event date and receipt date are not automatically the same date. Required when the field is active.	2030-04-15 — format example only, not an actual date
Representative’s mandatory electronic communication	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active. Shown when you choose: Is there a representative? = Yes.	No option is selected in this example; compare the available options below.
Is representation based on subdelegation?	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active. Shown when you choose: Is there a representative? = Yes.	No option is selected in this example; compare the available options below.
Input field 51Exact field label in the Latvian editor: Pārpilnvarojuma dokumenta pilnie rekvizīti	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active. Shown when you choose: Is representation based on subdelegation? = Yes.	DEMO — enter the verifiable actual circumstances here.
Who will sign the application?	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Input field 53Exact field label in the Latvian editor: Juridiskās personas tiesīgā orgāna pārstāvis	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Input field 54Exact field label in the Latvian editor: Juridiskās personas pārstāvības pamats	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.
Input field 55Exact field label in the Latvian editor: Esmu pārbaudījis faktus, aprēķinu un faktiskos pielikumus	Tick only after the required review. A tick is not approval by an external authority. Required when the field is active.	Do not tick this until you have checked the statement yourself.
Country of the defendant’s address	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Factual connection to the named court’s jurisdiction	Choose one of the template’s actual options. Compare the additional requirements triggered by the choice. Required when the field is active.	No option is selected in this example; compare the available options below.
Input field 58Exact field label in the Latvian editor: Piekritības saistība ar atbildētāja adresi un norādīto tiesu	Describe the actual circumstances, a party’s obligation or the reference to evidence. Generic example text is not an actual agreed condition. Required when the field is active.	DEMO — enter the verifiable actual circumstances here.
Input field 59Exact field label in the Latvian editor: Tiesas oficiālā adrese / saziņas kanāls	Enter the precise, verifiable information requested here; refer to evidence rather than giving unsupported assurances. Not unconditionally marked as required; a particular choice may make it required.	DEMO — enter the verifiable actual circumstances here.

Review the options and dependent fields

Claimant

Editor option	Which information changes
Individual	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Legal entity	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Basis for email communication

Editor option	Which information changes
I agree to use email	This option additionally requires: Email.
The procedure requires an email address	This option additionally requires: Email.
I do not use email for communication	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Have you registered with the online system?

Editor option	Which information changes
Yes	The schema has no direct additional-field requirement for this option. Other document checks still apply.
No	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Is there a representative?

Editor option	Which information changes
Yes	This option displays: Representative's full name; Input field [Pārstāvja personas kods]; Representative’s correspondence address; Basis of representation; Input field [Pārstāvja tālrunis]; Input field [Pārstāvja e-pasts]; Input field [Pārstāvja reģistrācija tiešsaistes sistēmā]; Representative’s mandatory electronic communication; Is representation based on subdelegation?.
No	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Type of defendant

Editor option	Which information changes
Individual	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Legal entity	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Do you request a court hearing?

Editor option	Which information changes
Yes	This option displays: Input field [Tiesas sēdes vajadzības pamatojums].
No	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Person for the court to contact

Editor option	Which information changes
The claimant	The schema has no direct additional-field requirement for this option. Other document checks still apply.
The claimant's representative	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Representative’s mandatory electronic communication

Editor option	Which information changes
Email must be provided according to the actual status	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Such mandatory status has not been established	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Is representation based on subdelegation?

Editor option	Which information changes
Yes	This option displays: Input field [Pārpilnvarojuma dokumenta pilnie rekvizīti].
No	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Unknown / verification required	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Who will sign the application?

Editor option	Which information changes
Claimant / its authorised governing body	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Duly authorised representative	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Country of the defendant’s address

Editor option	Which information changes
Latvia	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Foreign country	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Unknown	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Factual connection to the named court’s jurisdiction

Editor option	Which information changes
Based on the defendant's stated address in Latvia	The schema has no direct additional-field requirement for this option. Other document checks still apply.
By agreement between the parties	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Under the special consumer jurisdiction rules	The schema has no direct additional-field requirement for this option. Other document checks still apply.
Other or unclear basis	The schema has no direct additional-field requirement for this option. Other document checks still apply.

Open the actual template →

Questions about completion

What should I prepare for this document?

Use the specific field list and option table. This template has 59 fields; 40 are required by the schema when active. Additional conditions may require other inputs.

Will demonstration values fill my document?

No. The example exists only in this public guide. Enter your actual information in the template; this page saves nothing and creates no document.

Can I submit a completed example immediately?

Not automatically. Check the actual parties, conditions, attachments, signing and submission procedure. A completed file is not a signature, proof of payment or an authority’s decision.

Sources already listed for this template

Sources come from this template’s published metadata; this guide does not certify a new legal review or fulfilment of every requirement.