APPLICATION TO REQUEST A DIN TORAH Date: Year —Please choose an option—2026202520242023 Month —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day —Please choose an option—12345678910111213141516171819202122232425262728293031 Plaintiff Name: Company Name: Address: City: State/Province: Postal Code: Home Tel: Business Tel: Cell: Fax: E-mail: Credit Card: Expiry Date: CCV: Defendant Name: Company Name: Address: City: State/Province: Postal Code: Home Tel: Business Tel: Cell: Fax: E-mail: Add+ Defendant Name: Company Name: Address: City: State/Province: Postal Code: Home Tel: Business Tel: Cell: Fax: E-mail: Add+ Defendant Name: Company Name: Address: City: State/Province: Postal Code: Home Tel: Business Tel: Cell: Fax: E-mail: Add+ Defendant Name: Company Name: Address: City: State/Province: Postal Code: Home Tel: Business Tel: Cell: Fax: E-mail: Add+ Defendant Name: Company Name: Address: City: State/Province: Postal Code: Home Tel: Business Tel: Cell: Fax: E-mail: Add+ Defendant Name: Company Name: Address: City: State/Province: Postal Code: Home Tel: Business Tel: Cell: Fax: E-mail: Please describe the nature of the claim: What is the amount of the claim? Has this claim previously been referred for mediation to any Rabbi or addressed in a Civil Court or Beth Din? If so, please provide a brief history The fee for issuing a hazmana (summons) is $350. If more than one person is being summoned, there is an additional fee of $100 per additional person. The Din Torah hearing fee is $600 per side, which includes up to two (2) hours of hearing time. The hearing is conducted before three Dayanim (Rabbinical judges), who are present for the entire proceeding and will issue a written psak (judgment) following the conclusion of the Din Torah. If the hearing exceeds the included two hours, each additional hour is billed at $350 per side. Should you require more information kindly reach out to: office@bethdin.ca TRIBUNAL RABBINIQUE RABBINICAL COURT OF GREATER MONTREAL 6819 Decarie, Montreal, Quebec H3W 3E4 Tel: (514) 739-6363 Fax: (514) 739-7024