---
title: "UCPR Form 15: statement of particulars, compensation to relatives"
url: "https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-ucpr-15-compensation-to-relatives"
type: "precedent"
site: "AI Law Framework"
id: "a21-form-nsw-ucpr-15-compensation-to-relatives"
area_id: "A21"
kind: "form"
ai_level: "red"
version: 1
task_ids: ["A21-T1-R7", "A21-T1-R3"]
law_stated_as_at: "2026-10-23"
---

# UCPR Form 15: statement of particulars, compensation to relatives

> Link to UCPR Form 15 version 2, the statement of particulars for compensation to relatives proceedings, including dependency and the people for whom the claim is brought.

Canonical page: https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-ucpr-15-compensation-to-relatives  
Law stated as at: 2026-10-23

Site index for agents: https://ailawframework.com/llms.txt

## Key facts

- Kind: Form. A form to complete, or a guide to completing an official one.
- Practice area: [Personal Injury & Compensation](https://ailawframework.com/precedents/personal-injury-and-compensation.md)
- Jurisdictions: New South Wales
- AI level: Red. You write the text. The tool writes nothing into the document. Where permitted, it may check, clarify or collect data, and anything it checks or collects is verified.
- Law stated as at: 2026-10-23
- Status: Maintained. Checked on 2026-10-23 against the official form at ucprforms.nsw.gov.au and the 2 authorities it cites, for New South Wales.

## When to use it

Use when particulars are filed in a New South Wales compensation to relatives proceeding. Personal injury proceedings that are not brought for dependants use Form 14.

## Used for these tasks

- [Draft pleadings or points of claim from the medical chronology](https://ailawframework.com/practice/personal-injury-and-compensation/draft-pleadings-or-points-of-claim-from-the-medical-chronology.md)
- [Prepare a damages or statutory-entitlements schedule](https://ailawframework.com/practice/personal-injury-and-compensation/prepare-a-damages-or-statutory-entitlements-schedule.md)

## How AI may be used

The tool writes nothing in the filed particulars, and it may only list the people and dependency records already on the file for the lawyer who writes the form.

**AI may:**

- List each person for whom the proceeding is brought, with the relationship recorded on the file
- Index wage, tax and household records that bear on dependency
- List documents already served and documents still to be served

**AI must not:**

- Must not write the summary of the claim or the details of dependency
- Must not describe the family's circumstances in words that are not in a document the lawyer has accepted
- Must not sign or file the form

**The lawyer checks:**

- The form is Form 15 version 2. It cites UCPR 15.13(2)(b) and 15.13(2)(c)
- For each person: name, address, relationship to the deceased, and marital status
- Documents served in support of the claim, and other documents served, are listed, with reasons where a document cannot be served with the statement
- The legal representative or the party signs
- This guide is red because the particulars are filed. The form is not an affidavit
- Health, wage and other personal information stays in a firm-controlled tool. Check confidentiality under ASCR r 9 and APP 11, and whether any breach is notifiable under the Privacy Act 1988 (Cth).

## Authorities

- [Uniform Civil Procedure Rules forms, Form 15 version 2, Statement of particulars – compensation to relatives proceedings](https://ucprforms.nsw.gov.au/content/dam/dcj/ctsd/ucpr/documents/pdf/ucpr_form_15_v2.pdf)
- [Uniform Civil Procedure Rules forms (New South Wales)](https://ucprforms.nsw.gov.au/)

## Official form

[Official form](https://ucprforms.nsw.gov.au/content/dam/dcj/ctsd/ucpr/documents/pdf/ucpr_form_15_v2.pdf)

## Where this comes from

The official form is published by ucprforms.nsw.gov.au; this page is a completion guide. Last checked on 2026-10-23.

## Full text and drafting notes

The full text and the drafting notes are not part of this public page. Signed-in firm accounts can read them at https://ailawframework.com/precedents/personal-injury-and-compensation/form-nsw-ucpr-15-compensation-to-relatives and through the signed-in MCP connector https://ailawframework.com/mcp/firm.

*Practice guidance for planning and review. Confirm current primary sources and the requirements of the actual matter. This is general information, not legal advice.*