Form R184 Claim Form 2026

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The document is Form R184, a claim form under the Insolvency Act 2003 and the Insolvency Rules 2005. It is used by creditors to submit their claims against a debtor in liquidation, detailing the creditor's name, address, total claim amount, any preferential debt categories, particulars of the debt incurred, and supporting documents. The form also includes sections for the liquidator to admit claims as preferential or non-preferential.

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Click ‘Get Form’ to open the Form R184 Claim Form in our editor.
Begin by entering the 'Name of Proceeding' and 'Date of Appointment of Liquidator' at the top of the form.
In section 1, input the 'Name of Creditor' followed by their 'Address' in section 2.
For section 3, specify the 'Total amount of claim as at the date of appointment of liquidator'. If applicable, detail any outstanding uncapitalised interest in section 4.
In section 5, indicate if any part of the debt is classified as preferential under the Insolvency Rules. Provide amounts claimed as preferential debts.
Detail how and when the debt was incurred in section 6, and reference any supporting documents in section 7.
Complete sections 8 and 9 with your signature, name in block letters, position or relation to creditor, and address.

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