This follows the form's own order and wording, edition 05.26. GOV.UK's notes for guidance (N119A) are an older document, marked 04.10, and number some paragraphs differently, so read them alongside the form.
Top of the form. The name of court, claim number, and the names of the claimant and defendant, including any reference.
Question 1: the property. The full address of the property the claimant has a right to possession of.
Question 2: who is in possession. The persons in possession of the property, to the best of the claimant's knowledge.
Question 3: about the tenancy. Question 3.1 asks the type of tenancy and the date it started. The N119A gives "assured, assured shorthold" as examples. Question 3.2 asks for the current rent and whether it is payable each week, fortnight, month or other. Question 3.3 asks for the daily rate for unpaid rent or charge for use and occupation.
Question 4: reason for taking possession. The form says the reason is given in section 3.1 of the claim form, and has a box for details. For unpaid rent, the N119A says to set out the amount outstanding when the claim is issued, with a rent statement showing how the arrears arose, covering 2 years before issue or from the first default if less than 2 years.
Question 5: steps taken to recover arrears. The N119A says to give full details, including the dates and terms of any earlier court proceedings.
Question 6: the notice. You tick the kind of notice served (notice to quit, notice of breach of lease, notice seeking possession, notice seeking a demotion order, or other) and give the date it was served on the defendant. GOV.UK's guide says to provide a copy of the section 8 notice you supplied to your tenant.
Question 7: about the defendant. What is known about the defendant's circumstances. The N119A says to say in particular whether housing benefit is paid to you or the defendant, and whether deductions are made from their benefits towards the arrears.
Question 8: about the claimant. Financial or other information the claimant asks the court to take into account. The N119A says you can delete the paragraph if you do not wish to give it.
Question 9: forfeiture. Either there is no underlessee or mortgagee entitled to claim relief against forfeiture, or you give that person's name and address.
Question 10: what the court is asked to do. The form lists possession, unpaid rent and charges, ongoing rent or charges until possession, and costs. It asks whether, in the alternative to possession, a demotion order or an order suspending the right to buy is sought.
Questions 11 to 14 apply to demotion or suspension claims only. They ask under which section the claim is made, what kind of claimant it is, whether a statement of express terms was served for a demoted tenancy, and the conduct alleged.
Statement of truth. The form warns that proceedings for contempt of court may be brought against anyone who makes a false statement in a document verified by a statement of truth without an honest belief in its truth. You sign as claimant, litigation friend or legal representative, and give the date and full name.