Fill - Free fillable Application for attachment of a warning notice to (Cabinet Office) PDF form

Application for attachment

of a warning notice to a

child arrangements order

To be completed by the court

Name of court

Date issued

Case number

Child(ren)’s name(s) Child(ren)’s number(s)

Fee charged/Remission ID

C78

Name of court

Court case number if known

Full name of the person who

made the application

Name of child(ren)

Date of

child arrangements order

D D

M M

Y Y Y Y

Please attach a copy of the order where available.

1. About the current child arrangements order

If you have a child arrangements order (originally a contact order) that was made before 8 December 2008

you may apply for a warning notice to be attached to the child arrangements order. Your original order will be

treated as a child arrangements order from 22 Apil 2014.

A warning notice explains that if a person does not comply with the child arrangements order the court may

ne or imprison them for contempt of court, or may make an enforcement order or an order for nancial

compensation. You cannot apply for an enforcement order or for nancial compensation regarding

any person’s failure to comply with the child arrangements order if this failure took place before that

person had been given a copy of the order with the warning notice attached or informed of the terms

of the warning notice.

The court can only proceed with this application if either the correct

court case number or a copy of the order is submitted.

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Do you have a solicitor

acting for you?

Yes No

If Yes, please give the following details

Your solicitor’s name

Name of rm

Address

Telephone number

Fax number

DX number

Solicitor’s Reference

Fee account no.

2. About you (the applicant)

Your rst name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex

Male Female

If you do not wish your address, telephone number or email address to be made known to the

respondent, leave the address details blank and complete Condential Address Form C8, you can get a

copy from your local court. You can get a copy of this form from any family court ofce or from our website at

hmctsformnder.justice.gov.uk

Address

Home telephone number

Mobile telephone number

Postcode

Your rst name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex Male Female

If your address details and those of your solicitor are different from the

rst applicant please provide details of these on a separate sheet.

What is your relationship to

the applicant listed above?

Applicant 2 (if applicable)

3. The child(ren) in respect of whom the child arrangements order was made

Please give details of the child(ren), starting with the oldest.

If there are more than 4 children please continue on a separate sheet.

First name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex

Male Female

Applicant 1 Applicant 2

What is your relationship to

the child?

Child 1

First name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex

Male Female

Applicant 1 Applicant 2

What is your relationship to

the child?

Child 2

First name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex

Male Female

Applicant 1 Applicant 2

What is your relationship to

the child?

Child 3

First name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex

Male Female

Applicant 1 Applicant 2

What is your relationship to

the child?

Child 4

4. The respondents’ details as stated on the child arrangements order

If there are more than 2 respondents please continue on a separate sheet.

Respondent’s rst name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex Male Female

Address

Relationship to the child(ren)

Name of child Relationship

Respondent 1

Name of respondent’s solicitor

Name of rm

Address

Telephone number

Fax number

DX number

Respondent’s solicitor

Postcode

Does the respondent have a

solicitor acting for them?

Yes No Don’t know

If Yes, please provide the details below.

Respondent’s rst name

Middle name(s)

Surname

Date of birth

D D

M M

Y Y Y Y

Sex Male Female

Address

Relationship to the child(ren)

Name of child Relationship

Respondent 2

Name of respondent’s solicitor

Name of rm

Address

Telephone number

Fax number

DX number

Respondent’s solicitor

Postcode

Does the respondent have a

solicitor acting for them?

Yes No Don’t know

If Yes, please provide the details below.

5. Current court cases which concern the child(ren)

Are you aware of any other

ongoing cases which concern

any of the children at Section 3?

Yes

No If No, please go to Section 6

Additional details

Name of the court where

proceedings are being heard

Case no.

Name of Cafcass/CAFCASS

CYMRU Ofcer (if any)

Name and address of child’s

solicitor, if any and if known

If the above details are different for each child please provide

details on additional sheets.

Please tick if additional sheets

are attached.

Name of child(ren)

If Yes, please provide additional details about which child(ren) are

involved in other court cases?

Postcode

7. Signature

Print full name

Signed

Applicant

Date

D D

M M

Y Y Y Y

continued over the page

6. Statement of truth

*[I believe] [The applicant/respondent believes] that the facts stated in this

application are true.

*I am duly authorised by the applicant/respondent to sign this statement.

Print full name

Name of applicant solicitors rm

Signed Dated

D D

M M

Y Y Y Y

(Applicant) (Applicant‘s solicitor)

Position or ofce held

(If signing on behalf of rm or

company)

Proceedings for contempt of court may be brought against a person

who makes or causes to be made, a false statement in a document

veried by a statement of truth.

*delete as

appropriate

8. Attending the court

If you require an interpreter, you must tell the court now so that one can be arranged.

If Yes, please specify the language and dialect:

Do you or any of the parties

need an interpreter at court?

Yes No

Checklist

Please check that you have completed all parts of the

form and attached all the relevant documents:

a copy of the child arrangements order, or the

case number

appropriate fee enclosed (leaet EX50 provides

information about court fees)

details of additional children, if there are more

than four children in Section 3

details of additional respondents, if there are

more than two respondents in Section 4

details of additional ongoing cases if more than

one in Section 5

Now take or send your application with the correct

fee to the court.

Court fees

You may be exempt from paying all or part of the

fee. The combined booklet and application form

‘EX160A Court and Tribunal Fees - Do you have

to pay them’ gives more information. You can get

a copy from the court or download a copy from our

website at www.justice.gov.uk/courts

If attending the court, do you or

any of the parties involved have

a disability for which you require

special assistance or special

facilities?

Yes No

If Yes, please say what the needs are

Please say whether the court

needs to make any special

arrangements for you to attend

court (e.g. providing you with a

separate waiting room from the

respondent or other security

provisions).

Court staff may get in touch with you about the requirements

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