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IMPORTANT information about your case
Please read before completing your application
The law has changed, and you are now legally required to consider mediation before
applying to the family court to resolve a dispute about your children or nances. This
means that before submitting your application, you must attend a Mediation Information and
Assessment Meeting (MIAM) to nd out about mediation and see if mediators can help you sort
out arrangements for the future.
In special circumstances – such as where domestic violence is involved – you may not need to
attend a MIAM. However, you will be asked to provide the judge with evidence (such as a police
report to prove domestic violence has taken place) and should bring it to the rst hearing.
Who are mediators and what do they do?
Mediators are trained professionals who can help you and the other person involved work out
an agreement without having to go to court about issues such as arrangements for children,
nancial arrangements and dividing up property.
How can mediation help?
Mediation gives you more control over what happens, and is usually less stressful and cheaper
than going to court. It can also be quicker and less upsetting for you and your children. In the
MIAM, you will be told about other options to resolve your dispute and about services that can
provide you with help and support.
Where can I nd a mediator or more information?
You can search for a mediator and nd more information about
mediation (and other sources of help) using this website:
www.familymediationcouncil.org.uk/. You can also scan this QR code
with your smart phone.
Do I have to pay for the MIAM?
The MIAM is free of charge if you or the other person involved (the other party)
qualies for legal aid. To nd out if you qualify visit: www.gov.uk/check-legal-aid
Please read the statements below and sign to conrm your understanding
1. I understand that if I have not attended a Mediation Information and Assessment
Meeting (MIAM), the court CANNOT process my court application unless there are special
circumstances.
2. I understand that if I cannot show evidence that I do not need to attend a MIAM, the judge
may stop proceedings until I have considered mediation.
Signed Date
D D
/
M M
/
Y Y Y Y
We want to make sure that all applicants are aware of this new process and ask that you
PLEASE RETURN THIS FORM WITH YOUR APPLICATION. Your application can be submitted without
this form and will not be aected if you do not sign or return it.
C100 Application under the Children Act 1989 for a child arrangements, prohibited steps, specic issue section 8
order or to vary or discharge a section 8 order (01.21)
C100
Application under section 8 of
the Children Act 1989 for a child
arrangements, prohibited steps,
specic issue order or to vary or
discharge or ask permission to
make a section 8 order
© Crown copyright 2021
First name(s) of applicant(s) Last name of applicant(s)
First name(s) of respondent(s) Last name of the respondent(s)
Are you asking for permission to make this application,
where that is required?
Yes No
If Yes, complete section 5a
Is an urgent hearing or without notice hearing required?
Yes No
If Yes, complete section 6a or 6b
Are there previous or ongoing proceedings for the child(ren)?
Yes No
If Yes, complete section 7
Are you applying for an order to formalise an agreement
(consent order)?
Yes No
If Yes, attach the draft order
to this form
Is this a case with an international element or factors
aecting litigation capacity?
Yes No
If Yes, complete section 8 or 9
Will the child or any of the people involved need to
use spoken or written Welsh during the course of the
proceedings?
Yes No
If Yes, complete section 10
Additional information required
To be completed by the court
The family court sitting at
Case number Date issued
Help with Fees – Ref no.
(if applicable)
H W F
– –
Nature of application
What order(s) are you applying for?
any form of domestic abuse
Yes No
child abduction
Yes No
child abuse
Yes No
drugs, alcohol or substance abuse
Yes No
other safety or welfare concerns
Yes No
Concerns about risk of harm
Are you alleging that the child(ren) named in Section 1 of
this form have experienced, or are at risk of experiencing,
harm from any of the following by any person who has had
contact with the child?
If you answered Yes to any of the above, you must
complete form C1A (Supplemental information form)
and le it with this C100 form.
Child Arrangements Order
Prohibited Steps Order
Specic Issue Order
Please specify the nature of the order you seek.
For example, an order about with whom a child
is to live, or how often they spend time with the
applicant and for how long.
Before completing this form please read the leaet ‘CB1 – Making an application – Children and the Family Courts’ and
the leaet ‘CB7 – Guide for separated parents: children and the family courts’. These and other forms and leaets are
available from your local court or online at hmctsformnder.justice.gov.uk
Reset form
Print form
Reset form
Print form
2
Please also read the information notes and complete the checklist at the end of the form.
• Failure to complete every question or state if it does not apply, could delay the case, as the court will have to
ask you to provide the additional information required.
• If there is not enough space please attach separate sheets clearly showing the details of the children, parties,
question and page number they refer to.
• Cafcass/CAFCASS CYMRU will carry out checks as it considers necessary. See Section J of leaet CB1 for more
information about Cafcass and CAFCASS CYMRU.
Please list the name(s) of the child(ren) and the type(s) of order you are applying for, starting with the oldest. To
understand which order to apply for read the booklet CB1 Section D.
Summary of children’s details
1. The Child(ren)
Child 1 - First name(s) Last name Date of birth
Don’t know
Gender Orders applied for
Female Male
Applicant(s) relationship to the child Respondent(s) relationship to the child
Child 2 - First name(s) Last name Date of birth
Don’t know
Gender Orders applied for
Female Male
Applicant(s) relationship to the child Respondent(s) relationship to the child
s
Child 3 - First name(s) Last name Date of birth
Don’t know
Gender Orders applied for
Female Male
Applicant(s) relationship to the child Respondent(s) relationship to the child
s
Child 4 - First name(s) Last name Date of birth
Don’t know
Gender Orders applied for
Female Male
Applicant(s) relationship to the child Respondent(s) relationship to the child
3
1a. Are any of the children
known to the local authority
children’s services?
Yes No Don’t know
If Yes please state which child
and the name of the Local
Authority and Social worker
(if known)
1b. Are any of the children the
subject of a child protection plan?
Yes No Don’t know
1c. Do all the children have the
same parents?
Yes No
If Yes, what are the names of the
parents?
If No, please give details of
each parent and their children
involved in this application
Please state everyone who has
parental responsibility for each
child and how they have parental
responsibility (e.g. ‘child’s mother’,
‘child’s father and was married to
the mother when the child was
born’ etc.)
(See Section E of leaet CB1 for
more information)
1d. Who do the children currently
live with?
Applicant(s) Respondent(s) Other
If other, please give the full
address of the child, the names
of any adults living with the
children and their relationship to
or involvement with the child.
If you do not wish this
information to be made known to
the Respondent, leave the details
blank and complete Condential
contact details Form C8.
4
2. Requirement to attend a Mediation, Information and Assessment Meeting (MIAM)
Before making an application for a child arrangements order, prohibited steps order or specic issue order (a section
8 order) you must rst attend a Mediation, Information and Assessment Meeting (MIAM). At the MIAM an authorised
family mediator will consider with you (and the other party if present) whether family mediation, or another form
of non-court dispute resolution, would be a more appropriate alternative to court. The mediator will also be able to
sign post you to other help and support services.
You must have attended a MIAM before making this application unless the requirement to attend a MIAM does not
apply because the section 8 order you are applying for:
• is for a consent order; or
• concerns a child who is the subject of separate ongoing emergency proceedings, care proceedings or
supervision proceedings (or is already the subject of an emergency, care or supervision order); or
• you are exempt from the requirement to attend a MIAM. (Some exemptions you can claim yourself, others must
be certied by an authorised family mediator).
All applicants must complete sections 1, 2 and 5 to 14 before signing this form.
In addition, you must tick one of the boxes below and ensure that you, your legal adviser or a family mediator
completes (and where indicated signs) the relevant section(s) of this form as shown.
2a. If you ticked ‘Yes’ to the
question on page 1 about
current or previous court
cases, are/were any of
those cases about an
emergency protection, care
or supervision order?
Yes No
If Yes, complete section 7 to
provide additional details.
Do not complete sections 3 and 4
If No, please answer question 2b.
2b. Are you claiming exemption
from the requirement to
attend a MIAM?
Yes No
If Yes, complete section 3.
If No, please answer question 2c.
2c. Has a family mediator
informed you that a
mediator’s exemption
applies, and you do not need
to attend a MIAM?
Yes No
If Yes, you must ensure
that the family mediator
completes and signs section 4a.
If No, please answer question 2d.
2d. Have you attended a MIAM?
Yes No
If Yes, you must ensure that the family mediator
completes and signs section 4b.
If No, you cannot make this application.
5
3. Applicant claims exemption(s) from attendance at a Mediation, Information and
Assessment Meeting (MIAM)
The applicant has not attended a
MIAM because the following MIAM
exemption(s) applies:
Domestic violence (you must complete section 3a)
Child protection concerns (you must complete section 3b)
Urgency (you must complete section 3c)
Previous MIAM attendance or previous MIAM exemption (you must
complete section 3d)
Other (you must complete section 3e)
Now complete the relevant section 3a, b, c, d or e by ticking the
appropriate box(s)
Further details of MIAM
exemption(s) claimed by the
applicant
If you have claimed a MIAM exemption above you must also tick the relevant
box(s), as shown below to conrm that you have the necessary evidence to
support your ground(s) for exemption and should bring it to the rst hearing.
Where you are asked to provide additional details you must do so.
The applicant conrms that there is evidence of domestic violence, as
specied below:
Section 3a - Domestic violence
evidence
(To be completed by the person intending to make a court application or
their solicitor)
evidence that a prospective party has been arrested for a relevant domestic
violence oence;
evidence of a relevant police caution for a domestic violence oence;
evidence of relevant criminal proceedings for a domestic violence oence
which have not concluded;
evidence of a relevant conviction for a domestic violence oence;
a court order binding a prospective party over in connection with a domestic
violence oence;
a domestic violence protection notice issued under section 24 of the Crime
and Security Act 2010 against a prospective party;
a relevant protective injunction;
an undertaking given in England and Wales under section 46 or 63E of
the Family Law Act 1996 (or given in Scotland or Northern Ireland in place
of a protective injunction) by a prospective party, provided that a cross-
undertaking relating to domestic violence was not given by another
prospective party;
a copy of a nding of fact, made in proceedings in the United Kingdom, that
there has been domestic violence by a prospective party;
an expert report produced as evidence in proceedings in the United
Kingdom for the benet of a court or tribunal conrming that a person with
whom a prospective party is or was in a family relationship, was assessed as
being, or at risk of being, a victim of domestic violence by that prospective
party;
a letter or report from an appropriate health professional conrming that-
(i) that professional, or another appropriate health professional, has
examined a prospective party in person; and
6
Section 3a - Domestic violence
evidence - continued
(ii) in the reasonable professional judgment of the author or the examining
appropriate health professional, that prospective party has, or has had,
injuries or a condition consistent with being a victim of domestic violence;
a letter or report from-
(i) the appropriate health professional who made the referral described
below;
(ii) an appropriate health professional who has access to the medical
records of the prospective party referred to below; or
(iii) the person to whom the referral described below was made;
conrming that there was a referral by an appropriate health professional
of a prospective party to a person who provides specialist support or
assistance for victims of, or those at risk of, domestic violence;
a letter from any person who is a member of a multi-agency risk assessment
conference (or other suitable local safeguarding forum) conrming that a
prospective party, or a person with whom that prospective party is in a family
relationship, is or has been at risk of harm from domestic violence by another
prospective party;
a letter from an independent domestic violence advisor conrming that they
are providing support to a prospective party;
a letter from an independent sexual violence advisor conrming that they
are providing support to a prospective party relating to sexual violence by
another prospective party;
a letter from an ocer employed by a local authority or housing association
(or their equivalent in Scotland or Northern Ireland) for the purpose of
supporting tenants containing-
(i) a statement to the eect that, in their reasonable professional
judgment, a person with whom a prospective party is or has been in a
family relationship is, or is at risk of being, a victim of domestic violence
by that prospective party;
(ii) a description of the specic matters relied upon to support that
judgment; and
(iii) a description of the support they provided to the victim of domestic
violence or the person at risk of domestic violence by that prospective
party;
a letter which-
(i) is from an organisation providing domestic violence support services,
or a registered charity, which letter conrms that it-
(a) is situated in England and Wales,
(b) has been operating for an uninterrupted period of six months or
more; and
(c) provided a prospective party with support in relation to that person’s
needs as a victim, or a person at risk, of domestic violence; and
(ii) contains-
(a) a statement to the eect that, in the reasonable professional
judgment of the author of the letter, the prospective party is, or is at
risk of being, a victim of domestic violence;
(b) a description of the specic matters relied upon to support that
judgment;
(c) a description of the support provided to the prospective party; and
7
Section 3c – Urgency
Section 3b – Child protection
concerns
The applicant conrms that a child would be the subject of the
application and that child or another child of the family who is living
with that child is currently—
the subject of enquiries by a local authority under section 47 of the Children
Act 1989 Act; or
the subject of a child protection plan put in place by a local authority.
The applicant conrms that the application must be made urgently
because:
there is risk to the life, liberty or physical safety of the prospective applicant
or his or her family or his or her home; or
any delay caused by attending a MIAM would cause—
a risk of harm to a child; or
a risk of unlawful removal of a child from the United Kingdom, or a
risk of unlawful retention of a child who is currently outside England
and Wales; or
a signicant risk of a miscarriage of justice; or
unreasonable hardship to the prospective applicant; or
irretrievable problems in dealing with the dispute (including the
irretrievable loss of signicant evidence); or
there is a signicant risk that in the period necessary to schedule and attend
a MIAM, proceedings relating to the dispute will be brought in another state
in which a valid claim to jurisdiction may exist, such that a court in that other
State would be seized of the dispute before a court in England and Wales.
Section 3a - Domestic violence
evidence - continued
(d) a statement of the reasons why the prospective party needed that
support;
a letter or report from an organisation providing domestic violence support
services in the United Kingdom conrming-
(i) that a person with whom a prospective party is or was in a family
relationship was refused admission to a refuge;
(ii) the date on which they were refused admission to the refuge; and
(iii) they sought admission to the refuge because of allegations of
domestic violence by the prospective party referred to in paragraph (i);
a letter from a public authority conrming that a person with whom a
prospective party is or was in a family relationship, was assessed as being, or
at risk of being, a victim of domestic violence by that prospective party (or a
copy of that assessment);
a letter from the Secretary of State for the Home Department conrming that
a prospective party has been granted leave to remain in the United Kingdom
under paragraph 289B of the Rules made by the Home Secretary under
section 3(2) of the Immigration Act 1971, which can be found at https://www.
gov.uk/guidance/immigration-rules/immigration-rules-index;
evidence which demonstrates that a prospective party has been, or is at risk
of being, the victim of domestic violence by another prospective party in the
form of abuse which relates to nancial matters.
8
Section 3e – Other exemptions
Now complete Section 5.
The applicant conrms that one of the following other grounds for
exemption applies:
the prospective applicant does not have sucient contact details for any of
the prospective respondents to enable a family mediator to contact any of
the prospective respondents for the purpose of scheduling the MIAM.
the application would be made without notice (Paragraph 5.1 of Practice
Direction 18A sets out the circumstances in which applications may be made
without notice.)
(i) the prospective applicant is or all of the prospective respondents are
subject to a disability or other inability that would prevent attendance at a
MIAM unless appropriate facilities can be oered by an authorised mediator;
(ii) the prospective applicant has contacted as many authorised family
mediators as have an oce within fteen miles of his or her home (or three
of them if there are three or more), and all have stated that they are unable
to provide such facilities; and (iii) the names, postal addresses and telephone
numbers or e-mail addresses for such authorised family mediators, and the
dates of contact, can be provided to the court if requested.
the prospective applicant or all of the prospective respondents cannot
attend a MIAM because he or she is, or they are, as the case may be (i) in
prison or any other institution in which he or she is or they are required to be
detained; (ii) subject to conditions of bail that prevent contact with the other
person; or (iii) subject to a licence with a prohibited contact requirement in
relation to the other person.
the prospective applicant or all of the prospective respondents are not
habitually resident in England and Wales.
a child is one of the prospective parties by virtue of Rule 12.3(1).
(i) the prospective applicant has contacted as many authorised family
mediators as have an oce within fteen miles of his or her home (or three
of them if there are three or more), and all of them have stated that they are
not available to conduct a MIAM within fteen business days of the date
of contact; and (ii) the names, postal addresses and telephone numbers
or e-mail addresses for such authorised family mediators, and the dates of
contact, can be provided to the court if requested.
there is no authorised family mediator with an oce within fteen miles of
the prospective applicant’s home.
Section 3d – Previous MIAM
attendance or MIAM exemption
The applicant conrms that one of the following applies:
in the 4 months prior to making the application, the person attended a MIAM
or participated in another form of non-court dispute resolution relating to
the same or substantially the same dispute; or
at the time of making the application, the person is participating in another
form of non-court dispute resolution relating to the same or substantially the
same dispute; or
in the 4 months prior to making the application, the person led a relevant
family application conrming that a MIAM exemption applied and that
application related to the same or substantially the same dispute; or
the application would be made in existing proceedings which are continuing
and the prospective applicant attended a MIAM before initiating those
proceedings; or
the application would be made in existing proceedings which are continuing
and a MIAM exemption applied to the application for those proceedings.
9
The following MIAM exemption(s) applies:
An authorised family mediator conrms that he or she is satised that -
(a) mediation is not suitable as a means of resolving the dispute because
none of the respondents is willing to attend a MIAM; or
(b) mediation is not suitable as a means of resolving the dispute because
all of the respondents failed without good reason to attend a MIAM
appointment; or
(c) mediation is otherwise not suitable as a means of resolving the dispute.
4. Mediator certies that the prospective applicant is exempt from attendance at Mediation
Information and Assessment Meeting (MIAM) or conrms MIAM attendance
(To be completed and signed by the authorised family mediator)
(tick the boxes that apply)
The prospective applicant attended a MIAM:
The prospective applicant only attended a MIAM.
The prospective applicant and respondent party(s) attended the MIAM together.
The prospective applicant and respondent(s) have each attended a separate
MIAM.
The prospective respondent party(s) has/have made or is/are making
arrangements to attend a separate MIAM.
Mediation or other form of Dispute Resolution is not proceeding because:
The applicant has attended a MIAM alone and
• the applicant does not wish to start or continue mediation; or
• the mediator has determined that mediation is unsuitable; or
• the respondent did not wish to attend a MIAM
Both the applicant and respondent have attended a MIAM (separately or
together) and
• the applicant does not wish to start or continue mediation; or
• the respondent does not wish to start or continue mediation; or
• the mediator has determined that mediation is unsuitable
Mediation has started, but has:
• broken down; or
• concluded with some or all issues unresolved
FMC
Registration no.
Family
Mediation
Service name
Sole trader
name
Address
Dated
Signed
Authorised Family Mediator
(a family mediator who is authorised to undertake MIAMs)
D D
/
M M
/
Y Y Y Y
4a.
4b.
Mediation First
38 York Road, Northampton NN1 5QJ
10
5. Why are you making this application?
5b. Please give brief details:
• any previous agreements (formal
or informal) or parenting plans,
and how they have broken down
• your reasons for bringing this
application to the court
• what you want the court to do
• reasons given by the
respondent(s) for their actions in
relation to this application.
Do not give a full statement, please provide a summary of any relevant reasons.
You may be asked to provide a full statement later.
Have you applied to the court for
permission to make this application?
Yes No - permission not required No - permission now sought
5a. Reasons for permission if
permission is required.
5c. Have you previously prepared a
Parenting Plan?
Yes No
If No, you can download a copy from the website
www.cafcass.gov.uk/parentingplan
If Yes, please attach the plan to this application form
11
6. Urgent and without notice hearings
Complete this section if you have ticked the relevant box on the front of
the form
Proposed timetable
The application should be considered within hours/days
If consideration is sought within 48 hours, you must complete the section
below
What eorts have you made to put
each respondent on notice of the
application?
Set out the order(s)/directions sought
Set out the reasons for urgency
6a. Urgent hearing
12
6b. Without notice hearing
Set out the reasons for the
application to be considered
without notice. (This information
is a requirement, a without notice
hearing will not be directed
without reason)
Do you require a without notice
hearing because it is not possible
to give notice including abridged
or informal notice?
Yes No
If Yes, please set out reasons below
Do you require a without notice
hearing because notice to a
respondent will frustrate the
order that is being applied for?
Yes No
If Yes, please set out reasons below
Complete this section if you have ticked the relevant box on the front of
the form
13
7. Other court cases which concern the child(ren) listed in Section 1
Use this section to provide details of any other court cases now, or at any time
in the past, which concern any of the child(ren) listed in section 1.
Additional details
Name and oce (if known) of
Cafcass/CAFCASS CYMRU ocer
Name of child(ren)
Name of the court where
proceedings heard
Case no.
Date/year (if known)
Please tick if additional
sheets are attached.
Please attach a copy of any relevant order.
Type of proceedings if known -
please tick all that apply
Emergency Protection Order
Yes No
Supervision Order
Yes No
Care Order
Yes No
Child abduction
Yes No
Family Law Act 1996 Part 4 (proceedings for non-
molestation order or occupation order)
Yes No
A contact or residence order (Section 8 Children
Act 1989) made within proceedings for a divorce or
dissolution of a civil partnership
Yes No
A contact or residence order (Section 8 Children Act
1989) made in connection with an Adoption Order
Yes No
An order relating to child maintenance (Schedule 1
Children Act 1989)
Yes No
A child arrangements order (Section 8 Children Act
1989)
Yes No
Complete this section if you have ticked the relevant box on the front of
this form.
14
8. Cases with an international element
Complete this section if you have ticked the relevant box on the front of
this form.
Do you have any reason to
believe that any child, parent or
potentially signicant adult in
the child’s life may be habitually
resident in another state?
Yes No
If Yes, please give details
Do you have any reason to
believe that there may be an
issue as to jurisdiction in
this case?
Yes No
If Yes, please give details
Has a request been made or
should a request be made to
a Central Authority or other
competent authority in a foreign
state or a consular authority in
England and Wales?
Yes No
If Yes, please give details
9. Factors aecting ability to participate in proceedings
Complete this section if you have ticked the relevant box on the front of
this form.
Please give details of any factors
aecting litigation capacity
Provide details of any referral to or
assessment by the Adult Learning
Disability team, and/or any adult
health service, where known,
together with the outcome
Are you aware of any other factors
which may aect the ability of the
person concerned to take part in
the proceedings?
15
10. Attending the court
Section N of the booklet ‘CB1 - Making an application - Children and the Family Courts’ and the leaet ‘CB7 -
Guide for separated parents: children and the family courts’ provide information about attending court.
If you require an interpreter, you must tell the court now so that one can be arranged.
If Yes, who requires the interpreter
applicant respondent Other party (please specify)
and please specify the language and dialect required:
10b. Do you or any of the parties
require the court to appoint an
interpreter or arrange any other
assistance (e.g. sign language)?
Yes No
10d. 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 there is a need
for the court to make any special
arrangements for you or any
relevant children to attend court
(e.g. providing you with a separate
waiting room from the respondent
or other security provisions).
Court sta may get in touch with you about the requirements
Yes No
If Yes, please give details
10c. Are you aware of whether an
intermediary will be required?
10a. Do you or any other party need
to use spoken Welsh in the course of
the proceedings or require written
documentation in Welsh?
Yes No
Spoken Written Both
Spoken Written Both
Spoken Written Both
Spoken Written Both
Spoken Written Both
Spoken Written Both
Spoken Written Both
If Yes, please give the names of the
parties/witnesses/children involved
who need to use written or spoken
Welsh?
Please note that in any court proceedings in Wales you have the right to speak Welsh at any court hearing.
16
11. About you (the applicant(s))
Applicant 1 (You) Applicant 2 (if applicable)
First name(s)
Last name(s)
Previous names (if any)
Gender
Male Female Male Female
Date of birth (If under 18 read
section Q of leaet CB1)
D D
/
M M
/
Y Y Y Y D D
/
M M
/
Y Y Y Y
Place of birth
(town/county/country)
If you do not wish your address to be made known to the respondent, leave
the details below blank and complete Condential contact details Form C8.
Please ensure that any documents submitted with this form or at a later date,
do not disclose the condential contact details you wish to withhold
Address
Home telephone number
Mobile telephone number
Email address
Have you lived at this address for
more than 5 years?
Yes No Yes No
If No, please provide details of all previous addresses you have lived at for the
last 5 years.
Postcode Postcode
16
17
12. The respondent(s)
Sections G and H of the booklet ‘CB1 - Making an application - Children and the Family Courts’ explain who a
respondent is.
If there are more than 2 respondents please continue on a separate sheet.
Respondent 1 Respondent 2
First name(s)
Last name(s)
Previous names (if known)
Gender
Male Female Male Female
Date of birth (If party under 18
read section Q of leaet CB1)
D D
/
M M
/
Y Y Y Y D D
/
M M
/
Y Y Y Y
Don’t know Don’t know
Place of birth
(town/county/country)
Address (to which documents
relating to this application
should be sent)
Don’t know Don’t know
Home telephone number
Mobile telephone number
Don’t know Don’t know
Email address
Don’t know Don’t know
Postcode Postcode
Have they lived at this address
for more than 5 years?
Yes No Don’t know Yes No Don’t know
If No, please provide details of all previous addresses for the last 5 years below
(if known, including the dates and starting with the most recent)
18
13. Others who should be given notice
There may be other people who should be notied of your application, for example, someone who cares for the
child but is not a parent. Sections G and I of the booklet ‘CB1 - Making an application - Children and the Family
Courts’ explain who others are.
Person1 Person 2
First name(s)
Last name(s)
Previous names (if known)
Gender
Male Female Male Female
Date of birth
D D
/
M M
/
Y Y Y Y D D
/
M M
/
Y Y Y Y
Don’t know Don’t know
Address
Don’t know Don’t know
Please state their relationship to
the children listed on page 1.
If their relationship is not the
same to each child please state
their relationship to each child.
13a. Other children not part of
the application.
Postcode Postcode
Full name of child Date of birth Gender
D D
/
M M
/
Y Y Y Y
Male
Female
Don’t know
Relationship to applicant(s) Relationship to respondent(s)
Full name of child Date of birth Gender
D D
/
M M
/
Y Y Y Y
Male
Female
Don’t know
Relationship to applicant(s) Relationship to respondent(s)
19
14. Solicitor’s details
Do you have a solicitor acting
for you?
Yes No If No, see section Q of leaet CB1 for more information
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.
Email address
Postcode
20
16. Statement of truth
*[I believe] [The applicant believes] that the facts stated in this application
are true.
*I am duly authorised by the applicant 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 o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
What you do next
You should normally make your application to the Designated Family Centre for your area. You can nd this, and a
full list of courts and what type of work they do online at courttribunalnder.service.gov.uk
Fees
You may need to pay a fee with your application. You should read leaet EX50 Civil and family court fees to nd
out what fee, if any, you need to pay. This leaet is available from your local court or online at hmctsformnder.
justice.gov.uk
1. Have you completed section 1 relating to the child(ren) in full?
Yes No
2. Have you completed sections 2, 3 and 4 relating to Mediation in full?
Yes No
3. Have you completed sections 5 and 6 relating to reasons for making the application in full?
Yes No
4. Have you completed section 7 relating to Other Court cases in full?
Yes No
5. Have you completed sections 8, 9 and 10 about the factors aecting the proceedings?
Yes No
6. Have you completed section 11 relating to you the applicant in full?
Yes No
7. Have you completed section 12, 13 and 14 relating to the Respondent and others who
should be given notice
Yes No
8. Have you completed section 16 relating to statement of truth in full?
Yes No
You must send the court at least three copies of this form.
15. Checklist
Court fee – Are you paying the court fee by credit or debit card?
Yes, the court will contact you, using the details given in your application, within three working days
to take payment
No
21
Guidance note for completing form C100
Relevant sections of this application will be provided to Cafcass/CAFCASS CYMRU upon issue of proceedings. The
information contained in this form enables Cafcass/CAFCASS CYMRU to conduct enquiries prior to the rst court
hearing. Without it they cannot conduct their initial safeguarding checks and enquiries.
Every question in this form should be completed, or stated that the information is not available.
This essential information is required by Cafcass/CAFCASS CYMRU and failure to provide this information could lead to
unnecessary delays to proceedings:
Page 1
Specify in the box the nature of the order you seek
You need to complete this form if you want to ask
the court to make an (or change an existing) order
about a child(ren) and your application is for:
• a child arrangements order (where a child
should live, who a child should spend time with
or both); or
• a specic issue order (for example, if you are
asking the court to decide whether a child’s
surname should be changed); or
• a prohibited steps order (for example, if you
are asking the court to prevent a person from
removing a child from a school).
These orders are known as ‘Section 8 orders’ and
are orders made by the court under section 8 of the
Children Act 1989 to decide issues in relation to a
child. You must tick the relevant box on page 1 to
indicate which type of order(s) you are applying for. (If
you wish to ask the court to enforce a previous Section
8 order you need to complete a dierent court form
– Form ‘C79 (Application related to enforcement of a
child arrangements order)).
If you have any concerns about the risk of harm, tick
the relevant box(s) and complete a separate Form C1A
(Allegations of harm and domestic violence) and give
this to the court with your completed Form C100.
Tick whether you are asking permission to make this
application (and if so complete section 5a)
Tick whether the application is urgent (and if so
complete section 6a) or whether the application is to
be made without notice to another party (and if so
complete section 6b)
Tick whether there are linked proceedings (and if so
complete section 7). When providing information
about linked proceedings, please provide as much
detail as possible about previous or current court cases
that you are aware of in relation to the child(ren).
Tick whether your application is for an order to
formalise an agreement (consent order) and if so
attach the draft order to this form.
Tick whether your case has an international element
or whether there are any factors that aect the ability
of any party to these proceedings to participate in
proceedings.
Page 4
Answer questions 2a to 2d about whether there are
parallel proceedings for an emergency protection,
care or supervision order, whether a MIAM exemption
applies or whether you have attended a MIAM.
Pages 5 to 9
If you answered question 2b on page 4 with ‘Yes’ you
must tick one of the rst ve boxes box in section 3
to indicate the category of MIAM exemption that you
are claiming. You must then complete section 3a, b, c,
d or e as shown.
If a family mediator needs to certify that a mediator’s
exemption applies you must ask them to complete
section 4 of this form and sign where shown.
If you have attended a MIAM you must ask the family
mediator who conducted it to complete section 4 of
the form and sign where shown.
Page 10
Tick whether you have or are applying for permission
to make this application (and if seeking permission
complete section 5a).
Complete section 5b to provide brief details about
why you are making the application
Complete section 5c about any previously prepared
Parenting Plan.
Page 15
Answer questions 10a to 10c by ticking the relevant
boxes and provide details in the box of any special
arrangements you need in order to be able to attend
court.
Page 16
If you (the applicant) does not wish the address
to be made known it should be included in an
accompanying Form C8 (Confidential contact details).
Please ensure that any documents submitted with this
form or at a later date, do not include the confidential
contact details you wish to withhold.
22
Page 17
The respondent’s address, including the Postcode
The respondent’s telephone number and if applicable,
mobile telephone
Whether the respondent has lived at their address for
more than 5 years
Page 18
Full details for other parties who should be given
notice of the application
Page 20
Check that you (or your solicitor if relevant) have
completed and signed the statement of truth.
23
General information for completing this form
Requirement to attend a Mediation, Information and
Assessment Meeting
1. It is now a legal requirement that, unless an
exemption applies, a person who wishes to apply
to court for one or more of the orders listed at
paragraph 1 of these notes must rst attend a
Mediation, Information and Assessment Meeting
(a MIAM). At the stage before proceedings the other
party (the respondent) is expected to attend either
the same MIAM or a separate MIAM.
2. At the MIAM, a trained family mediator will give you
(the applicant) and the other person if present (the
respondent) information about family mediation
and other types of non-court dispute resolution.
They will consider with you whether non-court
dispute resolution would be an appropriate way to
resolve the dispute. It is then for the applicant and
respondent to decide whether or not to do so.
3. The requirement for the applicant to attend a MIAM
does not apply if a Section 8 order is being applied
for and:
• the other person is in agreement about what
you are asking the court to order (the order is a
‘consent order’); or
• there is an ongoing case about the child(ren) who
would be the subject of the Section 8 application
and that case concerns an emergency protection
order, a supervision order or a care order, or if one
of those orders has previously been made.
4. You must tick the relevant box in Section 2 of this
form so that the court knows whether the MIAM
requirement applies, whether an exemption applies
(and why) or whether you have attended a MIAM.
MIAM exemptions and MIAM attendance
5. As the applicant you are expected to have contacted
an authorised family mediator in order to make
arrangements to attend a MIAM unless :
• the MIAM requirement does not apply for one
of the reasons explained at paragraph 9 of these
notes, or
• you are claiming a MIAM exemption, or a family
mediator certies that a mediator’s exemption
applies.
6. You can nd an authorised family mediator by using
the ‘Find your local mediator’ search facility available
at: www.familymediationcouncil.org.uk
7. You should give the mediator the contact details of the
other person so that the family mediator can contact
them to check their willingness to attend a MIAM.
If the other persons (or none of the other persons if
there is more than one respondent) is or are unwilling
to attend a MIAM this is a ground for the family
mediator to exempt you from attending a MIAM.
8. If you or your solicitor believe that you have grounds
for claiming exemption from MIAM attendance you
or your solicitor must tick the relevant box in Section
2 of this form and complete Section 13.
9. If a family mediator wishes to certify that a mediator’s
exemption applies, so that you do not need to attend
a MIAM, you must ask the family mediator to complete
Section 4 of this form and sign it where shown.
10. If you have attended a MIAM you must ask the family
mediator who conducted the MIAM to complete
Section 4 of this form and sign it where shown.
11. If you claim a MIAM exemption and make an
application to the court, the court will inquire into
the grounds for exemption. The court may ask you to
produce written evidence (see Section 3 of this form
for details against each exemption shown).
12. If the court determines that the exemption was not
validly claimed it may direct you, or you and the
other party, to attend a MIAM and, if the case has
already progressed to the rst hearing, may adjourn
the case to enable you to make arrangements to
attend a MIAM.
13. The detailed procedure relating to the MIAM
requirement and MIAM exemptions and attendance
is set out in Part 3 of the Family Procedure Rules
and in supporting Practice Direction 3A (judicial
guidance). These are available online at:
www.justice.gov.uk/courts/procedure-rules/family/
practice_directions/pd_part_03a
Paying for MIAM attendance or for family mediation
14. Legal aid is available for MIAMs and for family
mediation. If you are eligible for legal aid you could
receive both the MIAM and mediation sessions free
of charge, as well as some advice from a solicitor to
support you in the mediation process.
15. If you, or the prospective respondent, is eligible for
Legal Aid then the total cost of MIAM attendance can
be met by the Legal Aid Agency, whether you and
the prospective respondent attend the same MIAM
or separate MIAMs.
16. If neither you nor the respective respondent is eligible
for Legal Aid then the mediator will agree with you
how the cost of MIAM attendance is to be met.
17. See paragraph 33 below on how to nd out whether
you are eligible for Legal Aid.
Safety and MIAM attendance
18. Please note: the family mediator will discuss with
you and with the other person whether you wish
to attend the MIAM separately or together. Family
mediators have a responsibility to ensure the safety
and security of all concerned and will always check
with each of you that attending together is your
individual choice and is safe.
24
Information about mediation
19. If suitable, mediation can be a better way of resolving
issues about arrangements for children when you
and your partner separate or divorce. Mediation can
be less expensive than going to court and much
less stressful for all the family. It can also help you as
parents to focus on your child(ren)’s needs in making
decisions about them.
20. Family Mediation is an impartial process that
involves an independent third person who assists
both parties involved in a family dispute to reach a
resolution. Family mediation can be used to settle
any or all of the following issues:
• Arrangements for children
• Financial arrangements and dividing up
property
• Any combination of these
• Any other disputes to do with separation and
divorce.
21. Family Mediation is not just for divorcing or
separating couples – it is a means for resolving a
range of family disputes, whether they arise from
divorce or the separation of cohabiting parents.
Family Mediation could also help resolve issues with
wider family members such as grandparents.
22. The family mediator helps the process of
negotiation between the parties to agree their
own arrangements by way of a Memorandum of
Understanding. You can ask a solicitor, if you have
one, to check the Memorandum of Understanding.
23. If both parties agree, you can ask the court to
endorse what you have agreed by issuing a consent
order. The mediator will help you to decide whether
your case is complicated and does in fact need the
court to consider your situation and make an order.
The mediator should also tell you about other local
services and options for resolving your dispute.
24. A statutory Mediation Information and Assessment
Meeting (MIAM) is reserved for “authorised
mediators” under the Family Procedure Rules.
“Authorised family mediator” means a person
identied by the Family Mediation Council as
qualied to conduct a MIAM. “Qualied to conduct
a MIAM” is interpreted as holding current Family
Mediation Council accreditation (FMCA). FMCA
mediators are issued with a unique FMC registration
number. Authorised mediators are requested to
enter this number in the box provided.
Further information and sources of help
25. General information about family mediation is
available from the Family Mediation Council website
at: www.familymediationcouncil.org.uk
26. The family mediator who undertakes the MIAM
for you must be a member of a national mediation
organisation which adheres to the Family Mediation
Council’s Code of Conduct and the mediator must be
authorised to conduct MIAMs. The service nder will
help you nd such a local mediator.
27. You can nd out more about legal aid for family
matters, including whether you may eligible for
legal aid, on the Legal Aid Information Service on the
Gov.UK site at: www.gov.uk/check-legal-aid or you
can telephone the Civil Legal Advice direct helpline
0345 345 4345.
28. For general advice on separation services and
options for resolving disputes:
www.sortingoutseparation.org.uk
29. For general advice about sorting out arrangements
for children, the use of post-separation mediation,
and/or going to court: www.advicenow.org.uk;
www.advicenow.org.uk/guides/survival-guide-
sorting-out-arrangements-your-children
30. For general advice about sorting out arrangements
for children: www.theparentconnection.org.uk/
31. For advice about Contact Centres, which are neutral
places where children of separated families can
enjoy contact with their non-resident parents and
sometimes other family members, in a comfortable
and safe environment; and information about where
they are: www.naccc.org.uk
32. For help with taking a case to court without a solicitor,
the Personal Support Unit: www.thepsu.org/
33. For guidance on representing yourself at court,
including a list of commonly used terms that you may
come across: http://www.barcouncil.org.uk/using-a-
barrister/representing-yourself-in-court/
34. For advice about nding and using a family law
solicitor see: Law Society www.lawsociety.org.uk, and
Resolution (family law solicitors): www.resolution.org.uk
35. For advice about nding using a family law barrister:
see http://www.barcouncil.org.uk/using-a-barrister/
nd-a-barrister/ and for arrangements for using a
barrister directly see http://www.barcouncil.org.uk/
using-a-barrister/how-to-instruct-a-barrister/
36. Judicial guidance that sets out the approach of the
courts to deciding child arrangements is available
online at: www.justice.gov.uk/courts/procedure-
rules/family/practice_directions/pd_part_12b
Online videos
37. There are several videos explain more about the
mediation process, making your application, what
will happen in court and will help you prepare for the
hearing. To watch the videos visit www.bit.ly/guides_
for_separating_parents
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Completed 9 August 2021

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