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District Court

We provide quick links below to some of the most commonly used forms for the District Court.

All forms for use in the District Court are set out in the Schedules to the District Court Rules.

Information about court forms is also available from District Court offices.

Help with court forms

Schedule B:

10.1

Statutory declaration as to service by registered prepaid post pursuant to (section 7 of the Courts Act, 1964) *(section 22 of the Courts Act, 1991)

10.2

Statutory declaration as to service by ordinary post

10.3

Statutory declaration as to personal service

Schedule C - civil:

44.1

Civil witness summons

63.1

Certificate of qualification - Auctioneers and House Agents Act, 1947 Part III

97.2

Road Traffic Act - Notice of appeal to the District Court 

99A.1

Application for an excluding order - Housing (Miscellaneous Provisions) Act 1997 

Schedule C - family:

54.1

Maintenance Summons - Family Law (Maintenance Of Spouses And Children) Act, 1976 section 5(1)(A) as amended

54.2

Maintenance Summons - Family Law (Maintenance Of Spouses And Children) Act, 1976 section 5(1)(B) as amended

54.3

Maintenance Summons - Family Law (Maintenance Of Spouses And Children) Act, 1976 section 5A(1)

54.4

Maintenance Summons - Family Law (Maintenance Of Spouses And Children) Act, 1976 section 5A(2)

54.11

Summons to discharge or vary maintenance order

58.1

Notice of application by a person to be appointed a guardian - Guardianship of Infants Act 1964, section 6A

58.7

Notice Of Application To Appoint Guardian(S) - Guardianship of Children Acts 1964 to 1997 section 8(1)

58.11

Notice of application to remove from office a guardian (and to appoint another) - Guardianship of Infants Act 1964, section 8(4) and 8(5)

58.17

Notice of application under section 11 for the court’s direction - Guardianship of Infants Act 1964

58.21

Notice of application to vary / discharge order - Guardianship of Children Acts, 1964 to 1997 section 12

59.5

Information - Domestic Violence Acts, 1996 and 2002 section 4

59.7

Information - Domestic Violence Act, 1996 section 5

61.1

Notice Of Application For Direction For The Use Of Blood Tests - Status of Children Act 1987 section 38(1)

61.4

Notice Of Intention To Call Witness - Status of Children Act 1987

84.1

Notice Of Application For An Emergency Care Order (where child is in custody of health board) - Child Care Act, 1991 section 12 (4)

84.2

Notice Of Application For An Emergency Care Order (where child is notin custody of healthboard) - Child Care Act, 1991 section 13(1)

84.6

Notice Of Application For Directions (under sec tion 13 (7) (A) of the Act) - Child Care Act, 1991

84.8

Notice of application to vary / discharge a direction (under section I3 (7) (B) of the Act) - Child Care Act, 1991

84.10

Notice Of Application For An Interim Care Order - Child Care Act, 1991 section 17 (1)

84.12

Notice Of Application For An Extension Of An Interim Care Order - Child Care Act, 1991 section 17 (2)

84.14

Notice Of Application For A Care Order - Child Care Act, 1991 section 18 (1)

84.16

Notice Of Application To Extend The Operation Of A Care Order - Child Care Act 1991

84.19

Notice Of Application For Court's Directions (pending determination of application for care order) - Child Care Act, 1991 section 18 (6)

84.21

Notice Of Application For A Supervision Order - Child Care Act, 1991 section 18 (6)

84.24

Notice Of Application To Vary / Discharge A Contribution Order - Child Care Act, 1991 section 18 (8)

84.26

Notice Of Application For A Supervision Order - Child Care Act, 1991 section 19 (1)

84.28

Notice Of Application For Directions (under section 19 (3) of the Act) - Child Care Act, 1991

84.30

Notice Of Application For Directions (under section 19 (4) of the Act) - Child Care Act, 1991

84.35

Notice Of Application To Vary / Discharge / A Care Order / A Condition / Direction Attaching To A Care Order - Child Care Act, 1991

84.36

Notice Of Application To Discharge A Care Order And Make A Supervision Order - Child Care Act 1991

84.37

Notice Of Application To / Vary / Discharge A Supervision Order A/ Condition / Direction Attaching To A Supervision Order - Child Care Act, 1991

84.40A

Notice Of Application For A Special Care Order - Child Care Act 1991, section 23B (as inserted by section 16 of the Children Act 2001)

84.41

Notice Of Application For An Order Requesting The Preparation Of A Report -Child Care Act 1991, section 27

84.44

Notice of application for an order regarding access to a child - Child Care Act, 1991 section 37(2)

84.46

Notice Of Application To Vary / Discharge An Order Regarding Access To A Child - Child Care Act, 1991

84.48

Notice Of Application For An Order Authorising Refusal To Allow Access To A Child

84.50

Notice Of Application To Vary / Discharge An Order Authorising Refusal To Allow Access To A Child - Child Care Act, 1991 s. 37 (3)

84.52

Notice Of Application For An Order That Child Be Delivered Up To Custody Of The Health Board - Child Care Act, 1991 section 43(2)

84.53A

Notice Of Application For An Order Under Section 43a Of The Act - Child Care Act 1991, Section 43a (as inserted by section 4 Of The Child Care (Amendment) Act 2007)

84.53C

Notice Of Application To Vary / Discharge / A Condition / Restriction / Attaching To / An Order Under Section 43a Of The Act - Child Care Act 1991, Section 43b (as inserted by section 4 of The Child Care (Amendment) Act 2007)

84.54

Information (under section 46 (3) of the Act) - Child Care Act, 1991

84.57

Information - under s. 46 (6) of the Child Care Act, 1991

84.59

Notice Of Application For Directions On A Question Affecting The Welfare Of A Child - Child Care Act, 1991 section 47

84.61

Notice Of Application To Vary / Discharge / An Order / A Direction On A Question Affecting The Welfare Of A Child - Child Care Act, 1991

84.63

Information (under section 55 (2) of the Act) - Child Care Act, 1991

84.65

Notice Of Appeal (under section 62 of the Act) - Child Care Act, 1991

Schedule B - criminal:

21.1

Witness summons

31A.1

Police Property Act - notice of application for an order for disposal of property

   

Other forms for use in District Court cases:

Environmental Protection Agency Act 1992 - notice of intention to make a complaint to the District Court in relation to noise.doc

Notice of intention to apply for an extension of time to appeal.doc 

Request for copy order.doc 

Statement of means of an applicant for free legal aid in a criminal case.doc 

Forms for use in Dublin District Licensing Court cases:

Form 1 

Notice of application for annual public dance licence.doc

Form 1A

Notice of application for new public dance licence.doc

Form 1B

Notice of application for temporary public dance licence (for a defined period not exceeding one month).doc

Form 1C

Notice of application for a public dance licence (with the consent of the licensee under the existing licence).doc

Form 2

Notice of application for annual public music and singing licence.doc

Form 2A

Notice of application for new music and singing licence.doc

Form 2B

Notice of application for transfer of music and singing licence.doc

Form 2C

Notice of application for temporary music and singing licence (temporary).doc

Form 3

Notice of application for certificate of transfer of licence.doc

Form 3A

Notice of application for ad interim transfer of a licence.doc

Form 4

Notice of application for a new restaurant certificate.doc

Form 4A

Notice of application for the renewal of a restaurant certificate.doc

Form 5

Notice of application for a general exemption order in respect of premises situate in the vicinity of a public market or fair

Form 5A

Notice of application for a general exemption order in respect of premises situate in the vicinity of a place which a considerable number of persons are following a lawful trade or calling

80.1

Notice of objection to renewal of intoxicating liquor licence

83.1

Application for renewal of certificate of registration of club 

83.2

Certificate to accompany application for (renewal of) certificate of registration - Registration of Clubs Acts, 1904 to 1988

 

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Updated: 21 July 2017