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District Court Rules

Schedule: C - Forms in civil proceedings

Form: 84.2 Notice of application for an emergency care order (where child is not in custody of health board) - Child Care Act, 1991 section 13(1)


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Schecule C - Form 84.2.pdf

O.84 r.5 (1)

Child Care Act, 1991

section 13 (1)

Notice of application for an emergency care order

(where child is not in custody of health board)


District Court Area of

District No.

In the matter of .......... a child

Name (if known) or description

............ Applicant

of .............

........... Respondent

of ............

WHEREAS the child *named* described above, who *is *appears to be aged ... years, having been born *(so far as has been ascertained) on the ... day of ..... 19.... and who *resides *is for the time being at ....... in the functional area of the applicant health board and in said court district,

AND WHEREAS the applicant believes that there is an immediate and serious risk to the health or welfare of the child which necessitates his/her being placed in the care of the applicant,

TAKE NOTICE that the applicant will make application under section 13 (1) of the

above-mentioned Act at the sitting of the District Court to be held at .......... on the ... day of ..... 19 .. at ... a.m./p.m. for an emergency care order placing the child under the care of the applicant for a period not exceeding eight days *(and for directions under section 13 (7) of the Act).

Dated this ... day of ..... 19...

Signed ................

Solicitor for applicant

To ..............

of .............

..........

the above-named respondent

* Delete words inapplicable