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District Court Rules

Schedule: C - Forms in civil proceedings

Form: 84.37 Notice of application to / vary / discharge a supervision order a / condition / direction attaching to a supervision order - Child Care Act, 1991

O.84, r.20

Child Care Act, 1991

section 22

Notice of application to *vary *discharge a supervision order a *condition *direction attaching to a supervision order

District Court Area of

District No.


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

........ Applicant

of .........

.......... Respondent

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

WHEREAS on the application of the above-named health board, made under section ......... of the above-mentioned Act, the Court on the ... day of ...... 19... made a supervision order authorising the board to have the above-named child, who resides at ........... in the area of the board and in the said court district, visited on such periodic occasions as the board may consider necessary in order to satisfy itself as to the welfare of the child and to give to *(his/her parents) *(the person acting in loco parentis) any necessary advice as to the care of the child,

*(AND WHEREAS the said order contained a *condition *direction that—

TAKE NOTICE that the applicant herein will apply at the sitting of the District Court to be held at ......... on the ... day of ...... 19.... at ..... a.m./p.m. under section 22 of the Act to have the said *supervision order *condition *direction

*DISCHARGED

*VARIED as follows:—

on the grounds that—

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

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

Applicant

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

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

the above-named respondent(s)

* Delete words inapplicable