District Court Rules
Schedule: C - Forms in civil proceedings Form: 59.3 Summons for a barring order - Domestic Violence Act 1996 section 3(2)
S. I. No. 286 of 2012
Schedule C
O.59, r. 5(1)
NO. 59.3
DOMESTICE VIOLENCE ACT 1996, section 3 (2)
SUMMONS FOR A BARRING ORDER
District Court Area of
District No.
.............................. Applicant
.............................. Respondent
YOU ARE HEREBY REQUIRED to appear at the sitting of the District Court to be held at .............. on the ..... day of ........ 20 ...., at .... m. to answer the application of the *applicant *(or the Health Service Executive on behalf of the applicant by virtue of section 6 of the above-mentioned Act) who is
*the spouse of the respondent
*the civil partner (within the meaning of the Civil Partnership and Certain Rights and Obligations of Cohabitants Act 2010) of the respondent
*not the spouse or civil partner of the respondent and is not related to the respondent within the prohibited degrees of relationship, but lived with the respondent in an intimate and committed relationship for a period of at least six months in aggregate during the period of nine months immediately prior to this application
*a parent of the respondent and the respondent being of full age and not, in relation to the parent, a dependent person
*a person who was a party to a civil partnership with the respondent that has been dissolved under the Civil Partnership and Certain Rights and Obligations of Cohabitants Act 2010
for a barring order directing you to leave the place where the applicant *or any dependent person resides at .......... *(in the Court District aforesaid) and prohibiting you from entering the place where the applicant *or any dependent person resides until further order of the Court, or until such other time as the Court shall specify on the grounds that the *safety/welfare of the applicant *and any dependent person so requires.
Dated this ...... day of .......... 20 ....
Signed .............
Judge of the District Court
District Court Clerk
To ...........
Of ...........
Respondent
*WARNING
IT IS AN OFFENCE under section 9 of the Family Home Protection Act 1976, as applied by section 8 of the Domestic Violence Act 1996, for a spouse to DISPOSE OF OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination of the application herein, and if a barring order is made, while that order is in force (unless the other spouse consents or the Court permits it).
A spouse who contravenes that provision shall be liable on conviction to a Class D fine, being a fine not exceeding €1,000 or to imprisonment for a term not exceeding six months, or to both.
*Delete where inapplicable
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