AN CHÚIRT TEAGHLAIGH CHUARDA
CIRCUIT COUNTY OF
IN THE MATTER OF THE JUDICIAL SEPARATION AND FAMILY LAW REFORM ACT, 1989 AND IN THE MATTER OF THE FAMILY LAW ACT, 1995
AFFIDAVIT OF WELFARE
1. I say that I am the Plaintiff/Defendant [delete as appropriate] in the above entitled proceedings and I make this Affidavit from facts within my own knowledge save where otherwise appears and where so appearing I believe the same to be true.
2. I say and believe that the facts set out in the Schedule hereto are true.
2. I say that I am fully in agreement with the facts as averred to by the Plaintiff in his/her Affidavit of Welfare sworn herein on the day of and I say and believe that the facts set out in the Schedule thereto are true.]
Part I -- Details of Children
1. Details of children born to the Plaintiff and the Defendant or adopted by both the Plaintiff and the Defendant:
Part II -- Arrangements for the children of the family
1. Home Details:
Part III -- Education and training details
(a) Give names of the school, college or place of training attended by each child.
Part IV -- Childcare details
(a) Which parent looks after the children from day to day? If responsibility is shared, please give details.
Part V -- Maintenance
(a) Does Plaintiff/Defendant pay towards the upkeep of the children? If yes, give details. Please specify any other source of maintenance.
Part VI -- Details of contact with children
(a) Do the children see the Plaintiff/Defendant? Please give details.
Part VII -- Details of Health
(a) Are the children generally in good health? Please give details of any serious disability or chronic illness suffered by any of the children.
Part VIII -- Details of care and other Court Proceedings
(a) Are the children or any of them in the care of a Health Board or under the supervision of a Social Worker or Probation Officer? If so, please specify.
Form 37B amended by S.I. 358 of 2008, effective 1 October 2008.