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District Court Rules

Schedule: C - Forms in civil proceedings

Form: 84.40P Information For Warrant To Inspect Premises - Child Care Act 1991, Section 23t (2) (As Inserted By Section 16 Of The Children Act 2001)

S.I. No. 5 of 2006

84.40P


Schedule C
O.84, r.21B (1)

Child Care Act 1991, Section 23t (2) (As Inserted By Section 16 Of The Children Act 2001)

Information For Warrant To Inspect Premises

District Court Area of District No.


THE INFORMATION OF ……………………………………………………………………

of………………………………………………………………………………………………

who says on oath-

I am an authorised officer of the Health Service Executive, appointed by the said Executive under section 23S (1) of the Child Care Act, 1991.

I believe that there are reasonable grounds for believing that a private foster care arrangement has been arranged or undertaken in respect of a child, namely ……………………. and that the said Executive has not received the requisite notice (pursuant to section 23P of the said Act of 1991) in respect of such arrangement and that the said child , namely …………………….may be residing on premises at……………………………………….

…………………………………………in the court (area and) district aforesaid.

The basis for my so believing is as follows:-

And I hereby apply for the issue of a warrant under section 23 T (2) of the said Act in respect of those premises.

        Signed…………………………………

        Informant

SWORN before me this …………day of ……..20….

at……………………………………………………..

        Signed…………………………………

        Judge of the Children Court