Editable PDF: Form 55C: Reply to Capacity Application
Form 55C
An Chúirt Chuarda
The Circuit Court
Reply to Capacity Application
Part 5 of the Assisted Decision-Making (Capacity) Act 2015, as amended
Complete this form if you wish to respond to a Capacity application
Record Number: …
Circuit … County ….
Application details:
Name of Relevant Person: …
Name of applicant(s): …
Hearing date: …
Your response as the Relevant Person:
How would you like to respond to the application? (Please select one):
- I do not object to the application
- I do not agree with the application
If you do not agree with the application, please give your reasons …….
Please set out any further information which you think should be brought to the Court’s attention: ….
Court hearing:
If you are attending the hearing and require special assistance or facilities, please list them below:
…….
Signatures:
Signature of relevant person/Solicitor for relevant persons: …
Date: …
Solicitor Details (if applicable)
Name and Address of Solicitor: …
Email: … Phone Number: …
To:
Name and Address of Court office: …
Name and address of Applicant: …