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Application for variation of a placement order (Section 23 Adoption and Children Act 2002)

Document Cited authorities 5 Cited in Related
Vincent
Published date21 March 2018
Subject MatterAdoption forms
Name of court
Case no.
Date received by the court
Date issued
Fee charged/Remission ID
Application for variation of
a placement order
Section 23 Adoption and
Children Act 2002
Notes to applicants
• Before lling in this form, please read the notes on completion.
• If there is not enough room on the form for your reply, please continue on a separate sheet. Put the full
name of the child, the Part and the paragraph number at the head of the continuation sheet.
• Please use black ink when lling in this form.
Part 1 About you
First applicant
1. Title
2. My name is
First name(s) in full
Last name
Second applicant
2. My name is
First name(s) in full
Last name
Mr Mrs Miss
Ms Other
1. Title
Mr Mrs Miss
Ms Other
3. I am an authorised ofcer of
(give name and address (including postcode)
of local authority)
See Note 1
4. My telephone number is 4. My telephone number is
5. My position in the local authority is 5. My position in the local authority is
A51 Application for variation of a placement order Section 23 Adoption and Children Act 2002 (11.14) © Crown copyright 2014
3. I am an authorised ofcer of
(give name and address (including postcode)
of local authority)
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