Form N471A

Published date21 March 2018
In the
Claim number (To be completed by the court)
Applicant
Respondent
Fee Account no.
Application to enforce an ACAS
settlement (Form COT3) and
request a Writ of Control
1. Applicant’s details
Name of applicant
Applicant’s address
Postcode
Telephone no.Ref.
Email address
Address for service (if different from above)
Postcode
2. Respondent’s details
Name of respondent
Respondent’s address
Postcode
The applicant applies to enforce an ACAS
settlement in form COT3 dated/ /
Please attach the COT3 form to this application.
N471A Application to enforce an ACAS settlement and request a Writ of Control (05.14) © Crown copyright 2014
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