Apply to become someone's deputy (make a declaration)
| Published date | 21 March 2018 |
COP
4
09.15
Court of Protection
Deputy’s declaration
For office use only
Case no. (if known)
Date received
Full name of person to whom the application relates
(this is the name of the person who lacks, or is alleged to lack, capacity)
Section 1 - Your details (the person applying to be appointed as a deputy)
1.1 Your titleMr. Mrs.Miss Ms.Other
First name
Middle name(s)
Last name
1.2
D DMM Y Y Y Y
Address
(including
postcode)
Telephone no.Daytime
Evening
Mobile
E-mail address
1.3 Date of birth
1.4 What is your connection to the person to whom the application relates?
© Crown Copyright 2015
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