Ask the court to make a non-molestation order or an occupation order

Published date21 March 2018
Subject MatterFamily law forms
Application for:
a non-molestation order
an occupation order
To be completed by the court
Date issued
Case number
Fee charged/Remission ID
The court
Please read the notes for guidance below as you complete this form.
Note: If you are an individual applicant, you MUST NOT serve the documents yourself on the pe rson you are seeking
the order against.
1 About you (the applicant)
If you do not wish your address or telephone number to be made known to the respondent, leave the details below
blank and complete Condential contact details Form C8.
You can get a copy of this form from any family cour t ofce or from our website at hmctsform
Please make sure that any documents submitte d with this form or at a later date, do not include the condential
contact details you wish to withhold.
State your title (Mr, Mrs etc), full name, address,
telephone number and date of birth (if under 18):
State your solicitor’s name, address, reference,
telephone, FAX and DX numbers:
Solicitor’s fee
account no.
2 About the respondent
State the respondent’s name, address and date of
birth (if known):
3 The Order(s) for which you are
This application is for:
a non-molestation order
an occupation order
Tick this box if you wish the court to hear your
application without notice being given
to the respondent. The reasons relied on for an
application being heard without notice must be
stated in the statement in support.
FL401 Application for: a non-molestation order/an occupation order (04.17) © Crown copyright 2017
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