Statement under Upper Tribunal Rule 28A (2)(b)

Published date21 March 2018
Subject MatterImmigration and Asylum Chamber (Upper Tribunal) forms
Statement under Upper Tribunal
Rule 28A (2)(b)
T485 Statement under Upper Tribunal Rule 28A (2)(b) (04.19) © Crown copyright 2019
Upper Tribunal
Immigration and Asylum Chamber
UTIAC No.
What documents did you provide?
Please attach copies of the documents you
have not already f‌iled with the Upper Tribunal.
To whom did you provide copies?
(If appropriate include their position
e.g. partner).
by rst class post or other service which provides for
delivery on the next business day
by personally handing it to or leaving it with the
respondent/interested party at
please give the date and time when this was done.
by fax machine (for detainee applicants only)
(................... time sent, where document is other
than a claim form) (you should enclose a copy of the
transmission sheet)
How did you provide the documents? (please tick the appropriate box)
I believe that the facts contained in this statement are true.
Full name
Signed Position or
oce held
(Applicant) (Respondent) ('s representative) (If signing on behalf of rm or company)
Date / /
Give the address where
service effected, include
fax (if appropriate).
Fax no.
/ /
On what day did you provide a copy?
Please note that under Rule 28A(2) of the Tribunal
Procedure (Upper Tribunal) Rules 2008, you must
within 9 days of making your application for judicial
review - (a) provide a copy of the application (citing
Name of Applicant
Name of Respondent
the case reference number) and any accompanying
documents to each person named in the application as a
respondent or an interested party; and (b) provide the
Upper Tribunal with a written statement of when and how this was done.
Failure to comply with this may lead to your application for judicial review being struck out.
Therefore, you must provide this completed form to the Upper Tribunal within 9 days and you can do so by
email to utiac.londonjr@justice.gov.uk. If you need more time, you will have to make a (paid) application for
extension of time.
You can email your completed form to
utiac.londonjr@justice.gov.uk
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