Supplement for an application for a Child Assessment Order

Published date21 March 2018
1
Supplement for an application for
a Child Assessment OrderForm C16
Section 43 Children Act 1989
1The grounds for the application
C16 - w3(9.99)
To be completed by the court
Date issued
Case number
Child(ren)s number(s)
The court
The full name(s) of the child(ren)
The grounds arethat there is reasonable cause to suspect that the child[ren] [is] [are] suffering, or [is] [are]
likely to suffer, significant harm
and
an assessment of the state of the child[ren]s health or development or of the way in
which the child[ren] [has] [have] been treated, is required to determine whether or not the
child[ren] [is] [are] suffering, or [is] [are] likely to suffer, significant harm
and
it is unlikely that such an assessment will be made, or be satisfactory, in the absence of an
order under this section.
State your reason(s) for believing the grounds exist.
If you are relying on a report or other documentary evidence, state the date(s) and author(s)
and enclose a copy.
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