Witness Statement template - Child arrangements - Parental dispute

Published date21 March 2018
Subject MatterChildren Act forms
1
Please complete this statement to the best of
your ability.
The information that you supply will assist the Judge
in having an understanding of the background to the
current case and will assist the Judge in coming to a
decision. If any of the questions are not relevant to
your case or if you are unable to answer any particular
question please say so on the form.
Each parent’s responses to this statement will be
disclosed to the other parent or party.
Witness statement template
Child arrangements - Parental dispute
The family court sitting at
Case number
Name of applicant
Name of respondent
The name of the parent, or other party, completing this form:
Please give the full names and dates of birth for each child and indicate with whom they live
Child’s full name Date of birth With whom the child lives
me other parent
other person
me other parent
other person
me other parent
other person
me other parent
other person
me other parent
other person
C120 Witness statement template - Child arrangements - Parental dispute (11.14) © Crown copyright 2014
1. Do any of the children have any medical problems? Yes No
If Yes, please give details
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