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COP     Court of Protection                                                               For office use only
 9                                                                                                              Print form
07.15
        Application notice                                                  Date received
                                                                            Date issued
Case no.
Full name of person to whom the application relates
(this is the person who lacks, or is alleged, to lack capacity)
                                                                                                            SEAL
Please read first
 • This form can be used in a variety of                          • Please continue on a separate sheet of paper
   circumstances and must be used for applications                  if you need more space to answer a question.
   within proceedings. For further guidance on                      Write the case number, your name, the name of
   when this form is to be used please see the                      the person to whom the application relates, and
   Court of Protection Rules 2007 and the Practice                  number of the question you are answering on
   Directions accompanying the Rules or contact                     each separate sheet.
   Customer Services at the number below.
                                                                  • For assistance in completing this form please see
 • If you wish to apply to start proceedings please                 guidance notes and website:
   complete the COP1 application form.                              www.gov.uk/court-of-protection
 • If you wish to apply to be joined as a party to                • Court of Protection staff cannot give legal
   the proceedings please complete the COP10                        advice. If you need legal advice please contact
   application notice for applications to be joined as              a solicitor.
   a party.
 • You may have to pay a fee when you make an
   application. Refer to the leaflet COP44 Court of
   Protection – Fees for details.
 • You may need to pay for any costs you incur
   during the proceedings. If the court considers
   that you have acted unreasonably you can
   be ordered to pay the costs incurred by other
   parties.
		                                                                                                    © Crown Copyright 2015
                                                           1
Section 1 - Your details
1.1   Your details          Mr.           Mrs.       Miss           Ms.   Other
      First name
      Middle name(s)
      Last name
1.2   Address
      (including
      postcode)
      Telephone no.      Daytime
                         Evening
                         Mobile
      E-mail address
1.3   Is a solicitor representing you?                                            Yes   No
      If Yes, please give the solicitor’s details.
      Name
      Address
      (including
      postcode)
      Telephone no.                                          Fax no.
      DX no.
      E-mail address
1.4   Which address should official documentation be sent to?
                           Your address
                           Solicitor’s address
                           Other address (please provide details)
                                                        2
1.5   What is your role in the proceedings?
                         Applicant (the person who filed the COP1 application form)
                         Person to whom the application relates
                         Other party to the proceedings
                         Other (please give details)
Section 2 - Your application
2.1   What order or direction are you seeking from the court?
2.2   Please set out the grounds on which you are seeking the order or direction?
2.3   Any evidence in support of your application must be filed with this             Evidence
      application notice. If you are attaching any written evidence please use        attached
      the COP24 witness statement form.
      If the court requires that evidence be given by affidavit then you need to
      use the COP25 affidavit form.
                                                        3
2.4       Please provide the details of any person who you reasonably believe has an interest which means they
          ought to be heard by the court in relation to this application notice and who is not already a party to the
          proceedings.
          Full name including title                    Full address including             Connection to the person to
                                                       postcode                           whom the proceedings relate
Section 3 – Statement of truth
               The statement of truth is to be signed by you, your solicitor or your litigation friend.
               *(I believe) (The applicant believes) that the facts stated in this application notice are true.
Signed
               *Applicant(’s litigation friend)(’s solicitor)
Name
Date
Name
of firm
Position or
office held                                                                                  * Please delete the options in
                                                                                               brackets that do not apply.
                                 Now read note 1 about what you need to do next. Reset form
                                                                4                               Print form        Reset form
Guidance notes
Note 1                                                       Note 2
What you need to do next                                     What happens next?
The court requires two copies (i.e. the original plus        The court will notify you when your application notice
one copy) of each form and document you file.                has been issued. The court will return a sealed copy
                                                             of the application notice. You may need to serve
Please return the original completed form and
                                                             copies on:
copies to the Court of Protection, along with any fee.
For details on where to send your application check          •   every other party to the proceedings;
the website: www.gov.uk/court-of-protection
                                                             •   anyone who is named as a respondent in the
                                                                 application notice; and
                                                             •   any other person as the court may direct.