Children Arrangements Questionnaire (CFL)

Child Arrangements Application - Client Questionnaire
Notes for completion:

Please complete this Form as fully as possible and ensure that you provide answers to all Required Fields.

If you do not know the answer to a Required Field please complete the field as "Not Known".

One of our lawyers will rewiew the Questionnaire and contact you to clarify your answers before we prepare your application papers.

A draft copy of the application will then be sent to you for approval before issuing the papers with the court.
Applicant's details
Applicants name?*

First NameMiddle NameLast Name
Previous names, if any?

First NameMiddle NameLast Name
Male / Female?*

FemaleMale
Birth Date*

MonthDayYear
Place of birth?
Do you wish to keep your address confidential?*

YesNo
Please provide a brief explanation why you wish to keep your address confidential?
Your address*

House Name / Number and Street

Street Address Line 2

Town / CityCounty

Post codeCountry
Home telephone number

Area CodePhone Number
Mobile Number
E-mail address
Have you lived at this address for more then 5 years?*

YesNo
If No, please provide details of addresses you have lived at in the last 5 years.
Is there more than one Applicant?*

YesNo

Second Applicants details?
Second Applicants name?

First NameMiddle NameLast Name
Second Applicants previous names, if any?

First NameMiddle NameLast Name
Male / Female?

FemaleMale
Birth Date

MonthDayYear
Place of birth?
Second Applicants address, if different from First Applicants?

House Name / Number and Street

Street Address Line 2

Town / CityCounty

Post codeCountry
Home telephone number

Area CodePhone Number
Mobile Number
E-mail address
Has the Second Applicant lived at this address for more than 5 years?

YesNo
If No, please provide details of addresses the Second Applicant has lived at in the last 5 years?

Respondents details?
Name of First Respondent?*

First NameMiddle NameLast Name
Previous names, if any?

First NameMiddle NameLast Name
Male or female?

MaleFemale
Date of birth?

DayMonthYear
Place of birth?
Address of First Respondent?

House name / number and street

Street Address Line 2

Town / CityCounty

Post codeCountry
Mobile Number
E-mail address
Have they lived at this address for more then 5 years?

YesNoDon't know
If No, please provide details of addresses they have lived at in the last 5 years.
Is there more than one Respondent?*

YesNo

Second Respondents details?
Name of Second Respondent?

First NameMiddle NameLast Name
Previous names, if any?

First NameMiddle NameLast Name
Male or female?

MaleFemale
Date of Birth ?

MonthDayYear
Place of birth?
Address of Second Respondent?

House name / number and street

Street Address Line 2

Town / CityCounty

Post codeCountry
Mobile Number
E-mail address
Have they lived at this address for more then 5 years?

YesNoDon't know
If No, please provide details of addresses they have lived at in the last 5 years.

Other people who should be given notice of the proceedings?
Guidance notes:

There are a number of other people who may need to be notified of the proceedings including:

• If the child is in local authority accommodation (this might be a childrens home or with foster carers who could be related), the social services department of the local authority.
• Everyone who is caring for the child.
• The person who provides the home in which the child is staying if the home is a registered children’s home or a voluntary home, and it is a refuge.
• Everyone who you believe is named in a court order which: concerns the child and is in force, unless you believe that order is not relevant to your application and you think applies to your application.
• Every person you believe to be a party in court proceedings which are taking place now, unless you believe those proceedings are not relevant to your application.

Please provide details of all relevant people. If there are no relevant people please click No and move on to the next section.
Are there any other people who should be notified of the proceedings?

YesNoDon't know, more advice required.
If Yes or don't know, please provide details of the people to be notified or who you think may need to be notified?

Childrens details and orders sought?
Guidance notes:

Please provide details for all of the children you are seeking orders in respect of and the type of orders you are seeking. To assist you in completing this section the following is a brief summary of some of the most common types of orders the court can make. However each case is different and we will advice you further when we review your application with you, regarding the most appropriate orders in your case.

Contact Order - These are orders that require the person with whom a child lives to allow that child to visit, stay or have contact with a person named in the order. For example, if your child lives with your ex-partner and you wish to see your child at weekends then you might apply for a contact order, if you cannot agree this between yourselves.

Residence Order - These orders decide where and with whom the child is to live. For example, if you and your partner have separated and you want your child to live with you, but cannot agree this, then you might apply for a residence order.

Parental Responsibility Order - Parental Responsibility means all the rights, duties, powers, responsibility and authority, which by law a parent of a child has in relation to the child and his property. For example, if you are father of a child but you were not married to the child’s mother, nor named on the birth certificate when the child’s birth was registered, but you wish to be recognised legally as the child’s father, then you may apply for a Parental Responsibility Order.

Specific Issue Order - These orders give instructions about a specific issue that has arisen about an action normally undertaken by a parent. For example, if you and your ex-partner cannot agree where your child should go to school.

Prohibited Steps Order - These orders mean a person must have the court’s permission before undertaking actions specified in the order, that would normally be undertaken by a parent. For example, to require a parent to seek the court’s permission before taking the child to a foreign country.
Child 1
Full name of the child*

First NameMiddle NameLast Name
Date of birth of child*

MonthDayYear
Male / Female?*

FemaleMale
Childs relationship to the Applicant(s) ?*
Childs relationship to the Respondent(s) ?*
Please tick the type(s) of order (s) you wish to apply for?*

Contact OrderResidence OrderParental Responsibility OrderSpecific Issue OrderProhibited Steps Order
Do you have anymore children?*

YesNo

Child 2
Full name of the child

First NameMiddle NameLast Name
Male / Female?

FemaleMale
Date of birth of child

MonthDayYear
Childs relationship to the Applicant(s) ?
Childs relationship to the Respondent(s) ?
Please tick the type(s) of order (s) you wish to apply for?

Contact OrderResidence OrderParental Responsibility OrderSpecific Issue OrderProhibited Steps Order
Do you have anymore children?

YesNo

Child 3
Full name of the child

First NameMiddle NameLast Name
Male / Female?

FemaleMale
Date of birth of child

DayMonthYear
Childs relationship to the Applicant(s) ?
Childs relationship to the Respondent(s) ?
Please tick the type(s) of order (s) you wish to apply for?

Contact OrderResidence OrderParental Responsibility OrderSpecific Issue OrderProhibited Steps Order
Do you have anymore children?

YesNo

Child 4
Full name of the child

First NameMiddle NameLast Name
Male / Female?

FemaleMale
Date of birth of child

MonthDayYear
Childs relationship to the Applicant(s) ?
Childs relationship to the Respondent(s) ?
Please tick the type(s) of order (s) you wish to apply for?

Contact OrderResidence OrderParental Responsibility OrderSpecific Issue OrderProhibited Steps Order
Do you have anymore children?

YesNo

Child 5
Full name of the child

First NameMiddle NameLast Name
Date of birth of child

MonthDayYear
Male / Female?

FemaleMale
Childs relationship to the Applicant(s) ?
Childs relationship to the Respondent(s) ?
Please tick the type(s) of order (s) you wish to apply for?

Contact OrderResidence OrderParental Responsibility OrderSpecific Issue OrderProhibited Steps Order

Why are you making the application?
Please explain why you are making this application and what your proposals are.

Attending the court
Do you require special assistance to attend court, for example:

Use of witness protection facilitiesAn interpreterSpecial assistance or facilities due to a disability.
Please provide further details of any special assistance or facilities you require:

Cases with an international element
Do you have any reason to believe that any child, parent or potentially significant adult in the child’s life may be habitually resident in another state?

YesNo
If yes, please provide details.
Do you have any reason to believe that there may be an issue as to jurisdiction in this case?

YesNo
If yes, please provide details.

Factors affecting ability to participate in proceedings
Please give details of any factors affecting your litigation capacity or the capacity of another person involved in the proceedings:

Do you wish to apply for a court fee exemption?
Guidance notes:

There is a court fee (currently £200) payable upon issue of your application. If you are on a low income you may apply for a fee exemption / reduction. If you wish to apply for a fee exemption / reduction please indicate below.

In this event we will send the application papers to you for you to submit to the Court along with a Fee Exemption Form. You will then need to apply for the Fee Exemption and provide the court with supporting evidence of your income.

You can obtain a copy of the Fee Exemption Form and Notes for Guidance from our website by following the links.
Do you want to apply for a fee exemption?*

YesNoDon't know, require more advice

Please now submit your answers.
Please now submit the questionaire. One of our lawyers will call you to review your answers before preparing the application for your final approval and issue with the court. If you require further assistance, please contact us.
Should be Empty:

	Yes	No
Any form of domestic abuse / violence
Child abduction
Child abuse
Drugs, alcohol or substance abuse
Other safety or welfare concerns

Child Arrangements Application - Client Questionnaire

Applicant's details

Second Applicants details?

Respondents details?

Second Respondents details?

Other people who should be given notice of the proceedings?

Childrens details and orders sought?

Child 1

Child 2

Child 3

Child 4

Child 5

The Childrens circumstances?

Why are you making the application?

Have you attempted mediation?

Risk issues?

Other court cases concerning children?

Attending the court

Cases with an international element

Factors affecting ability to participate in proceedings

Do you wish to apply for a court fee exemption?

Please now submit your answers.