S.I. No. 93/1997 - District Court Rules, 1997

Type Statutory Instrument
Publication 1997-02-24
Last updated 2026-06-23
State In force superseded text
Text As published
articles 41

This is the act as published. Later amendments are not folded into the text below: each one is a separate act in this repository and an entry in this law's history.

190 amending acts · 2026-06-23, S.I. No. 281/2026 - District Court (Child Care) Rules 2026

Reform history JSON API
District Court Area of District No.
........................................................................................................................................................................ Applicant ........................................................................................................................................................................ Applicant
........................................................................................................................................................................Respondent ........................................................................................................................................................................Respondent

UPON APPLICATION made to this Court to-day be the above-named applicant,

of ...................................................................................................................................................

in court (area and ) district aforesaid, a parent (within the meaning of Part III of the above-mentioned Act, of

...................................................born on ........................................................................................
.................................................... born on ........................................................................................
(an) infant(s), residing at ...............................................................................................................

for an order under Part III of the Act for the production of the infant(s),

having found that

*the infant(s) is/are being brought up at the expense of another person, namely,

..................................................................................................................................................... ,)

*(assistance has been provided for the infant(s) by a health authority, namely,

.......................................................................................... .......................................................................................... under section 55 of the Health Act, 1953 ,)
*the infant(s) has/have been maintained in the care of the ................................................................... ...................................................................

Health Board under section 4 of the Child Care Act, 1991 ,)

being satisfied that

notice of the application was duly served,

the applicant is a fit person to have the custody of the infant(s), and that the welfare of the infant(s) *(now before the Court) requires the making of this order,

HEREBY ORDERS that the said infant(s) be given up to the applicant parent,

*(AND FURTHER ORDERS that the applicant shall pay to that other person/health authority the sum of £ , being the whole/portion of the costs properly incurred by that person/health authority in bringing up/providing assistance for the infant(s).

*(AND DIRECTS as follows:—

).

Dated this day of 19 . 19 .
Signed .........................................................
Judge of the District Court
  • Delete words inapplicable

No. 58.25

O.58, r.8

COURTS (No. 2) ACT, 1986

Section 5

SUMMONS

District Court Area of District No.
.......................................................................................................................................................................Complainant .......................................................................................................................................................................Complainant
.......................................................................................................................................................................Defendant .......................................................................................................................................................................Defendant

WHEREAS A COMPLAINT has been made to me

THAT YOU, the above-named defendant, on the day of 19 at

....................................................................................... ....................................................................................... *(in the court (area and) district aforesaid),
having the actual custody of an infant/infants, namely, ........................................................................ ........................................................................

and having been given or shown a copy of the order of the District Court made at a

sitting of the Court held at .................................................................................................................

on the day of 19 requiring you to give up the said infant(s) to the

complainant of ...............................................................................................................................

at a.m./p.m. on the day of 19 , (or) having been present in court when the said order was made, and having been required by or on behalf of the said complainant to give up the infant(s) in accordance with the order,

DID FAIL OR REFUSE to comply with that requirement, contrary to section 5 of the Courts (No. 2) Act, 1986 ,

THIS IS TO COMMAND YOU to appear on the hearing of the said complainant at the sitting of the District Court for the court (area and) district aforesaid to be held at on the day of 19 at a.m./p.m. to answer to the said complainant.

Dated this day of 19 . 19 .
Signed ............................................................
Judge of the District Court

To

of

the above-named defendant

  • Delete words inapplicable

No. 58.26

O.58, r.8

COURTS (No. 2) ACT, 1986

Section 5

SUMMONS

District Court Area of District Court Area of District Court Area of District Court Area of District No. District No. District No. District No.
............................................................................................................................................................. Complainant ............................................................................................................................................................. Complainant ............................................................................................................................................................. Complainant ............................................................................................................................................................. Complainant ............................................................................................................................................................. Complainant ............................................................................................................................................................. Complainant ............................................................................................................................................................. Complainant ............................................................................................................................................................. Complainant
............................................................................................................................................................. Defendant ............................................................................................................................................................. Defendant ............................................................................................................................................................. Defendant ............................................................................................................................................................. Defendant ............................................................................................................................................................. Defendant ............................................................................................................................................................. Defendant ............................................................................................................................................................. Defendant ............................................................................................................................................................. Defendant
WHEREAS A COMPLAINT has been made to me WHEREAS A COMPLAINT has been made to me WHEREAS A COMPLAINT has been made to me WHEREAS A COMPLAINT has been made to me WHEREAS A COMPLAINT has been made to me WHEREAS A COMPLAINT has been made to me WHEREAS A COMPLAINT has been made to me WHEREAS A COMPLAINT has been made to me
THAT YOU, the above-named defendant on the THAT YOU, the above-named defendant on the THAT YOU, the above-named defendant on the THAT YOU, the above-named defendant on the THAT YOU, the above-named defendant on the day of 19 at
........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ........................................................................................................................................... ...........................................................................................................................................
*(in the court (area and) district aforesaid), having the actual custody of an *(in the court (area and) district aforesaid), having the actual custody of an *(in the court (area and) district aforesaid), having the actual custody of an *(in the court (area and) district aforesaid), having the actual custody of an *(in the court (area and) district aforesaid), having the actual custody of an *(in the court (area and) district aforesaid), having the actual custody of an *(in the court (area and) district aforesaid), having the actual custody of an *(in the court (area and) district aforesaid), having the actual custody of an
infant/infants, namely, ................................................................................................................... , infant/infants, namely, ................................................................................................................... , infant/infants, namely, ................................................................................................................... , infant/infants, namely, ................................................................................................................... , infant/infants, namely, ................................................................................................................... , infant/infants, namely, ................................................................................................................... , infant/infants, namely, ................................................................................................................... , infant/infants, namely, ................................................................................................................... ,
and having been given or shown a copy of an order of the District Court made at a and having been given or shown a copy of an order of the District Court made at a and having been given or shown a copy of an order of the District Court made at a and having been given or shown a copy of an order of the District Court made at a and having been given or shown a copy of an order of the District Court made at a and having been given or shown a copy of an order of the District Court made at a and having been given or shown a copy of an order of the District Court made at a and having been given or shown a copy of an order of the District Court made at a
sitting of the Court held at ............................................................................................................ sitting of the Court held at ............................................................................................................ sitting of the Court held at ............................................................................................................ sitting of the Court held at ............................................................................................................ sitting of the Court held at ............................................................................................................ sitting of the Court held at ............................................................................................................ sitting of the Court held at ............................................................................................................ sitting of the Court held at ............................................................................................................
on the day of 19 requiring you to allow the complainant of requiring you to allow the complainant of requiring you to allow the complainant of requiring you to allow the complainant of requiring you to allow the complainant of
to have access to the said infant(s), as follows:— ............................................................................ to have access to the said infant(s), as follows:— ............................................................................ to have access to the said infant(s), as follows:— ............................................................................ to have access to the said infant(s), as follows:— ............................................................................ to have access to the said infant(s), as follows:— ............................................................................ to have access to the said infant(s), as follows:— ............................................................................ to have access to the said infant(s), as follows:— ............................................................................ to have access to the said infant(s), as follows:— ............................................................................
  • (or) having been present in court when the said order was made, and having been

required by or on behalf of the said complainant to allow him/her to have such access,

DID FAIL OR REFUSE to comply with that requirement, contrary to section 5 of

the Courts (No. 2) Act, 1986 ,

THIS IS TO COMMAND YOU to appear on the hearing of the said complaint at

the sitting of the District Court for the court (area and) district aforesaid to be held at

on the day of 19 at a.m./p.m. to answer to the said complaint.
--- --- --- ---
Dated this day of 19 . 19 .
Signed ..............................................................
Judge of the District Court
To To To To
of of of of
the above-named defendant the above-named defendant the above-named defendant the above-named defendant

*Delete where inapplicable

No. 59.1

O.59, r.4 (1)

DOMESTIC VIOLENCE ACT, 1996

Section 2 (2)

SUMMONS FOR A SAFETY ORDER

District Court Area of District No.
..................................................................................................................................................................... Applicant ..................................................................................................................................................................... Applicant
..................................................................................................................................................................... Respondent ..................................................................................................................................................................... Respondent
YOU ARE HEREBY REQUIRED to appear at the sitting of the District Court to YOU ARE HEREBY REQUIRED to appear at the sitting of the District Court to
be held at ........................................................................................................................................... be held at ...........................................................................................................................................
on the ........ day of ............. 19..., at .....m. to answer the application of the *applicant on the ........ day of ............. 19..., at .....m. to answer the application of the *applicant
  • (or the ................. Health Board on behalf of the applicant by virtue of section 6 of the above-mentioned Act) who is
  • the spouse of the respondent
  • not the spouse of the respondent but has lived with the respondent as husband or wife for a period of at least six months in aggregate during the period of twelve months immediately prior to this application
  • a parent of the respondent and the respondent being of full age and not, in relation to the parent, a dependent person,
  • of full age and residing with the respondent in a relationship which is not primarily contractual

and who resides at ............................................................ *(in the Court District aforesaid)

for a safety order directing that you shall not use or threaten to use violence against,

molest or put in fear the applicant or any dependent person(s) *and shall not watch

or beset the place where the applicant *and that dependent person(s) reside(s).

Dated this day of 19 . 19 .
Signed ................................................................
Judge of the District Court
District Court Clerk
To To To To
of of of of
Respondent Respondent Respondent Respondent
*WARNING *WARNING *WARNING *WARNING
IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as
applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF
OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination
of the application herein, and if a safety order is made, while that order is in force (unless of the application herein, and if a safety order is made, while that order is in force (unless of the application herein, and if a safety order is made, while that order is in force (unless of the application herein, and if a safety order is made, while that order is in force (unless
the other spouse consents or the Court permits it). the other spouse consents or the Court permits it). the other spouse consents or the Court permits it). the other spouse consents or the Court permits it).
A spouse who contravenes that provision shall be liable on conviction to a fine not A spouse who contravenes that provision shall be liable on conviction to a fine not A spouse who contravenes that provision shall be liable on conviction to a fine not A spouse who contravenes that provision shall be liable on conviction to a fine not
exceeding £100 or to imprisonment for a term not exceeding six months, or to both. exceeding £100 or to imprisonment for a term not exceeding six months, or to both. exceeding £100 or to imprisonment for a term not exceeding six months, or to both. exceeding £100 or to imprisonment for a term not exceeding six months, or to both.

*Delete where inapplicable

No. 59.2

O.59, r.4 (2)

DOMESTIC VIOLENCE ACT, 1996

Section 2

SAFETY ORDER

District Court Area of District No.
....................................................................................................................................................................... Applicant ....................................................................................................................................................................... Applicant
....................................................................................................................................................................... Respondent ....................................................................................................................................................................... Respondent
THE APPLICATION of *the applicant of ..................................................................................... THE APPLICATION of *the applicant of .....................................................................................
(in the Court District aforesaid) (or the .................... Health Board on behalf of the (in the Court District aforesaid) (or the .................... Health Board on behalf of the
applicant by virtue of section 6 of the above-mentioned Act) for a safety order against applicant by virtue of section 6 of the above-mentioned Act) for a safety order against
the above-named respondent of .........................................................................................................pursuant to the provisions of section 2 of the above Act coming, by summons duly served, before the Court this day, and the Court on the evidence given being of opinion that there are reasonable grounds for believing that the safety/welfare of the applicant and any dependent person so requires, the above-named respondent of .........................................................................................................pursuant to the provisions of section 2 of the above Act coming, by summons duly served, before the Court this day, and the Court on the evidence given being of opinion that there are reasonable grounds for believing that the safety/welfare of the applicant and any dependent person so requires,

NOW THE COURT HEREBY DIRECTS THAT the respondent shall not use or

threaten to use violence against, molest or put in fear the applicant or that dependent

person,

and shall not watch or beset the place where the applicant or dependent persons)

reside(s).

THIS ORDER SHALL REMAIN IN FORCE FOR/UNTIL

*SAVE AND EXCEPT

This day of 19 19
Signed ...........................................................
Judge of the District Court
To To To To
of of of of
Respondent Respondent Respondent Respondent
*WARNING *WARNING *WARNING *WARNING
A respondent who contravenes this order may be arrested without warrant by a member A respondent who contravenes this order may be arrested without warrant by a member A respondent who contravenes this order may be arrested without warrant by a member A respondent who contravenes this order may be arrested without warrant by a member
of the Garda Siochana, and on conviction for such an offence may be fined £1,500.00 of the Garda Siochana, and on conviction for such an offence may be fined £1,500.00 of the Garda Siochana, and on conviction for such an offence may be fined £1,500.00 of the Garda Siochana, and on conviction for such an offence may be fined £1,500.00
or be sentenced to twelve months imprisonment or be both fined and imprisoned. or be sentenced to twelve months imprisonment or be both fined and imprisoned. or be sentenced to twelve months imprisonment or be both fined and imprisoned. or be sentenced to twelve months imprisonment or be both fined and imprisoned.
A copy of this order is being sent to the Garda Síochána station at ......................................................... A copy of this order is being sent to the Garda Síochána station at ......................................................... A copy of this order is being sent to the Garda Síochána station at ......................................................... A copy of this order is being sent to the Garda Síochána station at .........................................................
*IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as *IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as *IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as *IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as
applied by section $ of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section $ of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section $ of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section $ of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF
OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force
unless the other spouse consents or the Court on application permits it. A spouse who unless the other spouse consents or the Court on application permits it. A spouse who unless the other spouse consents or the Court on application permits it. A spouse who unless the other spouse consents or the Court on application permits it. A spouse who
contravenes that provision shall be liable on conviction to a fine not exceeding £100 or contravenes that provision shall be liable on conviction to a fine not exceeding £100 or contravenes that provision shall be liable on conviction to a fine not exceeding £100 or contravenes that provision shall be liable on conviction to a fine not exceeding £100 or
to imprisonment for a term not exceeding six months, or to both. to imprisonment for a term not exceeding six months, or to both. to imprisonment for a term not exceeding six months, or to both. to imprisonment for a term not exceeding six months, or to both.

*Delete where inapplicable

No. 59.3

O.59, r.5 (1)

DOMESTIC VIOLENCE ACT, 1996

Section 3 (2)

SUMMONS FOR A BARRING ORDER

District Court Area of District No.
..................................................................................................................................................................... Applicant ..................................................................................................................................................................... Applicant
...................................................................................................................................................................... Respondent ...................................................................................................................................................................... Respondent

YOU ARE HEREBY REQUIRED to appear at the sitting of the District Court to

be held at ......................... on the ............ day of ............. 19...., at ....m. to answer the

application of the applicant (or the ................ Health Board on behalf of the applicant

by virtue of section 6 of the above-mentioned Act) who is

  • the spouse of the respondent
  • not the spouse of the respondent but has lived with the respondent as husband or wife for a period of at least six months in aggregate during the period of nine months immediately prior to this application
  • a parent of the respondent and the respondent being of full age and not, in relation to the parent, a dependent person,

for a barring order directing you to leave the place where the applicant *or any dependent

person resides at ................. *(in the Court District aforesaid) and prohibiting you

from entering the place where the applicant *or any dependent person resides until

further order of the Court, or until such other time as the Court shall specify on the

grounds that the safety/welfare of the applicant and any dependent person so requires.

Dated this day of 19 19
Signed ..............................................................
Judge of the District Court
District Court Clerk
To To To To
of of of of
Respondent Respondent Respondent Respondent
*WARNING *WARNING *WARNING *WARNING
IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as
applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF
OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination OR REMOVE ANY OF THE HOUSEHOLD CHATTELS pending the determination
of the application herein, and if a barring order is made, while that order is in force of the application herein, and if a barring order is made, while that order is in force of the application herein, and if a barring order is made, while that order is in force of the application herein, and if a barring order is made, while that order is in force
(unless the other spouse consents or the Court permits it). A spouse who contravenes (unless the other spouse consents or the Court permits it). A spouse who contravenes (unless the other spouse consents or the Court permits it). A spouse who contravenes (unless the other spouse consents or the Court permits it). A spouse who contravenes
that provision shall be liable on conviction to a fine not exceeding £100 or to imprisonment that provision shall be liable on conviction to a fine not exceeding £100 or to imprisonment that provision shall be liable on conviction to a fine not exceeding £100 or to imprisonment that provision shall be liable on conviction to a fine not exceeding £100 or to imprisonment
for a term not exceeding six months, or to both. for a term not exceeding six months, or to both. for a term not exceeding six months, or to both. for a term not exceeding six months, or to both.

*Delete where inapplicable

No. 59.4

O.59, r.5 (2)

DOMESTIC VIOLENCE ACT, 1996

Section 3

BARRING ORDER

District Court Area of District No.
....................................................................................................................................................................... Applicant ....................................................................................................................................................................... Applicant
....................................................................................................................................................................... Respondent ....................................................................................................................................................................... Respondent

THE APPLICATION of the above-named applicant (of the Health Board

on behalf of the applicant by virtue of section 6 of the above mentioned Act) for a

barring order against the above-named respondent pursuant to the provisions of section

3 of the above Act coming, by summons duly served, before the Court this day, and the

Court on the evidence given being satisfied that the applicant, *and any dependent

person(s) reside(s) for the purpose of the section at ...................... *(in the Court District

aforesaid) and being of opinion that there are reasonable grounds for believing that the

safety/welfare of the applicant and/*any dependent person(s) requires the making of

this order,

NOW THE COURT HEREBY DIRECTS YOU, the respondent, to leave the place
where the applicant and any dependent person(s) reside(s) at ................................... *(in the
Court District aforesaid) on being notified of the making of this order,
AND PROHIBITS YOU FROM entering that place until the ................................................
day of ..............................................................................19.........., without leave of the Court

*SAVE AND EXCEPT

*AND FURTHER PROHIBITS YOU from

using or threatening to use violence against the applicant/any dependent person; molesting or putting in fear the applicant/any dependent person; attending at or in the vicinity of, or watching or besetting a place where, *the applicant/any dependent person resides

during the period aforesaid.

Dated this day of 19 19
Signed ..............................................................
Judge of the District Court
To To To To
of of of of
Respondent Respondent Respondent Respondent
WARNING WARNING WARNING WARNING
A respondent who contravenes this order, or who, while this order is in force, refuses A respondent who contravenes this order, or who, while this order is in force, refuses A respondent who contravenes this order, or who, while this order is in force, refuses A respondent who contravenes this order, or who, while this order is in force, refuses
to permit the applicant or any dependent person to enter in and remain in the place to to permit the applicant or any dependent person to enter in and remain in the place to to permit the applicant or any dependent person to enter in and remain in the place to to permit the applicant or any dependent person to enter in and remain in the place to
which this order relates or does any act for the purpose of preventing the applicant or which this order relates or does any act for the purpose of preventing the applicant or which this order relates or does any act for the purpose of preventing the applicant or which this order relates or does any act for the purpose of preventing the applicant or
such dependent person from so doing, may be arrested without warrant by a member of such dependent person from so doing, may be arrested without warrant by a member of such dependent person from so doing, may be arrested without warrant by a member of such dependent person from so doing, may be arrested without warrant by a member of
the Garda Síochána, and on conviction for such an offence may be fined £1,500.00 or be the Garda Síochána, and on conviction for such an offence may be fined £1,500.00 or be the Garda Síochána, and on conviction for such an offence may be fined £1,500.00 or be the Garda Síochána, and on conviction for such an offence may be fined £1,500.00 or be
sentenced to twelve months imprisonment or be both fined and imprisoned. sentenced to twelve months imprisonment or be both fined and imprisoned. sentenced to twelve months imprisonment or be both fined and imprisoned. sentenced to twelve months imprisonment or be both fined and imprisoned.
A copy of this order is being sent to the Garda Síochána station at ...................................................... A copy of this order is being sent to the Garda Síochána station at ...................................................... A copy of this order is being sent to the Garda Síochána station at ...................................................... A copy of this order is being sent to the Garda Síochána station at ......................................................
*IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as *IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as *IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as *IT IS AN OFFENCE under section 9 of the Family Home Protection Act, 1976 , as
applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF applied by section 8 of the Domestic Violence Act, 1996 , for a spouse to DISPOSE OF
OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force OR REMOVE ANY OF THE HOUSEHOLD CHATTELS while this order is in force
unless the other spouse consents or the Court on application permits it. unless the other spouse consents or the Court on application permits it. unless the other spouse consents or the Court on application permits it. unless the other spouse consents or the Court on application permits it.
A spouse who contravenes that provision shall be liable on conviction to a fine not A spouse who contravenes that provision shall be liable on conviction to a fine not A spouse who contravenes that provision shall be liable on conviction to a fine not A spouse who contravenes that provision shall be liable on conviction to a fine not
exceeding £100 or to imprisonment for a term not exceeding six months, or to both. exceeding £100 or to imprisonment for a term not exceeding six months, or to both. exceeding £100 or to imprisonment for a term not exceeding six months, or to both. exceeding £100 or to imprisonment for a term not exceeding six months, or to both.

*Delete where inapplicable

No. 59.5

O.59,r.6 (2)

DOMESTIC VIOLENCE ACT, 1996

Section 4

INFORMATION

District Court Area of District Court Area of District Court Area of District Court Area of District No. District No.
...................................................................................................................................................................... Applicant ...................................................................................................................................................................... Applicant ...................................................................................................................................................................... Applicant ...................................................................................................................................................................... Applicant ...................................................................................................................................................................... Applicant ...................................................................................................................................................................... Applicant
...................................................................................................................................................................... Respondent ...................................................................................................................................................................... Respondent ...................................................................................................................................................................... Respondent ...................................................................................................................................................................... Respondent ...................................................................................................................................................................... Respondent ...................................................................................................................................................................... Respondent
The information of *the above-named applicant of .......................................................................... The information of *the above-named applicant of .......................................................................... The information of *the above-named applicant of .......................................................................... The information of *the above-named applicant of .......................................................................... The information of *the above-named applicant of .......................................................................... The information of *the above-named applicant of ..........................................................................
*(or of the Health Board on behalf of the applicant by virtue of *(or of the Health Board on behalf of the applicant by virtue of *(or of the Health Board on behalf of the applicant by virtue of *(or of the Health Board on behalf of the applicant by virtue of *(or of the Health Board on behalf of the applicant by virtue of *(or of the Health Board on behalf of the applicant by virtue of
section 6 of the above mentioned Act) who says on oath:- section 6 of the above mentioned Act) who says on oath:- section 6 of the above mentioned Act) who says on oath:- section 6 of the above mentioned Act) who says on oath:- section 6 of the above mentioned Act) who says on oath:- section 6 of the above mentioned Act) who says on oath:-
On the ...... day of............... 19....., I caused a summons for hearing at ................. District On the ...... day of............... 19....., I caused a summons for hearing at ................. District On the ...... day of............... 19....., I caused a summons for hearing at ................. District On the ...... day of............... 19....., I caused a summons for hearing at ................. District On the ...... day of............... 19....., I caused a summons for hearing at ................. District On the ...... day of............... 19....., I caused a summons for hearing at ................. District
Court on the ...... day of .............. 19...., at.......m, at.......m, to be issued against the above-named
respondent of ..................... ., applying for a barring order in respect of .................................... respondent of ..................... ., applying for a barring order in respect of .................................... respondent of ..................... ., applying for a barring order in respect of .................................... respondent of ..................... ., applying for a barring order in respect of .................................... respondent of ..................... ., applying for a barring order in respect of .................................... respondent of ..................... ., applying for a barring order in respect of ....................................

(in the Court District aforesaid) being the place where I and any dependent person

reside(s) and I now request an interim barring order against the respondent pursuant to

the provisions of section 4 of the above-mentioned Act on the grounds:

and I say that there is an immediate risk of significant harm to me and or any dependent

person if the order is not made immediately and the granting of a protection order

would not be sufficient to protect me *or any dependent person.

Dated this day of 19 19 19 19
Signed .............................................................
Informant
Sworn before me this............ Sworn before me this............ Sworn before me this............ day of ...... 19 19
Signed .............................................................
Judge of the District Court

*Delete where inapplicable

No. 59.6

O.59,r.6

DOMESTIC VIOLENCE ACT, 1996

Section 4

INTERIM BARRING ORDER

District Court Area of District Court Area of District No. District No.
.................................................................................................................................................................. Applicant .................................................................................................................................................................. Applicant .................................................................................................................................................................. Applicant .................................................................................................................................................................. Applicant
.................................................................................................................................................................. Respondent .................................................................................................................................................................. Respondent .................................................................................................................................................................. Respondent .................................................................................................................................................................. Respondent
WHEREAS WHEREAS WHEREAS WHEREAS
*the applicant above named of *(or the *(or the Health Board

on behalf of the applicant by virtue of section 6 of the above mentioned Act) has issued

a summons for a barring order

*the Court, in this exceptional case, considers it necessary or expedient in the interests

of justice to make this order ex parte or notwithstanding the fact that the summons

required by Rule 5 hereof has not been served,

AND WHEREAS the Court, on the evidence given is of opinion that there is an

immediate risk of significant harm to the applicant and or any dependent person if this

order is not made immediately, and the granting of a protection order would not be

sufficient to protect the applicant *and any dependent person

NOW THE COURT HEREBY DIRECTS YOU, the respondent to leave the place

where the applicant *and any dependent person reside(s) at .....................................................................

*(in the Court District aforesaid) on being notified of the making of this order,

AND PROHIBITS YOU FROM entering such place until the ........... day of ............

19.... without leave of the Court,

*SAVE AND EXCEPT

*AND FURTHER PROHIBITS YOU from

using or threatening to use violence against the applicant/any dependent person; molesting or putting in fear the applicant/any dependent person; attending at or in the vicinity of, or watching or besetting a place where, the applicant/*any dependent person reside(s)

during the period aforesaid.

Dated this day of 19 . 19 .
Signed ...............................................................
Judge of the District Court
To To To To
of of of of
Respondent Respondent Respondent Respondent

WARNING

A respondent who contravenes this order, or who, while this order is in force refuses to permit the applicant or any dependent person to enter in and remain in the place to which this order relates or does any act for the purpose of preventing the applicant or such dependent person from so doing may be arrested without warrant by a member of the Garda Síochána, and on conviction for such an offence may be fined £1,500.00 or be sentenced to twelve months imprisonment or be both fined and imprisoned.

A copy of this order is being sent to the Garda Síochána Station at ..............................

No. 59.7

O.59,r.7 (2)

DOMESTIC VIOLENCE ACT, 1996

Section 5

INFORMATION

District Court Area of District Court Area of District No. District No.
........................................................................................................................................................................... Applicant ........................................................................................................................................................................... Applicant ........................................................................................................................................................................... Applicant ........................................................................................................................................................................... Applicant
........................................................................................................................................................................... Respondent ........................................................................................................................................................................... Respondent ........................................................................................................................................................................... Respondent ........................................................................................................................................................................... Respondent
The information of *the above-named applicant, of ........................................................................... The information of *the above-named applicant, of ........................................................................... The information of *the above-named applicant, of ........................................................................... The information of *the above-named applicant, of ...........................................................................
(in the Court District aforesaid) (or of the (or of the health board
on behalf of the applicant by virtue of section 6 of the above mentioned Act)who says on oath:- on behalf of the applicant by virtue of section 6 of the above mentioned Act)who says on oath:- on behalf of the applicant by virtue of section 6 of the above mentioned Act)who says on oath:- on behalf of the applicant by virtue of section 6 of the above mentioned Act)who says on oath:-
On the ............................ day of ............................ 19...., I caused a summons for hearing On the ............................ day of ............................ 19...., I caused a summons for hearing On the ............................ day of ............................ 19...., I caused a summons for hearing On the ............................ day of ............................ 19...., I caused a summons for hearing
at ................................ District Court on the ................................ day of ............................................... at ................................ District Court on the ................................ day of ............................................... at ................................ District Court on the ................................ day of ............................................... at ................................ District Court on the ................................ day of ...............................................
19.... to be issued against the above-named respondent of .................................................................. 19.... to be issued against the above-named respondent of .................................................................. 19.... to be issued against the above-named respondent of .................................................................. 19.... to be issued against the above-named respondent of ..................................................................
applying pursuant to the provisions of applying pursuant to the provisions of applying pursuant to the provisions of applying pursuant to the provisions of
*section 2 of the above Act for a safety order *section 2 of the above Act for a safety order *section 2 of the above Act for a safety order *section 2 of the above Act for a safety order
*section 3 of the above Act for a barring order in respect of................................................................. *section 3 of the above Act for a barring order in respect of................................................................. *section 3 of the above Act for a barring order in respect of................................................................. *section 3 of the above Act for a barring order in respect of.................................................................

(in the Court District aforesaid) being the place where I and any dependent person

resides) and I now request a protection order against the respondent pursuant to the

provisions of section 5 of the above Act on the grounds that:-

Dated this day of 19 19
Signed ............................................................
Informant
Sworn before me this ................................................ day of ..................................................... 19....... Sworn before me this ................................................ day of ..................................................... 19....... Sworn before me this ................................................ day of ..................................................... 19....... Sworn before me this ................................................ day of ..................................................... 19.......
Signed ............................................................
Judge of the District Court

No. 59.8

O.59, r.7 (3)

DOMESTIC VIOLENCE ACT, 1996

Section 5

PROTECTION ORDER

District Court Area of District No.
........................................................................................................................................................................ Applicant ........................................................................................................................................................................ Applicant
....................................................................................................................................................................... Respondent ....................................................................................................................................................................... Respondent
WHEREAS *the above-named applicant who resides at .................................................................. WHEREAS *the above-named applicant who resides at ..................................................................
(in the Court District aforesaid)(or the Health Board

on behalf of the applicant by virtue of section 6 of the above mentioned Act) has caused

a summons to issue for hearing at a sitting of the Court at ................... on the ........ day

of .................. 19..... at ........ a.m./p.m. pursuant to the provisions of section 2/3 of the

above Act for a safety/barring order against the above-named respondent residing at

............................................. *(in the Court District aforesaid) which application has not

yet been determined by the Court;

AND WHEREAS the Court is of opinion that there are reasonable grounds for

believing that the safety or welfare of the above-named applicant *and (a) dependent

person(s), so requires,

THE COURT HEREBY ORDERS that the above-named respondent shall not use

or threaten to use violence against, molest or put in fear the above-named applicant *or

any dependent person(s), and

*FURTHER ORDERS that the respondent shall not watch or beset the place where

the applicant *or (a) dependent person(s) reside(s).

*SAVE AND EXCEPT

Dated this day of 19 19
Signed ............................................................
Judge of the District Court
To To To To
of of of of
Respondent Respondent Respondent Respondent
WARNING WARNING WARNING WARNING
A respondent who contravenes this order may be arrested without warrant by a member A respondent who contravenes this order may be arrested without warrant by a member A respondent who contravenes this order may be arrested without warrant by a member A respondent who contravenes this order may be arrested without warrant by a member
of the Garda Síochána, and on conviction for a first offence, may be fined £1,500.00 of the Garda Síochána, and on conviction for a first offence, may be fined £1,500.00 of the Garda Síochána, and on conviction for a first offence, may be fined £1,500.00 of the Garda Síochána, and on conviction for a first offence, may be fined £1,500.00
or sentenced to twelve months imprisonment, or be both fined and imprisoned. or sentenced to twelve months imprisonment, or be both fined and imprisoned. or sentenced to twelve months imprisonment, or be both fined and imprisoned. or sentenced to twelve months imprisonment, or be both fined and imprisoned.
A copy of this order is being sent to the Garda Síochána station at ................................................... A copy of this order is being sent to the Garda Síochána station at ................................................... A copy of this order is being sent to the Garda Síochána station at ................................................... A copy of this order is being sent to the Garda Síochána station at ...................................................

*Delete where inapplicable

No. 59.9

O.59, r.8 (1)

DOMESTIC VIOLENCE ACT, 1996

Section 2 3 4 5

SUMMONS TO VARY A SAFETY BARRING *INTERIM BARRING ORDER

*PROTECTION ORDER

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