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

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	...............................................................................................................................	...............................................................................................................................	a child
..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	Applicant
of	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................
..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	Respondent
of	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................

WHEREAS application has been made to this Court by the .................... Health Board under section 18 (1) of the above-mentioned Act for a care order with respect to the

above-named child who resides at	.................................................................................................................

in the area of the board and in the said court district,

AND WHEREAS the said application has not yet been determined by the Court.

TAKE NOTICE that the applicant herein will apply at the sitting of the District Court

to be held at	..................................................................................................................................................

on the ...... day of ............... 19.... at .... a.m./p.m. for a supervision order under section 18 (6) of the Act in respect of the said child pending such determination.

Dated this..........	day of..............	19.............	19.............
			Signed..............................................................
			Solicitor for Applicant
---	---
To	....................................................................
of	....................................................................

the above-named respondent.

No. 84.22

O.84, r.14

CHILD CARE ACT, 1991

Section 18 (6)

SUPERVISION ORDER

(pending determination of application for care order)

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	................................................................................................................................	................................................................................................................................	a child
		Name (if known) or description	Name (if known) or description	Name (if known) or description
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Applicant
of	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

WHEREAS APPLICATION was made to this Court on the ...... day of ............. 19.... by the ............... Health Board under section 18 (1) of the above-mentioned Act for a care order with respect to the above-named child who is appears to be aged ....... years, having been born *(so far as has been ascertained) on the ........ day of ................. 19....

and who resides at	......................................................................................................................................

in the area of the board and in the said court district,

AND WHEREAS the said application has not yet been determined by the Court,

NOW, THE COURT on the application of the applicant herein under section 18 (6) of the Act for a supervision order in respect of the said child pending such determination,

*(being satisfied that notice of the application was duly served,)

having heard the evidence tendered herein,

being satisfied that there are reasonable grounds for believing that—

*(the child has been/is being assaulted/ill-treated/neglected/sexually abused,)

• (or)

*(the child's health/development/welfare has been/is being avoidably impaired/ neglected,)

• (or)

*(the child's health/development/welfare is likely to be avoidably impaired/neglected,) and it is desirable that the child be visited periodically by or on behalf of the health board and

that the welfare of the child so requires,

HEREBY AUTHORISES the applicant health board, pending the determination of

the application for the care order, to have the said child	...................................................................

visited on such periodic occasions as the board may consider necessary in order to satisfy itself as to the welfare of the child and to give to (his/her parents) (the person acting in loco parentis) any necessary advice as to the care of the child,

[*AND DIRECTS under section 19 (4) of the Act (as to the care of the child) as follows:—

This order shall cease to have effect on the determination of the application for the care order.

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

• Delete words inapplicable

No. 84.23

O.84, r.15 (1)

CHILD CARE ACT, 1991

Section 18 (7)

CONTRIBUTION ORDER

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	..............................................................................................................................	..............................................................................................................................	a child
.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	Applicant
of	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................
.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	Respondent
of	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................

WHEREAS ON APPLICATION by the above-named health board under section 18 (1) of the above-mentioned Act for an order with respect to the above-named child who is appears to be aged ........ years, having been born (so far as has been ascertained) on the ...... day of .............,. 19.... and who resides *has been found at ............................... in the area of the board and in the said court district, THE COURT HAS to-day made a care order committing the child to the care of that health board for the period from the .......... day of ................... 19..... to the ...... day of ............,...... 19....

NOW, THE COURT being satisfied that the above-named respondent(s) is are the parent(s) of the child, and

having regard to the means of the said parent(s),

HEREBY ORDERS under section 18 (7) of the Act that you,	HEREBY ORDERS under section 18 (7) of the Act that you,	.....................................................
parent(s) of the child	.......................................................................................................................................	.......................................................................................................................................

do contribute to the ...................... health board towards the cost of maintaining the child the weekly sum of £.......... for the whole of the period during which that care order is in operation or until further order of the court herein - the first of such weekly sums to be paid on the ........ day of ............... 19....

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

Parent(s) of the above-named child.

• Delete words inapplicable

No. 84.24

O.84, r.15 (6)

CHILD CARE ACT, 1991

Section 18 (8)

NOTICE OF APPLICATION TO VARY DISCHARGE A CONTRIBUTION ORDER

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	...............................................................................................................................	...............................................................................................................................	a child
..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	Applicant
of	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................
.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	Respondent
of	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................

WHEREAS ON THE APPLICATION OF THE ..................... Health Board, made under section 18 (1) of the above-mentioned Act for an order with respect to the above-named child, the Court on the ..... day of .................. 19..... made a care order committing the child to the care of that health board,

AND WHEREAS in addition to making such order the court made a contribution order requiring the above-named applicant respondent to contribute to the health board the weekly sum of £...... towards the cost of maintaining the child,

TAKE NOTICE that the applicant herein will apply at the sitting of the District Court

to be held at	............................................................................................................................................

on the ..... day of ................. 19.... at ....... a.m./p.m. for an order under section 18 (8) of the Act varying discharging the said contribution order on the grounds that:—

Dated this..............	day of...................	19.............	19.............
			Signed.............................................................
			Applicant
---	---
To	....................................................................
of	....................................................................

The above-named respondent.

• Delete words inapplicable

No. 84.25

O.84, r.15 (2)

CHILD CARE ACT, 1991

Section 18 (8)

ORDER TO VARY DISCHARGE A CONTRIBUTION ORDER

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	..............................................................................................................................	..............................................................................................................................	a child
.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	Applicant
of	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................
.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	Respondent
of	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................	.......................................................................................................................................................

WHEREAS ON APPLICATION by the above-named health board under section 18 (1) of the above-mentioned Act for an order with respect to the above-named child, the court on the ...... day of ............. 19.... made a care order committing the child to the care of that health board,

AND WHEREAS in addition to such order the court made a contribution order requiring the parents) of the child to contribute to the health board the weekly sum of £...... towards the costs of maintaining the child for the whole of the period during which that care order is in operation,

NOW, THE COURT on the application of the applicant herein under section 18 (8) of the Act to vary discharge the contribution order,

being satisfied that notice of the application herein was duly served, and

having heard the evidence tendered herein,

HEREBY ORDERS that the said contribution order

*be discharged

*be varied as follows:—

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

• Delete words inapplicable

No. 84.26

O.84, r.16 (1)

CHILD CARE ACT, 1991

Section 19 (1)

NOTICE OF APPLICATION FOR A SUPERVISION ORDER

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	................................................................................................................................	................................................................................................................................	a child
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Applicant
of	..........................................................................................................................................................	..........................................................................................................................................................	..........................................................................................................................................................	..........................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	..........................................................................................................................................................	..........................................................................................................................................................	..........................................................................................................................................................	..........................................................................................................................................................

WHEREAS the above-named child, who is appears to be aged ........ years, having been born *(so far as has been ascertained) on the ......... day of .............. 19...., resides

at	..................................................................................................................................................................................

in the area of the applicant board and in the said court district,

AND WHEREAS the applicant believes that—

*(the child has been/is being assaulted/ill-treated/neglected/sexually abused,)

• (or)

*(the child's health/development/welfare has been/is being avoidably impaired/neglected,)

• (or)

*(the child's health/development/welfare is likely to be avoidably impaired/neglected,) and it is desirable that the child be visited periodically by or on behalf of the health board,

TAKE NOTICE that the applicant will apply at the sitting of the District Court to be

held at	.....................................................................................................................................................................

on the ..... day of ................. 19.... at ....... a.m./p.m. for a supervision order under section 19 (1) of the Act with respect to the said child.

Dated this..............	day of...................	19.............	19.............
			Signed.............................................................
			Solicitor for Applicant
---	---
To	....................................................................
of	....................................................................

the above-named respondent

• Delete words inapplicable

No. 84.27

O.84, r.16 (2)

CHILD CARE ACT, 1991

Section 19 (1)

SUPERVISION ORDER

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	...............................................................................................................................	...............................................................................................................................	a child
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Applicant
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

UPON APPLICATION made to this Court to-day by the above-named applicant under section 19 (1) of the above-mentioned Act for a supervision order with respect to the above-named child who is `appears to be aged .......... years, having been born (so far as has been ascertained) on the ........ day of ................ 19..... and who resides at ........ in the area of the applicant health board and in the said court district,

THE COURT being satisfied that notice of the application was duly served, having heard the evidence tendered herein,

being satisfied that there are reasonable grounds for believing that—

*(the child has been/is being assaulted/ill-treated/neglected/sexually abused,)

• (or)

*(the child's health/development/welfare has been/is being avoidably impaired/neglected,)

• (or)

*(the child's health/development/welfare is likely to be avoidably impaired/neglected,) and it is desirably that the child be visited periodically by or on behalf of the health board and

that the welfare of the child so requires,

HEREBY AUTHORISES the applicant health board to have the said child .............. visited on such periodic occasions as the board may consider necessary in order to satisfy itself as to the welfare of the child and to give to (his/her parents) (the person acting in loco parentis) any necessary advice as to the care of the child.

*[AND DIRECTS under section 19 (4) of the Act (as to the care of the child) as follows:—

	]

This order shall remain in force—

*(for the period of twelve months from the date hereof,)

*(from the .......... day of ................ 19...... until the ....... day of .......... 19.......)

unless sooner discharged and, in any event, shall cease to have effect when the person in respect of whom it is made ceases to be a child.

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

• Delete words inapplicable

No. 84.28

O.84, r.17

CHILD CARE ACT, 1991

NOTICE OF APPLICATION FOR DIRECTIONS

(under section 19 (3) of the Act)

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	...............................................................................................................................	...............................................................................................................................	a child
..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	Applicant
of	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

WHEREAS on the application of the above-named Health Board under section ....... of the above-mentioned Act, the Court on the ...... day of ............... I9.... made a supervision order authorising that board to have the above-named child who resides at .......................................................... in the area of the board and in the said court district, visited on such periodic occasions as the board may consider necessary in order to satisfy itself as to the welfare of the child and to give to (his/her parents) (the person acting in loco parentis) any necessary advice as to the care of the child

AND WHEREAS the above-named applicant, being a (parent of the child) (person acting in loco parentis), is dissatisfied with the manner in which the health board is exercising its authority to have the child visited in accordance with section 19 of the Act,

TAKE NOTICE that the applicant will apply at the sitting of the District Court to be

held at	......................................................................................................................................................................

on the ....... day of ................. 19.... at ...... a.m./p.m. for directions under section 19 (3) of the Act as to the manner in which the child is to be visited.

Dated this..............	day of...................	19.............	19.............
			Signed...............................................................
			Applicant
---	---
To	....................................................................
of	....................................................................

the above-named health board

• Delete words inapplicable

No. 84.29

O.84, r.17

CHILD CARE ACT, 1991

DIRECTIONS UNDER SECTION 19 (3) OF THE ACT

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	...............................................................................................................................	...............................................................................................................................	a child
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Applicant
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

WHEREAS ON APPLICATION by the above-named Health Board under section ....... of the above-mentioned Act, THE COURT on the ....... day of .................... 19.... MADE A SUPERVISION ORDER in respect of the above-named child who resides

at	..............................................................................................................................................................................

in the area of the board and in the said court district,

NOW, THE COURT on the application of the above-named applicant, being a (parent of the child) (person acting in loco parentis), for directions under section 19 (3) of the Act, the said applicant being dissatisfied with the manner in which the board is exercising its authority to have the child visited in accordance with section 19 of the Act,

being satisfied that notice of the application was duly served,

having heard the evidence tendered, and

being satisfied that the welfare of the child so requires,

HEREBY DIRECTS under the said section 19 (3) as follows:—

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

No. 84.30

O.84, r.18

CHILD CARE ACT, 1991

NOTICE OF APPLICATION FOR DIRECTIONS

(under section 19 (4) of the Act)

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	.............................................................................................................................	.............................................................................................................................	a child
................................................................................................................................................................	................................................................................................................................................................	................................................................................................................................................................	................................................................................................................................................................	Applicant
of	......................................................................................................................................................	......................................................................................................................................................	......................................................................................................................................................	......................................................................................................................................................
.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	.................................................................................................................................................................	Respondent
of	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................

WHEREAS on the application of the above-named applicant, made under section ....... of the above-mentioned Act, this Court on the ........ day of .................. 19.... made a supervision order authorising that health board to have the above-named child who

resides at	......................................................................................................................................................................

in the area of the board and in the said court district, visited on such periodic occasions as the board may consider necessary in order to satisfy itself as to the welfare of the child and to give to (his/her parents) (the person acting in loco parentis) any necessary advice as to the care of the child,

AND WHEREAS the said supervision order is still in force,

TAKE NOTICE that the applicant herein will apply at the sitting of the District Court

to be held at	............................................................................................................................................................

on the ...... day of ............... 19... at .... a.m./p.m. for directions under section 19 (4) of the Act as to care of the child.

Dated this..............	day of...................	19.............	19.............
			Signed..............................................................
			Applicant
---	---
To	....................................................................
of	....................................................................

the above-named respondent.

• Delete words inapplicable

No. 84.31

O.84, r.18

CHILD CARE ACT, 1991

DIRECTIONS UNDER SECTION 19 (4) OF THE ACT

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	................................................................................................................................	................................................................................................................................	a child
..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	Applicant
of	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

WHEREAS ON APPLICATION by the shove-named Health Board made under section ...... of the above-mentioned Act, THE COURT on the ...... day of .................. 19.... MADE A SUPERVISION ORDER in respect of the above-named child who resides

resides at	.....................................................................................................................................................................

in the area of that board and in the said court district, and the said supervision order is still in force,

NOW, THE COURT on the application of the health board for directions under section 19 (4) of the Act as to the care of the child,

being satisfied that notice of the application herein was duly served,

having heard the evidence tendered, and

being satisfied that the welfare of the child so requires,

HEREBY DIRECTS as follows:—

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

No. 84.32

O.84, r.19 (1)

CHILD CARE ACT, 1991

NOTICE OF ADJOURNMENT OF PROCEEDINGS AND OF DIRECTION TO

HEALTH BOARD

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	...............................................................................................................................	...............................................................................................................................	a child
		Name (if known) or description	Name (if known) or description	Name (if known) or description
..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	Applicant
of	..............................................................................................................................................................	..............................................................................................................................................................	..............................................................................................................................................................	..............................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

WHEREAS proceedings entitled as above, brought under section .......... of the .......... (Act) 19.... in respect of the above-named child, who resides is for the time being

at	.................................................................................................................................................................................

in the area of the ........................ Health Board and in the said court district, were before this Court on the .......... day of .................... 19......,

AND WHEREAS it appeared to the Court this it may be appropriate for a care order or a supervision order to be made with respect to the said child,

TAKE NOTICE that the Court adjourned those proceedings under section 20 (1) of the Child Care Act, 1991 until the ........ day of ............... 19.... and directed the said health board to undertake an investigation of the child's circumstances.

Dated this..............	day of...................	19.............	19.............
			Signed.............................................................
			Clerk of the District Court for the said Court area, District Court Office
			........................................................................
---	---
To	....................................................................
of	....................................................................

the above-named health board

• Delete words inapplicable

No. 84.33

O.84, r.19 (2) (a)

CHILD CARE ACT, 1991

DIRECTIONS UNDER SECTION 20 (2) OF THE ACT

(pending outcome of investigation by health board)

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	................................................................................................................................	................................................................................................................................	a child
..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	..................................................................................................................................................................	Applicant
of	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

WHEREAS PROCEEDINGS entitled as above, brought under section ..... of the

.........................................................................................	.........................................................................................	Act, ............in respect of the above-named child, who
resides is for the time being at	...................................................................................................	...................................................................................................

in the area of the .................. Health Board and in the said court district, were before this Court to-day.

AND WHEREAS it appeared to the Court that it might be appropriate for a care order or a supervision order to be made with respect to the said child and under section 20 (1) of the Child Care Act, 1991 , the Court adjourned the proceedings and directed that health board to undertake an investigation of the child's circumstances.

NOW, THE COURT being satisfied that the welfare of the child so requires.

HEREBY DIRECTS under section 20 (2) of the Act (as to the care and custody of the child pending the outcome of the investigation) as follows:—

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

• Delete words inapplicable

No. 84.34

O.84, r.19 (2) (b)

CHILD CARE ACT, 1991

Section 20 (2)

SUPERVISION ORDER

(pending outcome of investigation by health board)

District Court Area of	District Court Area of	District Court Area of	District No.	District No.
In the matter of	In the matter of	...............................................................................................................................	...............................................................................................................................	a child
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Applicant
of	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................	........................................................................................................................................................
...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	...................................................................................................................................................................	Respondent
of	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................	.........................................................................................................................................................

WHEREAS PROCEEDINGS entitled as above, brought under section ..... of the ......................... (Act), 19..... in respect of the above-named child, who resides at

.........................................................................................................................	in the area of the health board and in

the said court district, were before this Court today,

AND WHEREAS it appeared to the Court that it might be appropriate for a care order or a supervision order to be made with respect of the said child and, under section 20 (1) of the Child Care Act, 1991 , the Court adjourned the proceedings and directed that health board to undertake an investigation of the child's circumstances,

NOW, THE COURT being satisfied that there are reasonable grounds for believing that—

*(the child has been/is being assaulted/ill-treated/neglected/sexually abused),

• (OR)

*(the child's health/development/welfare has been/is being avoidably impaired/neglected),

• (OR)

*(the child's health/development/welfare is likely to be avoidably impaired/neglected), and it is desirable that the child be visited periodically by or on behalf of the health board, and

that the welfare of the child so requires,

HEREBY AUTHORISES the .................. Health Board, pending the outcome of the

said investigation, to have the said child	...........................................................................................................

visited on such periodic occasions as the board may consider necessary in order to satisfy itself as to the welfare of the child and to give to (her/her parents) (the person acting in loco parentis) any necessary advice as to the care of the child.

*[AND DIRECTS under section 19 (4) of the Child Care Act, 1991 (as to the care of the child) as follows:—

]

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

• Delete words inapplicable

No. 84.35

O.84, r.20

CHILD CARE ACT, 1991

Section 22

NOTICE OF APPLICATION TO VARY DISCHARGE *A CARE ORDER

A CONDITION DIRECTION ATTACHING TO A CARE ORDER