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

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
...............................................................................................................................................................	...............................................................................................................................................................	Respondent
(the issuing authority)	(the issuing authority)
---	---	---
TAKE NOTICE that the above-named appellant of	TAKE NOTICE that the above-named appellant of	................................................................
the owner of mechanically propelled vehicle registered number	the owner of mechanically propelled vehicle registered number	the owner of mechanically propelled vehicle registered number
which said vehicle is ordinarily kept at	................................................................................................	................................................................................................

in court area and district aforesaid,

INTENDS TO APPEAL to the District Court at	..........................................................................

on the day of 19 at a.m./ p.m.

AGAINST (the refusal) (the grounds of refusal) of the respondent issuing authority,

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

to grant a test certificate in respect of the said vehicle on the following grounds:-

Dated this	day of	19	19	.
			Signed ................................................................	Signed ................................................................
			Appellant/Solicitor for Appellant	Appellant/Solicitor for Appellant

To the Issuing Authority of the

at

Respondent

*(To

of	)

• Delete where inapplicable

No. 97.2

O.97, r.3 (1)

ROAD TRAFFIC ACT, 1961

Section 33

NOTICE OF APPEAL TO THE DISTRICT COURT

District Court Area of	District No.	District No.
.............................................................................................................................................................	.............................................................................................................................................................	Appellant
..............................................................................................................................................................	..............................................................................................................................................................	Respondent
(the issuing authority)	(the issuing authority)
---	---
TAKE NOTICE that the above-named appellant of	.....................................................................

in court area and district aforesaid,

INTENDS TO APPEAL to the District Court at	..........................................................................

on the day of 19 at .m.

(against the above-named issuing authority's refusal, under section 33 (3) (a*) of the Act, to carry out a test.)

*(against the above-named issuing authority's deferring of a decision, under section 33 (4) of the Act, pending the production of a certificate of fitness.)

*(against the above-named issuing authority's decision under section 33 (4) of the Act.)

Dated this	day of	19	19	.
			Signed .............................................................	Signed .............................................................
			Appellant/Solicitor for Appellant	Appellant/Solicitor for Appellant

To the Issuing Authority of the

at

Respondent

*(To

of	).

• Delete where inapplicable

No. 97.3

O.97, r.3 (1)

ROAD TRAFFIC ACT, 1961

Section 34 (5) (a)

NOTICE OF APPEAL TO THE DISTRICT COURT

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
............................................................................................................................................................	............................................................................................................................................................	Respondent
(the issuing authority)	(the issuing authority)
---	---
TAKE NOTICE that the above-named appellant of	.....................................................................

in court area and district aforesaid,

INTENDS TO APPEAL to the District Court at	..........................................................................

on the day of 19 at .m. *(against the decision of the above-named

issuing authority, of	.........................................................................................................................

under subsection (4) of section 34 of the above Act)

*(against the deferring of a decision by the above-named issuing authority of	......................................

under subsection (4) of section 34 of the above Act pending the production of a certificate of competency).

Dated this	day of	19	19	.
			Signed ...............................................................	Signed ...............................................................
			Appellant/Solicitor for Appellant	Appellant/Solicitor for Appellant

To the Issuing Authority of the

at

Respondent

*(To

of	)

• Delete where inapplicable

No. 97.4

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 18 (8) (c) (ii)

ORDER ON APPEAL

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
............................................................................................................................................................	............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of	...........................................................................................................	...........................................................................................................	...........................................................................................................
the owner of mechanically propelled vehicle registered number	the owner of mechanically propelled vehicle registered number	the owner of mechanically propelled vehicle registered number	............................................................
which said vehicle is ordinarily kept at	which said vehicle is ordinarily kept at	...............................................................................................	...............................................................................................

in court area and district aforesaid, against (the refusal) (the grounds of refusal) by

the Respondent of	...........................................................................................................................

to grant a test certificate in respect of the said vehicle.

THE COURT on the day of 19 ORDERED AND DIRECTED the Respondent to conduct a new test of the said vehicle.

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

• Delete where inapplicable

No. 97.5

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 18 (8) (c) (ii)

ORDER ON APPEAL

• (REFUSAL)

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
.............................................................................................................................................................	.............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of	............................................................................................................	............................................................................................................	............................................................................................................
the owner of mechanically propelled vehicle registered number	the owner of mechanically propelled vehicle registered number	the owner of mechanically propelled vehicle registered number	............................................................
which said vehicle is ordinarily kept at	which said vehicle is ordinarily kept at	..........................................................................................	..........................................................................................

in court area and district aforesaid, against (the refusal) (the grounds of refusal) by

the Respondent of

to grant a test certificate in respect of the said vehicle,

THE COURT on the day of 19 ORDERED that the said appeal be REFUSED.

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

• Delete where inapplicable

No. 97.6

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 33 (3A) (b)

ORDER ON APPEAL

District Court Area of	District No.	District No.
...............................................................................................................................................................	...............................................................................................................................................................	Appellant
.............................................................................................................................................................	.............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of

in the court area and district aforesaid, against the refusal by the Respondent under subsection (3A) (a) of section 33 of the above Act to carry out a test,

THE COURT, being satisfied chat the eyesight or corrected eyesight of the Appellant complied with the prescribed standard,

ORDERED AND DIRECTED the Respondent to test (or cause to be tested) the Appellant under subsection (3) of section 33 of the above Act.

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

No. 97.7

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 33 (5) (a)

ORDER ON APPEAL

District Court Area of	District No.	District No.
...............................................................................................................................................................	...............................................................................................................................................................	Appellant
.............................................................................................................................................................	.............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of

in court area and district aforesaid against the deferring by the Respondent of a decision under subsection (4) of section 33 of the above Act pending the production of a certificate of fitness,

THE COURT on the day of 19 ORDERED AND DIRECTED the Respondent to deal with the Appellant's application without requiring a certificate of fitness.

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

No. 97.8

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 33 (6) (a)

ORDER ON APPEAL

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
...............................................................................................................................................................	...............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of	..............................................................................................................

in court area and district aforesaid, against the decision by the Respondent under subsection (4) of section 33 of the above Act,

THE COURT on the day of 19 being satisfied that the test required by subsection (3) of section 33 of the above Act was not properly conducted ORDERED AND DIRECTED that the Appellant be given a further test.

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

No. 97.9

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 33

ORDER ON APPEAL

• (REFUSAL)

District Court Area of	District No.	District No.
...........................................................................................................................................................	...........................................................................................................................................................	Appellant
.............................................................................................................................................................	.............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of

in court area and district aforesaid,

• (against the Respondent's refusal, under section 33 (3A) (a) of the Act, to carry out a test,)

*(against the Respondent's deferring of a decision, under section 33 (4) of the Act, pending the production of a certificate of fitness,)

*(against the Respondent's decision under section 33 (4) of the Act,)

THE COURT ORDERED that the said appeal be REFUSED.

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

• Delete where inapplicable

No. 97.10

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 34 (5) (a)

ORDER ON APPEAL

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
............................................................................................................................................................	............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of	..............................................................................................................

in court area and district aforesaid,

*(against the decision of the Respondent under subsection (4) of section 34 of the above Act).

*(against the deferring by the Respondent of a decision under subsection (4) of section 34 of the above Act pending the production of a certificate of competency)

THE COURT on the day of 19 ORDERED AND DIRECTED

(here insert Court's directions).

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

• Delete whichever inapplicable

No. 97.11

O.97, r.3 (4)

ROAD TRAFFIC ACT, 1961

Section 34 (5) (a)

ORDER ON APPEAL

• (REFUSAL)

District Court Area of	District No.	District No.
.............................................................................................................................................................	.............................................................................................................................................................	Appellant
............................................................................................................................................................	............................................................................................................................................................	Respondent

UPON THE HEARING OF AN APPEAL on the day of 19

brought by the Appellant of	.............................................................................................................

in court area and district aforesaid

*(against the decision of the Respondent under subsection (4) of section 34 of the above Act)

*(against the deferring by the Respondent of a decision under subsection (4) of section

34 of the above Act pending the production of a certificate of competency)

THE COURT on the day of 19 ORDERED that the said appeal be REFUSED.

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

• Delete where inapplicable

No. 97.12

O.97, r.4 (2)

ROAD TRAFFIC ACT, 1961

Section 28 (1)

NOTICE OF APPLICATION FOR SPECIAL DISQUALIFICATION ORDER

District Court Area of	District No.	District No.
.............................................................................................................................................................	.............................................................................................................................................................	Appellant
.............................................................................................................................................................	.............................................................................................................................................................	Respondent

TAKE NOTICE that the above-named Applicant, an officer of the Garda Síochána

stationed at	..................................................................................................................................................	..................................................................................................................................................
intends to apply to the District Court sitting at	intends to apply to the District Court sitting at	....................................................................................

in court area and district aforesaid on the day of 19 at .m. for an Order declaring you, the above-named Respondent, the holder of a driving licence

and residing at	...............................................................................................................................

in court area and district aforesaid, to be disqualified for holding a driving licence on the grounds that by reason of*

you are unfit to drive a mechanically propelled vehicle.

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

To

of

the above-named Respondent

• Set out disease or physical or mental disability

No. 97.13

O.97, r.4 (2)

ROAD TRAFFIC ACT, 1961

Section 28 (2)

NOTICE OF APPLICATION FOR SPECIAL DISQUALIFICATION ORDER

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
.............................................................................................................................................................	.............................................................................................................................................................	Respondent

TAKE NOTICE that the above-named Applicant, an officer of the Garda Síochána

stationed at	......................................................................................................................................	......................................................................................................................................
intends to apply to the District Court sitting at	intends to apply to the District Court sitting at	....................................................................................

in court area and district aforesaid on the day of 19 at .m. for an Order declaring you, the above-named Respondent, the holder of a driving licence and

and residing at	...............................................................................................................................

in court area and district aforesaid, to be disqualified for holding a driving licence by reason of the fact that you are incompetent to drive a mechanically propelled vehicle.

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

To

of

the above-named Respondent

No. 97.14

O.97, r.4 (5)

ROAD TRAFFIC ACT, 1961

Section 28 (1)

SPECIAL DISQUALIFICATION ORDER

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
............................................................................................................................................................	............................................................................................................................................................	Respondent

UPON HEARING AN APPLICATION duly made to the Court on the day of 19 , by the Applicant, an officer of the Garda Síochána stationed at

................................................................................................................	for an Order declaring the Respondent of
................................................................................................................	in court area and district aforesaid, to be

disqualified for holding a driving licence on the grounds that the said Respondent by reason of*

is unfit to drive a mechanically propelled vehicle;

AND THE COURT being satisfied that at least ten days' notice of the making of the application was given to the Respondent;

THE COURT ORDERED that the said Respondent be disqualified for holding a driving licence until the said Respondent produces to the appropriate licensing authority a certificate of fitness.

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

• Set out disease or physical or mental disability

No. 97.15

O.97, r.4 (5)

ROAD TRAFFIC ACT, 1961

Section 28 (2)

SPECIAL DISQUALIFICATION ORDER

District Court Area of	District No.	District No.
.............................................................................................................................................................	.............................................................................................................................................................	Appellant
.............................................................................................................................................................	.............................................................................................................................................................	Respondent

UPON HEARING AN APPLICATION duly made to the Court on the day of 19 , by the Applicant, an officer of the Garda Síochána stationed at

...............................................................................................................	for an Order declaring the Respondent of
...............................................................................................................	in court area and district aforesaid, to be

disqualified for holding a driving licence on the grounds that the said Respondent is incompetent to drive a mechanically propelled vehicle;

AND THE COURT being satisfied that at least ten days' notice of the making of the application was given to the Respondent;

THE COURT ORDERED that the said Respondent be disqualified for holding a driving licence until the said Respondent produces to the appropriate licensing authority a certificate of competency.

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

No. 97.16

O.97, r.5 (2)

ROAD TRAFFIC ACT, 1961

Section 29 (i) (a)

NOTICE OF APPLICATION FOR THE REMOVAL OF CONSEQUENTIAL DISQUALIFICATION

District Court Area of	District No.	District No.
.............................................................................................................................................................	.............................................................................................................................................................	Applicant
---	---	---
TAKE NOTICE that the above-named Applicant of	TAKE NOTICE that the above-named Applicant of	.....................................................................
intends to apply to the District Court at	...................................................................................................	...................................................................................................

on the day of 19 at .m. for the removal of the consequential disqualification made by Order of the day of 19 at a sitting of the

Court held at	...................................................................................................................................

whereby the Applicant was declared disqualified for holding a driving licence for a period of from the day of 19 .

The said consequential disqualification became effective from the day of 19 .

Dated this	day of	19	19	.
			Signed ..................................................................	Signed ..................................................................
			Applicant or Solicitor for Applicant	Applicant or Solicitor for Applicant

To the Superintendent of the Garda Síochána

at

No. 97.17

O.97, r.5 (2)

ROAD TRAFFIC ACT, 1961

Section 29 (1) (b)

NOTICE OF APPLICATION FOR THE REMOVAL OF ANCILLARY DISQUALIFICATION

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Applicant
---	---	---
TAKE NOTICE that the above-named Applicant of	TAKE NOTICE that the above-named Applicant of	.....................................................................
intends to apply to the District Court at	...................................................................................................	...................................................................................................

on the day of 19 , at .m. for the removal of the ancillary disqualification made by Order of the day of 19 at a sitting of the

Court held at	...........................................................................................................................................

whereby the Applicant was declared disqualified for holding a driving licence for a period of from the day of 19 .

The said ancillary disqualification became effective from the day of 19 .

Dated this	day of	19	19	.
			Signed .................................................................	Signed .................................................................
			Applicant or Solicitor for Applicant	Applicant or Solicitor for Applicant

To the Superintendent of the Garda Síochána

at

No. 97.18

O.97, r.5 (5)

ROAD TRAFFIC ACT, 1961

Section 29 (i) (a)

ORDER FOR THE REMOVAL OF CONSEQUENTIAL DISQUALIFICATION

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

UPON HEARING AN APPLICATION duly made to the Court on the day

of	19	by the Applicant, of	.........................................................................

for the removal of the consequential disqualification made by order of the day

of	19	at a sitting of the Court at	.......................................................................

in court area and district aforesaid whereby the Applicant was declared disqualified for holding a driving licence for a period of from the day of 19 which became effective on the day of 19 ,

AND THE COURT BEING SATISFIED that at least fourteen days' notice of the making of the Application was given to the Superintendent of the Garda Síochána for the district in which the Applicant ordinarily resides and that a period of threenine twenty-one months has now elapsed from the beginning of the period of disqualification,

THE COURT ORDERED that the said disqualification be removed with effect on and from the day of 19 , (being a date not earlier than six months one year*two years after the beginning of the period of disqualification)

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

No. 97.19

O.97, r.5 (5)

ROAD TRAFFIC ACT, 1961

Section 29 (i) (a)

ORDER OF REFUSAL

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

UPON HEARING AN APPLICATION duly made to the Court on the day

of	19	by the Applicant, of	...........................................................................

for the removal of the consequential disqualification made by order of the day

of	19	at a sitting of the Court at	...................................................................

in court area and district aforesaid whereby the Applicant was declared disqualified for holding a driving licence for a period of from the day of 19 which became effective on the day of 19 ,

AND THE COURT BEING SATISFIED that at least fourteen days' notice of the making of the Application was given to the Superintendent of the Garda Síochána for the district in which the Applicant ordinarily resides and that a period of threenine *twenty-one months has now elapsed from the beginning of the period of disqualification,

THE COURT on the day of 19 ORDERED that the said application be REFUSED.

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

No. 97.20

O.97, r.5 (5)

ROAD TRAFFIC ACT, 1961

Section 29 (1) (b)

ORDER FOR THE REMOVAL OF ANCILLARY DISQUALIFICATION

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

UPON HEARING AN APPLICATION duly made to the Court on the day

of	19	by the Applicant, of	...........................................................................

for the removal of the consequential disqualification made by order of the day

of	19	at a sitting of the Court at	......................................................................

in court area and district aforesaid whereby the Applicant was declared disqualified for holding a driving licence for a period of from the day of 19 which became effective on the day of 19 ,

AND THE COURT BEING SATISFIED that at least fourteen days' notice of the making of the application was given to the Superintendent of the Garda Síochána for the district in which the Applicant ordinarily resides and that a period of two months has now elapsed from the beginning of the period of disqualification,

THE COURT ORDERED that the said disqualification be removed with effect on and from the day of 19 (being a date not earlier than three months after the beginning of the period of disqualification).

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

No. 97.21

O.97, r.5 (5)

ROAD TRAFFIC ACT, 1961

Section 29 (1) (b)

ORDER OF REFUSAL

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

UPON HEARING AN APPLICATION duly made to the Court on the day

of	19	by the Applicant, of	...........................................................................

for the removal of the consequential disqualification made by order of the day

of	19	at a sitting of the Court at	.......................................................................

in court area and district aforesaid whereby the Applicant was declared disqualified for holding a driving licence for a period of from the day of 19 which became effective on the day of 19 ,

AND THE COURT BEING SATISFIED that at least fourteen days' notice of the making of the application was given to the Superintendent of the Garda Síochána for the district in which the Applicant ordinarily resides and that a period of two months has now elapsed from the beginning of the period of disqualification;

THE COURT on the day of 19 ORDERED that the said application be REFUSED.

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

No. 97.22

O.97, r.6

ROAD TRAFFIC ACT, 1961

Section 106 (6) (a)

INFORMATION FOR SEARCH WARRANT

District Court Area of	District No.
---	---
THE INFORMATION of	THE INFORMATION of
of	...............................................................................................................................................................

who says on oath—

I am a member of the Garda Síochána.

I say that I have reasonable grounds for believing that an injury has been caused to

person or property in a public place and that a vehicle, namely,	...........................................................

was involved in the injury. Those grounds are as follows:—

I say that I have reasonable grounds for believing that the said vehicle is being kept

in the premises at	............................................................................................................................

in court (area and) district aforesaid. Those grounds are as follows:—

and I hereby apply for a warrant under subsection (6) of section 106 of the above-mentioned Act in relation to those premises.

			Signed ...............................................................	Signed ...............................................................
			Informant.	Informant.
SWORN before me this	SWORN before me this	day of	day of	19
at	...................................................................................	...................................................................................	...................................................................................	...................................................................................
			Signed..................................................................	Signed..................................................................
			Judge of the District Court (or) Peace Commissioner	Judge of the District Court (or) Peace Commissioner

No. 97.23

O.97, r.6

ROAD TRAFFIC ACT, 1961

Section 106 (6) (b)

SEARCH WARRANT

District Court Area of	District No.

WHEREAS on the application under section 106 (6) (a) of the above-mentioned Act made on this day by information on oath and in writing sworn before me, *(a Judge of

the District Court,) *(a Peace Commissioner,) by	the District Court,) *(a Peace Commissioner,) by	.................................................................................	.................................................................................	.................................................................................
of	.......................................................................................	.......................................................................................	a member of the Garda Síochána, for a warrant	a member of the Garda Síochána, for a warrant
under section 106 (6) (b) of that Act in relation to the premises at	under section 106 (6) (b) of that Act in relation to the premises at	under section 106 (6) (b) of that Act in relation to the premises at	under section 106 (6) (b) of that Act in relation to the premises at	..........................................................

in court (area and) district aforesaid, I THINK IT PROPER SO TO DO,

I HEREBY AUTHORISE	I HEREBY AUTHORISE	........................................................................................................	........................................................................................................
of	.................................................................................................................................................	.................................................................................................................................................	member(s) of the

Garda Síochána TO ENTER within one week from the date of this warrant, and if

necessary by the use of force, the said premises at	...............................................................................

in court (area and) district aforesaid, and TO SEARCH the said premises and TO EXAMINE, AND TO TAKE POSSESSION OF for the purposes of examination, any vehicle found during the search.

Dated this	day of	19	19	.
			Signed ..............................................................	Signed ..............................................................
			Judge of the District Court (or) Peace Commissioner	Judge of the District Court (or) Peace Commissioner

To the Superintendent of the Garda Síochána,

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

• Delete where not applicable

No. 98.1

O.98, r.2 (2)

SOCIAL WELFARE (CONSOLIDATION) ACT, 1993

Section 286 (2)

NOTICE OF APPLICATION FOR AN ORDER FOR PAYMENT OF A CONTRIBUTION TOWARDS A BENEFIT ALLOWANCE

District Court Area of	District No.	District No.
...............................................................................................................................................................	...............................................................................................................................................................	Applicant
(a competent authority)	(a competent authority)
............................................................................................................................................................	............................................................................................................................................................	Respondent

WHEREAS under the above-mentioned Act a †

at the rate of £ per week *(increased by the sum of £ per week in respect

of	........................................,	.........................................,	........................................ ,

• *(a) children) within the meaning of section 285 of the said Act) is being paid by the

above-named applicant to a recipient, namely,	above-named applicant to a recipient, namely,	..................................................................................
of	..............................................................................................................................................................	..............................................................................................................................................................

AND WHEREAS the applicant claims that you, the above-named respondent,

of	..............................................................................................................	in court area and district aforesaid,

are the person liable to maintain the said recipient (and the said child(ren), and that you are liable under section 286 (1) of the said Act to contribute to the applicant the sum of £ per week (as determined by the applicant) towards such benefit *allowance,

AND WHEREAS the applicant claims that you have failed or neglected to so contribute, application having been made to you to make such contribution,

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 an order directing you to make such contribution towards the benefit allowance.

Dated this	day of	19	19	.
			Signed ...............................................................	Signed ...............................................................
			Applicant/Solicitor for Applicant	Applicant/Solicitor for Applicant

To

of

the above-named respondent.

• Delete words which are inapplicable

† State whether deserted wife's benefit, deserted wife's allowance, lone parent's allowance or supplementary welfare allowance.

No. 98.2

O.98, r.3 (1)

SOCIAL WELFARE (CONSOLIDATION) ACT, 1993

Section 286 (4)

ORDER DIRECTING PAYMENT OF CONTRIBUTION TOWARDS BENEFIT ALLOWANCE

District Court Area of	District No.	District No.
..............................................................................................................................................................	..............................................................................................................................................................	Applicant
(a competent authority)	(a competent authority)
............................................................................................................................................................	............................................................................................................................................................	Respondent

UPON HEARING AN APPLICATION made to this Court by the above-named applicant for an order under section 286 (4) of the above-mentioned Act directing the

above-named respondent, of	...........................................................................................................

in court area and district aforesaid, to make a contribution of £ per week towards a †

at the rate of £ per week *(increased by the sum of £ per week in respect

of	.......................................................,	.......................................................,	......................................... ,

• (a) child(ren) within the meaning of section 285 of the said Act) which is being paid by

the applicant to a recipient, namely,	the applicant to a recipient, namely,	....................................................................................................	....................................................................................................
of	................................................................................................	................................................................................................	the respondent being the person liable to

maintain the said recipient *(and the said child(ren)),

THE COURT being satisfied that notice of the application was duly served upon the respondent,

having heard the evidence tendered by or on behalf of the applicant *(and the respondent),

being satisfied that the respondent, being the person liable to maintain the said recipient (and the said child(ren)), is the person liable under section 286 (1) of the said Act to make a contribution to the applicant towards the said benefit *allowance,

and being satisfied that the respondent has failed neglected to make such contribution and that the respondent is able to contribute to the benefit allowance granted,

HEREBY FIXES the amount of the contribution to be made by the respondent at the sum of £ per week,

AND HEREBY DIRECTS that the respondent do pay that contribution to the applicant by way of weekly payments of £ , the first of such weekly payments to be made

*(on the seventh day after service of this Order upon the respondent).

(on the day of 19 ).

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

• Delete words which are inapplicable

† State whether deserted wife's benefit, deserted wife's allowance, lone parent's allowance or supplementary welfare allowance.

No. 99.1

O.99, r.2

SUMMONS

(Issued by a Clerk in a matter other than a criminal matter)

District Court Area of	District Court Area of	District Court Area of	District Court Area of	District No.	District No.
Between	Between	.......................................................................................................................................	.......................................................................................................................................	.......................................................................................................................................	.......................................................................................................................................
of	................................................................................................................................................	................................................................................................................................................	................................................................................................................................................	................................................................................................................................................	Applicant
and	and	and	and	and	and
............................................................................................................................................................	............................................................................................................................................................	............................................................................................................................................................	............................................................................................................................................................	............................................................................................................................................................	............................................................................................................................................................
of	................................................................................................................................................	................................................................................................................................................	................................................................................................................................................	................................................................................................................................................	Respondent
(in court area and district aforesaid)	(in court area and district aforesaid)	(in court area and district aforesaid)

WHEREAS an application has been made to me by the above-named applicant on the day of 19 to sign and issue the summons to you, the above-named respondent, in respect of the following matter claimed by the applicant against you, namely, *

THIS IS TO NOTIFY YOU that the said matter will be laid before a 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.

AND TO REQUIRE YOU to appear at the said sitting to answer to the said matter.

Dated this	Dated this	day of	19	.	.
at the District Court Office	at the District Court Office	at the District Court Office	at the District Court Office	at the District Court Office	at the District Court Office
at	..............................................	..............................................	..............................................	..............................................	..............................................
					Signed......................................................
					District Court Clerk assigned to the court area aforesaid.

To

of

the above-named respondent

• State nature of proceedings or matter at issue, with time and place

SCHEDULE D FORMS IN APPEALS TO THE DISTRICT COURT AND TO THE CIRCUIT COURT AND IN CASES STATED FOR THE SUPREME COURT AND FOR THE HIGH COURT

No. 100.1

O.100, r.1 (1)

NOTICE OF APPEAL TO THE DISTRICT COURT

District Court Area of	District No.	District No.
............................................................................................................................................................	............................................................................................................................................................	Appellant
............................................................................................................................................................	............................................................................................................................................................	Respondent
---	---	---
TAKE NOTICE that the above-named appellant, of	....................................................................	....................................................................
will appeal at the sitting of the District Court to be held at	will appeal at the sitting of the District Court to be held at	...................................................................

on the day of 19 at a.m./p.m. from the notice decision

* direction of the above-named respondent, of	* direction of the above-named respondent, of	.....................................................................................	.....................................................................................	.....................................................................................	.....................................................................................
served given on the	day of	day of	19	at	........................................................

*(in court area and district aforesaid) pursuant to section of the

(title of statute)

whereby	(give details of notice, decision or direction)
---	---
Dated this	day of

To

of

the above-named respondent.

*(To

of	).

To the Clerk of the District Court,

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

No. 100.2

O.100, r.

ORDER OF THE DISTRICT COURT ON HEARING AN APPEAL

District Court Area of	District No.	District No.
................................................................................................................................................................	................................................................................................................................................................	Appellant
................................................................................................................................................................	................................................................................................................................................................	Respondent

UPON HEARING AN APPEAL brought before this Court by the above-named

appellant, of	.....................................................................................................................................................	.....................................................................................................................................................	.....................................................................................................................................................	from a
notice decision *direction of the above-named respondent, of	notice decision *direction of the above-named respondent, of	......................................................	......................................................	......................................................
served given on the day of 19 , at	served given on the day of 19 , at	served given on the day of 19 , at	.................................................	.................................................

*(in court area and district aforesaid) pursuant to section of the (title of statute)

whereby (give details of notice, decision or direction).

THE COURT being satisfied that notice of the appeal was duly served upon the respondent *(and upon every other party directly affected by the appeal),

and having heard the evidence tendered by or on behalf of the appellant *(and the respondent),

[and being satisfied that the said appeal ought (not) to be allowed]

[and being satisfied that the notice decision direction appealed from ought to be varied]

HEREBY ORDERS as follows:—

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

*Delete words inapplicable

No. 101.1

0.101, r.1

NOTICE OF APPEAL TO THE CIRCUIT COURT

(CIVIL PROCEEDINGS)

District Court Area of	District No.

(Title of Proceedings)

TAKE NOTICE that (insert here, as appropriate, the Plaintiff/ the Respondent/the Applicant/(or) name the Third Party or other party appealing)

hereby appeals to the Judge of the Circuit Court at the next sitting of the Circuit Court

at

from the (Decree) (Dismiss) *(Order(s)) made by the Judge of the District Court in the above-mentioned proceedings on the day of 19 .

• (OR)

from so much of the (Decree) (Dismiss) *(Order(s)) made by the Judge of the District Court in the above-mentioned proceedings on the day of 19 , as

declared
	(set forth the part complained of)
---	---
Dated this	day of
---	---
To (the opposing Party/Parties)	To (the opposing Party/Parties)
of	....................................................
To the Clerk of the District Court,	To the Clerk of the District Court,
at	....................................................

No. 101.2

0.101, r.1

NOTICE OF APPEAL TO THE CIRCUIT COURT

(CRIMINAL PROCEEDINGS)