Between (applicant)
and (respondent)
Take Notice that the applicant intends:
*to apply to the Court for
*to proceed with the application in the [petition][answer] for *to apply to vary:
*delete as appropriate
… an order for maintenance pending … a periodical payments order
suit or outcome of proceedings
… a secured provision order ~ … a lump sum order
… a property adjustment order (please … a pension sharing order or a provide address) pension attachment order
If an application is made for any periodical payments or secured periodical payments for children:
• and there is a written agreement made before 5 April 1993 about maintenance for the beneÞ t of children, tick this box …
• and there is a written agreement made on or after 5 April 1993 about maintenance for the beneÞ t of children, tick this box …
• but there is no agreement, tick any of the boxes below to show if you are applying for payment:
D for a stepchild or stepchildren
D in addition to child support maintenance already paid under a Child Support Agency assessment
D to meet expenses arising from a child’s disability
D to meet expenses incurred by a child in being educated or training for work
D when either the child or the person with care of the child or the absent par-ent of the child
D is not habitually resident in the United Kingdom D Other (please state)
Signed:
Dated:
[Applicant/Solicitor for the Applicant]