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Judicial Review
Claim Form
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In the High Court of Justice
Administrative Court
Notes for guidance are available which explain
how to complete the judicial review claim
form. Please read them carefully before you
complete the form.
For Court use only
Seal
Administrative Court
Reference No.
Date filed
SECTION 1 Details of the claimant(s) and defendant(s)
Claimant(s) name and address(es)
name
address
1st Defendant
name
Defendants or (where known) Defendants solicitors
address to which documents should be sent.
name
Telephone no.
Fax no.
address
E-mail address
Claimants or claimants solicitors address to which
documents should be sent.
Telephone no.
Fax no.
name
E-mail address
address
2nd Defendant
name
Telephone no.
Fax no.
E-mail address
Defendants or (where known) Defendants solicitors
address to which documents should be sent.
name
Claimants Counsels details
address
name
address
Telephone no.
Fax no.
E-mail address
Telephone no.
Fax no.
E-mail address
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N461 Judicial review claim form (04.13)
Crown copyright 2013
SECTION 2 Details of other interested parties
Include name and address and, if appropriate, details of DX, telephone or fax numbers and e-mail
name
name
address
address
Telephone no.
E-mail address
Fax no.
Fax no.
Telephone no.
E-mail address
SECTION 3 Details of the decision to be judicially reviewed
Decision:
Date of decision:
Name and address of the court, tribunal, person or body who made the decision to be reviewed.
name
address
SECTION 4 Permission to proceed with a claim for judicial review
I am seeking permission to proceed with my claim for Judicial Review.
Is this application being made under the terms of Section 18 Practice
Direction 54 (Challenging removal)?
Yes
No
Are you making any other applications? If Yes, complete Section 8.
Yes
No
Is the claimant in receipt of a Community Legal Service Fund (CLSF)
certificate?
Yes
No
Are you claiming exceptional urgency, or do you need this application
determined within a certain time scale? If Yes, complete Form N463 and
file this with your application.
Yes
No
Have you complied with the pre-action protocol? If No, give reasons for
non-compliance in the box below.
Yes
No
Yes
No
Have you issued this claim in the region with which you have the closest
connection? (Give any additional reasons for wanting it to be dealt with in
this region in the box below). If No, give reasons in the box below.
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Does the claim include any issues arising from the Human Rights Act 1998?
If Yes, state the articles which you contend have been breached in the box below.
Yes
No
Yes
No
SECTION 5 Detailed statement of grounds
set out below
attached
SECTION 6 Aarhus Convention claim
I contend that this claim is an Aarhus Convention claim
If Yes, indicate in the following box if you do not wish the costs limits
under CPR 45.43 to apply.
If you have indicated that the claim is an Aarhus claim set out the grounds below
SECTION 7 Details of remedy (including any interim remedy) being sought
SECTION 8 Other applications
I wish to make an application for:-
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SECTION 9 Statement of facts relied on
Statement of Truth
I believe (The claimant believes) that the facts stated in this claim form are true.
Full name
Name of claimants solicitors firm
Signed
Position or office held
(if signing on behalf of firm or company)
Claimant (s solicitor)
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SECTION 10 Supporting documents
If you do not have a document that you intend to use to support your claim, identify it, give the date when you expect it
to be available and give reasons why it is not currently available in the box below.
Please tick the papers you are filing with this claim form and any you will be filing later.
Statement of grounds
included attached
Statement of the facts relied on
included
Application to extend the time limit for filing the claim form
included attached
Application for directions
included attached
attached
Any written evidence in support of the claim or
application to extend time
Where the claim for judicial review relates to a decision of
a court or tribunal, an approved copy of the reasons for
reaching that decision
Copies of any documents on which the claimant
proposes to rely
A copy of the legal aid or CSLF certificate (if legally represented)
Copies of any relevant statutory material
A list of essential documents for advance reading by
the court (with page references to the passages relied upon)
If Section 18 Practice Direction 54 applies, please tick the relevant box(es) below to indicate which papers you are
filing with this claim form:
a copy of the removal directions and the decision to which
the application relates
included attached
a copy of the documents served with the removal directions
including any documents which contains the Immigration and
Nationality Directorates factual summary of the case
included
a detailed statement of the grounds
included attached
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attached
Reasons why you have not supplied a document and date when you expect it to be available:-
Signed Claimant (s Solicitor)
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