STANDARD REQUEST FORM FOR DISCLOSURE OF POLICE INFORMATION FROM
SOLICITORS
Police information will not be disclosed unless there are important considerations of public interest to
justify departure from the general rule of confidentiality. These considerations include the protection
of vulnerable members of society. The information below is provided on the strict understanding that
such information is only for the use of the courts. It will be treated as confidential and will not be
used for any other purpose.
ADVANCE NOTICE OF REQUEST FOR INFORMATION
Request by
Name
Department / Organisation
Contact Telephone Number
Fax Number
Email Address ______________________________________________________________
Date
CASE PROCEEDING AT
(if underway)
HIGH COURT / COUNTY / FAMILY PROCEEDINGS COURT (delete as appropriate)
CASE NO
The next hearing date in this case is listed
for
Advance notice of family proceedings and any request for information should be made as soon as
possible. PLEASE NOTE A MINIMUM OF 20 WORKING DAYS IS REQUIRED FOR
COMPLETION OF THIS DISCLOSURE. Historical criminal/family protection files, photographs and
tape recorded interviews may take longer.
Information is Required by (DATE)
PURPOSE OF THE INFORMATION (Circle as appropriate)
Enquiries connected with Care Proceedings / Other Family Proceedings / Prospective Family Proceedings
(please specify)_________________ / Other (please specify) ___________________
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Are the proceedings PUBLIC proceedings (the applicant is a public authority) or PRIVATE
proceedings (the applicant is a private party)?
Public Proceedings
Private Proceedings
INFORMATION REQUIRED RELATES TO THE FOLLOWING PERSONS:
NAME (S) & Date of Birth OF RELEVANT
CHILD (REN) / (ALLEGED VICTIM (S)):
ADDRESS
NAME (ALLEGED PERPETRATOR (S)):
NAME OF OTHER PARTY / PARENT
[if applicable]:
DoB:
DoB:
ADDRESS:
ADDRESS:
PREVIOUS ADDRESSES IN LAST 2 YEARS
PREVIOUS ADDRESSES IN LAST 2 YEARS
RELATIONSHIP TO CHILD(REN)
RELATIONSHIP TO CHILD(REN)
DETAILS OF OTHER LEGAL REPRESENTATIVES INVOLVED:
Name__________________________________________________________________
Department/Organisation__________________________________________________
Contact Telephone Number ______________________________
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Family Court Proceedings Charges
A distinction is made between ‘public’ and ‘private’ family law proceedings.
‘Public’ proceedings for these purposes can be defined as a case where a Local Authority or other
public body is the applicant in a family law case.
‘Private’ proceeding is one where no Local Authority or public body is the applicant.
‘Public’ family law proceedings will not attract an initial charge to either the applicant or the
respondent(s) though requests for additional copies of material provided will be charged as listed
below.
‘Private’ family law proceedings are chargeable at the rates below.
‘The package’ is a group of most commonly requested items. Items may be selected from the list
as necessary. Only one fee for all requested types of information in this category is charged
The fee is payable to ‘ PCC for MERSEYSIDE’
‘The Package’
1 PNC (convictions & antecedents)
2 Domestic Violence Report
3 Child or Public Protection Report
4 Police attendance at address or call made by
parties (incident logging)
5 Summary of evidence (MG5)
Single items (separately charged)
Occurrence Summary
PNC (convictions & antecedents)
Domestic Violence Report
Child or Public Protection Report
Police attendance at address or call made by
parties (incident logging)
Summary of evidence (MG5)
Full Crime Report
Statement of witness copy with consent
Statement of witness copy without consent
Statement of police officer or staff copy (on file)
Interview with or bespoke statement from Officer
or staff (Approved by Force Solicitor)
Audio tapes
Relevant Intelligence
Video Interviews or other video material (VHS)
CD/DVD
Photographs
(a) copies from digital disc (per disc)
(b) first photograph
(c) Subsequent Photographs
Insert any additional information here.
£82.40 for first 2 hrs
£27.50 per hr thereafter (by
arrangement)
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£16.70
£33:20
£50:00
£47:25
£33:90
£33:20
£83:30
£39:40
£52:40
£33:70
£130:90
£78:60 (per copy)
£47:25
£78:60 (per copy)
£19:30 (per copy)
(a) £ 19.30
(b) £ 25:80
(c) £ 2.90
(a)
(b)
Where appropriate full payment is required by cheque for postal order payable to PCC for
MERSEYSIDE and must accompany this application.
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UNDERTAKING
I have requested copies of all relevant materials (as listed above) in respect of proceedings relating to
(Name of Applicant / Respondent)
I understand that Merseyside Police require payment of the appropriate fee prior to the disclosure of
the material requested (cheques to be made payable to Merseyside Police).
I undertake that:
1) I will ensure that the materials are always kept under secure conditions and not left
unattended in vehicles or otherwise unprotected
2) I will ensure that surplus copies of the materials are destroyed at the conclusion of the case
and only one copy is retained in the archived case papers.
3) I will not release the materials or supply copies of the materials to any other person except:
a. The Court
b. The social workers involved with the child / children
c. Barristers instructed by me / the court
d. Guardians / Experts instructed by me
e. Others – under the instructions of the Court
When the information is released, the receiving party shall be required to sign a form of
undertaking containing the same terms as this undertaking. I will keep a written record of any
person to whom the information is released (under section 3).
4) I will not under any circumstances provide a copy of the materials supplied for retention by my
clients
Dated
Signed
NB: A separate application is required from any other private solicitors involved in this
matter
Please note – searches will not commence until the fee has been paid. Where the
applicant cannot determine the fee, the package fee should accompany the application.
Upon receipt of this application and the appropriate fee the searches will be completed and the
material forwarded within 20 days. In the unlikely situation that a delay occurs you shall be notified
in good time.
Return to:
Merseyside Police
Data Access Unit
Family Court Disclosure Section
PO Box 59
LIVERPOOL
L69 1JD
Tel: 0151 777 1602 / 1680 / 1683
Email: Family.Court.Proceedings@merseyside.pnn.police.uk
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