Form

CW5: financial eligibility form for clients wanting family mediation

Controlled work form for legal aid clients requesting family mediation, with section to be signed by the mediator.

Applies to England and Wales

Documents

CW5: Help with Family Mediation

Request an accessible format.
If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email LAAReasonableAdjustmentRequests@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Mediator’s section:

  • mediation details
  • signature

Client’s sections:

  • eligibility
  • capital
  • income
  • certification

Solicitor’s sections:

  • certification

Updates to this page

Published 1 April 2013
Last updated 3 August 2023 + show all updates
  1. Published new version for phase 1 of the Means Test Review.

  2. Published new version with updated privacy notice.

  3. Published new version with updated privacy notice.

  4. Corrected version of the CW5 form uploaded.

  5. The CW5 form has been updated

  6. Published new version with updated privacy notice. These changes are part of our preparations for exiting the European Union once the transition period ends on 31 December 2020.

  7. Published new version with updated privacy notice. These changes are part of our preparations for new data protection legislation (GDPR) which comes into force on 25 May 2018.

  8. First published.

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