Form

Juror's childcare / vulnerable adult / elderly care provision expenses claim: Form 5223B

Use this form to claim extra costs incurred for childcare, or the care of elderly or vulnerable adults, during jury service.

Documents

Juror's childcare / vulnerable adult / elderly care provision expenses claim

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 hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Ffurflen hawlio treuliau i Reithwyr ar gyfer darpariaeth gofal plant / gofal i oedolion bregus neu oedrannus

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 hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

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Updates to this page

Published 1 July 2016
Last updated 21 April 2022 + show all updates
  1. Updated forms published

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