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.

• From: HM Courts & Tribunals Service
• Published: 1 July 2016
• Last updated: 21 April 2022 — See all updates

Documents

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

PDF, 177 KB, 3 pages

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

PDF, 62.4 KB, 3 pages

This file may not be suitable for users of assistive technology.

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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Published 1 July 2016
Last updated 21 April 2022 + show all updates

1. 21 April 2022

   Updated forms published

2. 1 July 2016

   First published.