5. Cases with an international element state? Complete this section if you have ticked the relevant box on the Do you have any reason to front of this form. believe that any child, parent or potentially significant adult Yes No in the may be child’s life habitually resident in another If Yes, please give details No Do you have any reason to believe that there may be If Yes, please give an issue as to jurisdiction details in this case (for example under Brussels 2 revised)? authority in England and Wales? Has a request been made or should a request be Yes No made to a Central Authority or other If Yes, please give competent authority in a details foreign state or a consular
5. Cases with an international element Do you have any reason to believe that any child, parent or potentially significant adult in the child’s life may be habitually resident in another state? Complete this section if you have ticked the relevant box on the front of this form. Yes No If Yes, please give details Do you have any reason to believe that there may be an issue as to jurisdiction in this case (for example under Brussels 2 revised)? No If Yes, please give details Has a request been made or should a request be made to a Central Authority or other competent authority in a foreign state or a consular authority in England and Wales? Yes No If Yes, please give details
Form%20C110A_0414_v2b.docx