Official form guide
Form 55B - Statement of Particulars - Assisted Decision-Making (Capacity) Act 2015
Form 55B is a Statement of Particulars used for applications under the Assisted Decision‑Making (Capacity) Act 2015. It must accompany a capacity application to the court.
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Form Overview
Courts Service of Ireland - Form 55B - Statement of Particulars - Assisted Decision-Making (Capacity) Act 2015
Form 55B is a Statement of Particulars used for applications under the Assisted Decision‑Making (Capacity) Act 2015. It must accompany a capacity application to the court.
Risk Radar
Scan points- 1Often forgotten: attach copies of any existing agreements or orders.
- 2Missing affidavit verification
- 3Leaving relationship box blank
- 4Failing to attach copies of existing powers of attorney
- 5Omitting health or living‑arrangement details
Plain English
You fill this form to tell the court about a person's health, living situation and any existing decision‑making agreements. It helps the judge decide if the person can make a particular decision.
Submission Date
- Filing date: No specific filing deadline is stated in the source; the form must be filed with the capacity application.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- When applying to a court for a declaration of capacity for a Relevant Person.
- When the application relates to any decision‑making assistant, representative, co‑decision‑maker or similar role.
- When the court requires a detailed factual summary and verification by affidavit.
- When the Relevant Person may have existing powers of attorney, advance directives or court orders that affect capacity.
Form selector
Use this form or another form?
Applying for a decision‑making assistant
55A starts the case; 55B supplies the factual background.
✓ Verify you have both forms before filing.
Seeking a decision‑making representation order
55C is the order itself; 55B provides the particulars.
✓ Attach 55B to the order application.
Requesting a review of an existing enduring power of attorney
Use the appropriate ADMC review form.
✓ Confirm the matter is a review, not a new capacity declaration.
Deadline or filing window
No specific filing deadline is stated in the source; the form must be filed with the capacity application.
Before you submit
- 1Enter the Relevant Person’s full name, date of birth and contact details.
- 2Select the correct relationship or capacity role of the applicant.
- 3State whether court consent under s.36(3) has been obtained, if applicable.
- 4Summarise material facts, health, living arrangements and any prior wardship.
- 5Explain the benefit sought and why less intrusive options have failed.
- 6List any existing decision‑making agreements, powers of attorney or directives.
- 7Declare any personal beliefs or values that affect the decision.
- 8Attach copies of any agreements, court orders or supporting evidence.
- 9Sign and have the form verified by an affidavit.
- 10Keep a copy for your records before filing.
How to file this form
- 1Complete all sections of Form 55B in plain English.
- 2Prepare a grounding affidavit and have it signed before a commissioner.
- 3Gather copies of any relevant agreements, orders or medical reports.
- 4File the form, affidavit and attachments at the Circuit Court handling the case.
- 5Pay any required filing fee and obtain a receipt.
- 6Record the court’s reference number on your copy.
Known limitations
- 1Only for applications under Part 5 of the ADMC Act 2015.
- 2Must be accompanied by a sworn affidavit; the form alone is insufficient.
- 3Does not replace the need for a separate application form (e.g., 55A).
- 4Information not covered in the source may be required by the court.
Field map
Compact field-by-field guide
Proceedings
3 items
The names of the parties exactly as they appear on the originating document.
The court record number for the case, if one has been assigned.
The court and the office where the document is being filed.
Substance
2 items
What you are asking the court to do, or the information the form requires.
The facts relied on and any documents exhibited with the filing.
Execution
1 items
Signed, sworn or certified as the form requires, with proof of service where needed.
Almost done reviewing the fields?
Fillable formOpen in Editor->Form 55B is the current Statement of Particulars for capacity applications under Part 5 of the Assisted Decision‑Making (Capacity) Act 2015. No amendment is noted in the source.
What changed or needs a fresh check
- Confirm the form header shows Part 5 of the ADMC Act 2015.
- Check that the affidavit verification box is present.
- Verify sections for existing agreements, orders and personal beliefs are included.
- Ensure the “Benefit” and “Reasons” sections are numbered as in the source.
Quick Facts
Form Details
- Revision date
- 10/04/25
Sources
- SRCForm header shows Part 5 of the ADMC Act 2015confirmed in source p.1.
- SRCRelationship options listconfirmed in source p.1.
- SRCAffidavit verification requirementconfirmed in source p.1.
- SRCCourt consent question under s.36(3)confirmed in source p.2.
- SRCMaterial facts, health and living arrangements sectionsconfirmed in source p.4.
- SRCBenefit and reasons sectionsconfirmed in source p.6 and p.7.
- SRCExisting agreements and instruments checklistconfirmed in source p.8 and p.9.
- SRCBeliefs and values questionconfirmed in source p.10.
Common confusion points
Mixing up the applicant’s relationship options (e.g., spouse vs co‑decision‑maker).
Leaving the “court consent” question unanswered when it applies.
Omitting copies of existing powers of attorney or directives.
Failing to explain why less intrusive options have been tried.
Not attaching the affidavit that verifies the information.
Using the form for matters outside Part 5 of the ADMC Act.
Source transparency
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