Official form guide
Form 84.21 – Notice Of Application For A Supervision Order - Child Care Act, 1991 Section 18 (6)
Form 84.21 is a formal notice used when applying for a Supervision Order under Section 18(6) of the Child Care Act, 1991. This form initiates court proceedings where a judge may order supervision of a child's welfare by a Health Service Executive officer or other authorized person.
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Form Overview
Courts Service of Ireland - Form 84.21 – Notice Of Application For A Supervision Order - Child Care Act, 1991 Section 18 (6)
Form 84.21 is a formal notice used when applying for a Supervision Order under Section 18(6) of the Child Care Act, 1991. This form initiates court proceedings where a judge may order supervision of a child's welfare by a Health Service Executive officer or other authorized person.
Risk Radar
Scan points- 1The most common mistake is not providing sufficient evidence that the child's welfare requires supervision.
- 2Missing required information about the child's current situation
- 3Failing to properly document the grounds for supervision
- 4Not attaching necessary supporting evidence
- 5Submitting to the wrong court office
Plain English
This form starts the legal process for a Supervision Order, which means a court official will oversee a child's care arrangements. It's used when someone believes a child needs professional supervision to ensure their safety and well-being.
Submission Date
- Filing date: There is no fixed deadline, but applications should be submitted as soon as possible once the need for supervision is identified to protect the child's welfare.
- 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
- Use this form specifically for applications under Section 18(6) of the Child Care Act, 1991
- This is for Supervision Orders only, not other types of child care orders
- Use when seeking court-ordered professional supervision of a child
- Not for emergency protection orders or interim care orders
Form selector
Use this form or another form?
Emergency protection needed
Emergency orders are immediate and temporary
✓ Check if the situation requires immediate intervention
Interim care order application
Interim orders are for temporary care arrangements before a final decision
✓ Determine if temporary care is needed while awaiting full hearing
Care order application
Care orders transfer parental rights to the HSE for a period
✓ Assess if full care supervision is needed rather than just supervision
Special care order application
Special care orders are for children with complex needs
✓ Evaluate if the child's needs require specialized supervision arrangements
Deadline or filing window
There is no fixed deadline, but applications should be submitted as soon as possible once the need for supervision is identified to protect the child's welfare.
Before you submit
- 1All sections completed with accurate information
- 2Child's full name, date of birth, and address provided
- 3Applicant's details and relationship to child clearly stated
- 4Specific grounds for supervision application documented
- 5Supporting evidence attached and referenced
- 6Form signed by authorized person
- 7Copy retained for personal records
How to file this form
- 1Obtain the official Form 84.21 from the Courts Service website or court office
- 2Complete all sections with accurate information about the child and the supervision needed
- 3Gather supporting evidence such as social work reports or medical assessments
- 4Submit the completed form to the appropriate District Court office
- 5Pay any required court fees if applicable
- 6Obtain a receipt or proof of submission
Known limitations
- 1This form alone does not guarantee a Supervision Order will be granted
- 2The court may request additional information or evidence
- 3Emergency situations may require different forms or procedures
- 4Legal advice may be necessary for complex cases
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.
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Fillable formOpen in Editor->This form is current as of the latest Courts Service guidance. Always verify the version number matches your court requirements before use.
What changed or needs a fresh check
- Check that the form number matches Form 84.21
- Verify the reference to Child Care Act, 1991 Section 18(6) is correct
- Ensure the form is from the Courts Service of Ireland
- Confirm any recent updates to the application requirements
- Check if digital submission is now accepted for your court
Quick Facts
Form Details
- Revision date
- 18/10/25
Downloads & source
Sources
- SRCForm issued by Courts Service of Ireland
- SRCRelated to Child Care Act, 1991 Section 18(6)
- SRCUsed for applications for Supervision Orders
- SRCNot confirmed in official source: specific submission procedures
- SRCNot confirmed in official source: current processing times
- SRCNot confirmed in official source: exact fee requirements
- SRCNot confirmed in official source: digital submission options
Common confusion points
Confusing Supervision Orders with Care Orders
Not understanding the difference between Section 18(6) and other sections of the Child Care Act
Uncertainty about who can apply for a Supervision Order
Misunderstanding what constitutes sufficient grounds for supervision
Confusion about the role of the Health Service Executive in supervision
Not knowing which court office has jurisdiction
Source transparency
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