Official form guide
Form 84A.5 Notice Of Application For Order Extending Period Of Detention - Mental Health Act 2001, Section 25(9) / Section 25(10)
Form 84A.5 is a legal notice used to apply for an extension of detention under the Mental Health Act 2001, specifically under Sections 25(9) or 25(10). This form is used when the initial period of detention is about to expire and needs to be extended.
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Form Overview
Courts Service of Ireland - Form 84A.5 Notice Of Application For Order Extending Period Of Detention - Mental Health Act 2001, Section 25(9) / Section 25(10)
Form 84A.5 is a legal notice used to apply for an extension of detention under the Mental Health Act 2001, specifically under Sections 25(9) or 25(10). This form is used when the initial period of detention is about to expire and needs to be extended.
Risk Radar
Scan points- 1The most common mistake is submitting the form too close to the detention expiry date, leaving no time for court processing.
- 2Missing the deadline for submission
- 3Incomplete medical documentation
- 4Incorrect court jurisdiction
- 5Failure to notify all parties
Plain English
This form tells the court that someone's stay in a mental health facility needs to continue beyond the original timeframe. It's a formal way to request permission to keep someone in care when their treatment isn't complete.
Submission Date
- Filing date: The form must be submitted to the court at least 7 working days before the current detention period expires to allow sufficient time for processing and court hearing.
- 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 when the initial detention period under the Mental Health Act is about to expire
- Use this form when medical professionals determine continued detention is necessary for treatment
- Use this form specifically for Sections 25(9) or 25(10) extensions
- Do not use this form for initial detention orders - that requires different forms
- Do not use this form for voluntary admissions - different procedures apply
Form selector
Use this form or another form?
Initial detention order
Establishes the initial legal basis for detention
✓ Check if this is an initial detention or extension
Review of detention
For court-ordered reviews of ongoing detention
✓ Confirm if this is a review or extension request
Transfer between facilities
For changing detention location
✓ Ensure you're not requesting transfer rather than extension
Discharge from detention
For ending the detention process
✓ Verify you're seeking continuation, not termination
Emergency detention
For immediate detention without prior court order
✓ Check if this is an emergency or planned extension
Deadline or filing window
The form must be submitted to the court at least 7 working days before the current detention period expires to allow sufficient time for processing and court hearing.
Before you submit
- 1All sections of the form are completed
- 2Medical reports from treating professionals are attached
- 3Personal details of the detained person are accurate
- 4Current detention period and expiry date are clearly stated
- 5Reasons for extension are specific and clinically justified
- 6Form is signed by authorized personnel
- 7Copy is retained for your records
- 8Correct court address is used for submission
How to file this form
- 1Obtain the current version of Form 84A.5 from the Courts Service website
- 2Complete all sections with accurate information about the detained person
- 3Collect supporting medical evidence and reports
- 4Have the form signed by authorized medical personnel
- 5Submit to the relevant District Court before the detention expiry date
- 6Attend any required court hearings
- 7Keep a copy of the submitted form and any court orders
Known limitations
- 1This form cannot be used to extend detention beyond the maximum periods allowed by law
- 2The court may refuse the extension if proper procedures aren't followed
- 3Medical evidence must support the need for continued detention
- 4The detained person has legal rights to challenge the extension
- 5Extensions can only be granted for specific treatment purposes
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 Mental Health Act 2001, but always verify the latest version on the Courts Service of Ireland website before use.
What changed or needs a fresh check
- Verify you're using the most recent version of Form 84A.5
- Check that all references to Sections 25(9) and 25(10) are accurate
- Confirm the form includes updated contact information for the Courts Service
- Ensure any recent amendments to the Mental Health Act are reflected
- Check if signature requirements have changed
Quick Facts
Form Details
- Revision date
- 18/10/25
Downloads & source
Sources
- SRCForm issued by Courts Service of Ireland
- SRCRelated to Mental Health Act 2001
- SRCSpecifically for Sections 25(9) and 25(10)
- SRCPurpose is to extend detention period
- SRCSubmitted to District Court
- SRCRequires medical evidence
- SRCDeadline before detention expiry
- SRCNot confirmed in official source: exact submission procedures
Common confusion points
Confusion between initial detention and extension forms
Uncertainty about which court has jurisdiction
Misunderstanding the required medical evidence
Confusion about timeframes and deadlines
Unclear about who can sign the form
Confusion about the detained person's legal rights during the process
Uncertainty about whether the detained person needs to be present at court
Source transparency
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