Fillable Apply for help with Court of Protection fees (Cabinet Office)

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Apply for help with Court of Protection fees (Cabinet Office)

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page 1
Apply for help with Court of Protection fees
You may not have to pay a Court of Protection fee, or you may get some money o.
Complete this form using
CAPITAL LETTERS.
The information you
provide will act as
evidence to support your
application. We’ll contact
you if we need to see
additional evidence.
This form is for use in the
Court of Protection only.
No
Yes, the case number is
4. Do you have a case number?
Title
First and middle names
Last name
Date of birth
National Insurance number
1. About the person the application relates to
Reference (office use only)
COP44A Apply for help with Court of Protection fees (09.21) © Crown copyright 2021
Title First and middle names
Last name
Date of birth National Insurance number
2. Your personal details (the applicant)
3. What does the application relate to?
Property and Aairs
Health and Personal Welfare
Property and Aairs
– the information on
capital and income
should be based on the
circumstances of the
person (who lacks or
may lack capacity) the
application relates to.
Health and Personal
Welfare – the
information on capital
and income should
be based on the
circumstances of the
person who is making
the application (the
applicant).
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page 2
Savings – include all
savings and investments,
eg ISAs. Please refer to
the Guide COP44B –
Applying for help with
Court of Protection Fees
for information regarding
savings and investments.
If the fee payer has more
than £16,000 then they’re
unlikely to get help with
their fees.
Less than £3,000 go to question 8
More than £3,000 go to question 7
6. Does the person responsible for paying the fee have more than
£3,000 in savings and investments?
No. How much do they have in savings and investments?
(including their partner if they have one)
£
Yes. How much do they have in savings and investments?
(including their partner if they have one)
Less than £16,000
More than £16,000
7. Is the person responsible for paying the fee 61 or over?
8. Does the person responsible for paying the fee receive any of
the benets listed below?
Benets - if the fee payer
is receiving any of these
benefits, they’re likely to
get help with their fees.
We’ll contact the
Department of Work and
Pensions to confirm that
they are (or were) getting
one of these benefits.
•
Income-based Jobseeker’s Allowance (JSA)
•
Income-related Employment and Support Allowance (ESA)
•
Income Support
• Universal Credit (and they’re earning less than £6,000 a year)
•
Pension credit (guarantee credit)
No go to question 9
Yes go to question 12
Refunds – you can apply
for a refund if a Final Order
has been issued by the
Court of Protection in the
last three months and you
think the fee payer would
have been entitled to a
reduced fee at the time of
the Order.
No
Yes, the fee was paid on
5. Has the fee already been paid?
Single
Married or living with someone and sharing an income
9. What is the status of the person responsible for paying the fee?
page 3
Single Part of a couple
Maximum
income
£1,170 plus £265 for
each child
£1,345 plus £265 for
each child
For example:
1 child £1,435 £1,610
2 children £1,700 £1,875
Monthly income Partner’s
monthly income
(if applicable)
Wages (before tax or national insurance deductions)
£ £
Child Benet
£ £
Working Tax Credit
£ £
Child Tax Credit
£ £
Maintenance payments
£ £
Contribution-based Jobseekers Allowance (JSA)
£ £
Contribution-based Employment and Support Allowance (ESA)
£ £
Universal Credit (and earning more than £6,000 a year)
£ £
Pensions (state, work and private)
£ £
Rent from anyone living with them
£ £
Rent from other properties owned
£ £
Other monthly income:
£ £
Total monthly income
£ £
Financially dependent children –
include those living with the fee payer
(up to 19 years old in full-time education)
as well as those the fee payer pays
maintenance for.
10. Has the person responsible for paying the fee any
nancially dependent children?
11. What is the total monthly income, before tax and National Insurance of the person
responsible for paying the fee?
No
Yes, nancially dependent children
Total monthly income – the person
responsible for paying the fee may not get a
full fee reduction if they (and their partner’s)
monthly income is more than the amount in
the table on the right. You may be asked to
provide additional evidence of income.
Health and Personal Welfare cases – include the income of your partner, if you have one.
Property and Aairs cases – do not include the income of the fee payer’s partner (if they have one).
Some benefits shouldn’t be included – eg Carer’s Allowance, Housing Benefit or childcare element of
Working Tax Credit.
page 4
Address
Postcode
Email
Phone
12. Your contact details
13. Declaration and statement of truth
Return your
completed form to:
Court of Protection
PO Box 70185
First Avenue House
42 – 49 High Holborn
London
WC1A 9JA
DX 160013 Kingsway 7
Please make sure you
have completed all the
relevant questions and
signed the declaration.
Oce use only
Risk controls
Full name
Band
Date
Name of oce Amount remitted
£
Amount to pay
£
Checked by
Full name
Band
Date
I believe the information I have given in this form is true to the best of my
knowledge. If I am found to have been deliberately untruthful or dishonest,
criminal proceedings for fraud can be brought against me.
I understand that if I have given false information or I do not provide further
evidence if requested, my application may be rejected and the full fee will
be payable.
Full name
Signature Date signed
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Apply for help with Court of Protection fees (Cabinet Office)

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Completed 15 March 2022

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