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Provides court-ready guidance on completing applicant and respondent details, statement number, exhibit numbering, and dates. Includes sections for the applicant’s personal information, relationship history, behaviour change timeline, and examples of abusive conduct such as physical, sexual, emotional, threats, harassment, financial abuse, coercive control, and online abuse, plus instructions for attaching and covering exhibits.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/fl401t-template-supporting-statement-0721/281393/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/fl401t-template-supporting-statement-0721/281393.png","ImageObject",442,249,{"name":88,"@type":89},"Aurelia","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the FL401T template designed to help with?","Question",{"text":109,"@type":110},"It helps applicants provide the information required for a court supporting statement for a non-molestation or occupation order. It also guides completion alongside the FL401 application form.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Do I need to submit the template if I prefer to write my own statement?",{"text":114,"@type":110},"A statement must be submitted, but using the template is optional if you prefer your own wording. The guidance in the template can still be helpful.",{"name":116,"@type":107,"acceptedAnswer":117},"How should exhibits be handled when submitting evidence?",{"text":118,"@type":110},"Use the last page coversheet only when submitting exhibits, with one coversheet for each exhibit. 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You must submit a statement but you do not need to use this template if you would prefer to write your own. However, you may still find the guidance helpful.  \nYou should complete your statement, along with an ‘FL401’ application form and take or send both to the court you are applying to by post or email.  \n1. The template consists of statements that you need to complete either by providing the necessary information or by ticking the appropriate box.  \n2. If you are not applying for an occupation order, you should not tick the box when asked in the introduction and leave the occupation order section blank.  \n3. The last page in this document is a template coversheet for any exhibits you submit. An exhibit is another document that you would like the court to see as part of your evidence. This could be:  \n• medical reports  \n• social services reports or letters  \n• print outs of text messages  \n• emails  \nIf you do not want your contact details to be shared with the respondent, do not include your address or any other contact details in any exhibits.  \nOnly include a coversheet if submitting an exhibit – one coversheet for each exhibit.  \nYou’ll find more guidance in on the right-hand side of each page as you complete this statement. [Visit www.advicenow.org.uk/statement-injunction](Visit www.advicenow.org.uk/statement-injunction) for further help and advice.  \n   Page 1  \nFL401T Template supporting statement (07.21) ©Crown copyright 2021  \nSupporting statement coversheet  \nTo be completed by the court  \nCourt name  \nDate issued  \nDay Month Year  \nCase number  \nStatement of the applicant  \nStatement number  \nExhibits  \nDated  \nDay Month Year  \n\n|  |  |  |  |  |\n| --- | --- | --- | --- | --- |\n\nName of applicant  \nName of respondent  \nFIRST STATEMENT OF THE APPLICANT  \nStatement of the applicant: Put the initials of your first name(s) and your surname, for example A B Smith.  \nStatement number:  \nIf only making one statement you should write‘1’ here. If making more than one statement put the appropriate number.  \nExhibits: Number of exhibits you are attaching. See point 3 on guidance page.  \nDated: Put the date you are completing the statement. Applicant: Write your full name.  \nRespondent:  \nThe respondent is the person you are asking for the order to be against. Write their full name.  \n1. Introduction  \n1.1 My full name is First name(s)  \nMiddle name(s)  \nLast name  \n1.2 My full address is Building and street  \nSecond line of address  \nTown or city  \nCounty (optional)  \nPostcode  \n\n|  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n\n1.3 I make this statement in support of my application for anon-molestation order against my  \nwhose full name is First name(s)  \nMiddle name(s)  \nLast name  \nNote 1.2: If you have asked the court to keep your contact details confidential by completing form C8 please write ‘My address is confidential’.  \nNote 1.3: Enter the respondent’s relationship to you, for example, husband.  \n1.4  \n I am also applying for an occupation order  \n I am not applying for an occupation order. Go to question 1.6  \n1.5 The occupation order should be subject to the following address Building and street  \nSecond line of address  \nTown or city  \nCounty (optional)  \nPostcode  \n\n|  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n\nI have provided further information about the address in the enclosed FL401 form. This includes who lives at the address and details about the ownership and/or tenancy arrangements.  \n1.6 If you are asking for a without notice order, please describe in your own words why you feel this is ne","cbCaigDnoEUMC3sv","https://ap.wps.com/l/cbCaigDnoEUMC3sv","pdf",248870,19,"English","# Supporting statement coversheet\n## To be completed by the court\n## Statement of the applicant\n# Introduction\n## Applicant details\n## Occupation order details\n## Without notice request\n# History of your relationship\n## Known each other since\n## Couple date\n## Behaviour change timeline\n# Examples of abusive behaviour\n## Types of abuse\n# Specific incidents (next sections)","[{\"question\":\"What is the FL401T template designed to help with?\",\"answer\":\"It helps applicants provide the information required for a court supporting statement for a non-molestation or occupation order. It also guides completion alongside the FL401 application form.\"},{\"question\":\"Do I need to submit the template if I prefer to write my own statement?\",\"answer\":\"A statement must be submitted, but using the template is optional if you prefer your own wording. The guidance in the template can still be helpful.\"},{\"question\":\"How should exhibits be handled when submitting evidence?\",\"answer\":\"Use the last page coversheet only when submitting exhibits, with one coversheet for each exhibit. If you do not want contact details shared with the respondent, omit your address and other contact information from any exhibits.\"}]","FL401T - Template supporting statement (07.21) | PDF",1789565950]