Hague Convention

Referral Submitted

Thank you - your High Court Hague Convention Child Assessment referral has been received by the HAPii team.
We will be in touch within 2 working days to discuss the court direction, scope, documents, and next steps.

Referral Details

Date of Referral *

Preferred Contact Method *

Level of Urgency *

Next Hearing / Filing Date

Referring Person / Organisation

Name *

Position / Role *

Organisation / Agency *

Contact Phone *

Contact Email *

High Court & Hague Convention Context

High Court Venue / List *

Case / Record Number

Requesting Country / State *

Child's Current Country / Location *

Alleged Habitual Residence

Alleged Removal / Retention Date

Court Direction / Terms of Reference *

Parties / Representatives / Central Authority

Child / Young Person Details

Name(s), Date(s) of Birth & Age(s) *

Current Living Arrangement *

Nationality / Passport Details

Communication, Disability, Cultural or Access Needs

Parents, Carers & Significant Adults

Parent(s) / Guardian(s) *

Current Carer(s) / Key Adults

Siblings / Significant Relationships

Hague Questions & Child-Focused Issues

Reason for Referral *

Current Child-Focused Concerns *

Specific Questions for HAPii to Address *

Child's Views / Voice / Objections

International Background & Current Arrangements

Relevant Family / International History

Current Care / Contact / Cross-Border Arrangements

Current Professional Supports

Safeguarding & Risk

Immediate Risk / Safety Concerns? *

Restrictions / Safety Plan in Place?

Risk / Safeguarding Details

Assessment Scope & Practical Arrangements

Preferred Delivery / Meetings *

Location / Proposed Venues

People to Be Interviewed / Observed

Availability / Timing / Time-Zone Constraints

Preferred Consultant

Declaration

I confirm I have authority to make this referral and that the court direction, consent, information-sharing permissions, and safeguarding arrangements are in place or will be clarified before assessment begins. I understand HAPii may request further information before confirming scope, availability, and suitability.

Additional Notes

Signature (Full Name) *

Date *

HAPii High Court Hague Convention Child Assessment Form

Referral Submitted