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Judicial Review Claim Form
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In the High Court of Justice Administrative Court
Notes for guidance are available which explain how to complete the judicial review claim form. Please read them carefully before you complete the form. For Court use only
Seal
Administrative Court Reference No. Date filed SECTION 1 Details of the claimant(s) and defendant(s) Claimant(s) name and address(es) name
name
Secretary of State for Work and Pensions
Declan Heavey address
Defendant’s or (where known) Defendant’s solicitors’ address to which documents should be sent.
Suite 101 254 Pentonville Road London N1 9JY Telephone no.
1st Defendant
name
DWP Legal Group - Litigation Division Fax no.
078 8043 7681 E-mail address
dheavey@gmail.com
Claimant’s or claimant’s solicitors’ address to which documents should be sent.
address
5th Floor, The Adelphi 1-11 John Adam Street London WC2N 6HT Telephone no.
020 7962 8000
name
Fax no.
020 7962 8924
E-mail address address
2nd Defendant name
Telephone no.
Fax no.
E-mail address
Defendant’s or (where known) Defendant’s solicitors’ address to which documents should be sent. name
Claimant’s Counsel’s details
address
name
address
Telephone no.
Fax no.
E-mail address Telephone no.
Fax no.
E-mail address
1 of 6 N461 Judicial review claim form (04.13)
© Crown copyright 2013