Form for paying money for a life assurance payment into a Court Funds Office account following a court order.
PDF, 309KB, 1 page
You must get the form sealed by the court.
Include a copy of the affidavit or witness statement when you return the form, and a cheque for the payment.
The court may send this form and the documents directly to the Court Funds Office without a cheque. If that happens, CFO will send you a different form so you can pay the money in.
2 December 2011
Ministry of Justice
Court Funds Office forms
Don’t include personal or financial information like your National Insurance number or credit card details.