If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
You can use the form if the money has been paid into court as a result of a court order or defence of tender.
The defendant must sign the form in front of a witness, unless it’s being signed by their solicitor.