Form

CW5: financial eligibility form for clients wanting family mediation

Controlled work form for legal aid clients requesting family mediation, with section to be signed by the mediator.

• From: Legal Aid Agency
• Published: 1 April 2013
• Last updated: 3 February 2025
  Show all updates

  1. 3 February 2025

     Published new version with updated privacy notice.

  2. 3 August 2023

     Published new version for phase 1 of the Means Test Review.

  3. 13 July 2022

     Published new version with updated privacy notice.

  4. 24 November 2021

     Published new version with updated privacy notice.

  5. 1 February 2021

     Corrected version of the CW5 form uploaded.

  6. 28 January 2021

     The CW5 form has been updated

  7. 23 December 2020

     Published new version with updated privacy notice. These changes are part of our preparations for exiting the European Union once the transition period ends on 31 December 2020.

  8. 25 May 2018

     Published new version with updated privacy notice. These changes are part of our preparations for new data protection legislation (GDPR) which comes into force on 25 May 2018.

  9. 1 April 2013

     First published.

Applies to England and Wales

Documents

CW5: Help with Family Mediation

PDF, 751 KB, 14 pages

This file may not be suitable for users of assistive technology.

Request an accessible format

If you use assistive technology (such as a screen reader) and need a version of this document in a more accessible format, please email LAAReasonableAdjustmentRequests@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Mediator’s section:

• mediation details
• signature

Client’s sections:

• eligibility
• capital
• income
• certification

Solicitor’s sections:

• certification