Form

Victim representations and impact statement to the tribunal: Form T144

This form is for victims to make representations and/or an impact statement to a mental health tribunal.

• From: HM Courts & Tribunals Service
• Published: 1 March 2017
• Last updated: 2 September 2025
  Show all updates

  1. 2 September 2025

     Updated the tribunal's telephone number and address in the form.

  2. 24 June 2025

     The form has been updated to a HTML format and now includes a section where the victim can submit their victim impact statement.

  3. 25 September 2023

     Added new version of the form

  4. 3 October 2018

     Added revised form T144 that includes GDPR information.

  5. 1 March 2017

     First published.

Applies to England and Northern Ireland

• Publication for Scotland
• Publication for Wales

Documents

Victim's representations and impact statement to the tribunal

PDF, 201 KB, 11 pages

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

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Details

You can use this form to:

• propose conditions if the tribunal decides that a patient should be released from hospital
• give a victim impact statement and say whether the victim wants to attend a hearing remotely

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If the form still does not open, contact hmctsforms@justice.gov.uk.

If you need a printed version contact your local court.

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