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: 24 June 2025 — See all updates

Applies to England and Northern Ireland

• Publication for Scotland
• Publication for Wales

Documents

Victim's representations and impact statement to the tribunal

PDF, 245 KB, 12 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 hmctsforms@justice.gov.uk. Please tell us what format you need. It will help us if you say what assistive technology you use.

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

Open a document

You can download and open PDF documents on your device. Downloading enables more features to be used, such as printing.

Adobe Reader is a free to use PDF viewer. You can use this to view, fill in and print PDF documents. You do not need to sign up for a free trial.

Follow these steps:

1. Download Adobe Reader for free.
2. Right-click on the document link then select ‘Save link as’ or ‘Download linked file’.
3. Save the form (in your ‘documents’ folder, for example).
4. Open Adobe Reader and then select the saved form.

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

If you need a printed version contact your local court.

Find more court and tribunal forms by category.

Find out how HM Courts & Tribunals Service uses personal information you give when you fill in a form.

Published 1 March 2017

Last updated 24 June 2025 + show all updates

1. 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.

2. 25 September 2023

   Added new version of the form

3. 3 October 2018

   Added revised form T144 that includes GDPR information.

4. 1 March 2017

   First published.