Deprivation of Liberty Safeguards

2. Make an application

Managing Authorities

To make an application for a Deprivation of Liberty Safeguard or to request a review please email the relevant forms (forms 1, 2 or 10) to DoLSreferrals@stockport.gov.uk

Form 3 BIA Combined Assessments

PDF, 411 KB

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


Form 3A BIA No Deprivation

PDF, 156 KB

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Form 4 Mental Health Eligibility Capacity Assessments

PDF, 74 KB

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Form 5 Standard Authorisation Granted

PDF, 57 KB

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Form 6 Standard Authorisation Not Granted

PDF, 39 KB

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Form 7 Suspension of Standard Authorisation

PDF, 41 KB

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


Form 8 Termination of Representative

PDF, 39 KB

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


Form 9 Ceased DoLS

PDF, 35 KB

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Form 10 Review Request

PDF, 69 KB

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Form 11 IMCA Referral

PDF, 43 KB

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Form 12 Notification to Coroner

PDF, 35 KB

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