Form

Form D6: Make a statement of reconciliation (applications issued before April 2022)

Legal professionals can use this form to tell the court if they've talked to their client about relationship reconciliation and reconciliation services.

• From: HM Courts & Tribunals Service
• Published: 1 April 2011

Documents

Statement of reconciliation

PDF, 372 KB, 1 page

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Datganiad cymodi / Statement of reconciliation

PDF, 142 KB, 1 page

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 [email protected]. Please tell us what format you need. It will help us if you say what assistive technology you use.

Details

Only use this form if the court issued your divorce application before 6 April 2022. If your application was issued on or after 6 April 2022, you will need to use a different form.

Find out more about separating, divorcing or ending a civil marriage.

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

Published 1 April 2011