Forms
If you are not sure which form to use, or what to do, please contact the Adult Safeguarding Unit on 0161 212 5734, or by emailing adult.safeguarding@salford.gov.uk.
The Department of Health website has more Deprivation of Liberty Safeguards forms.
Downloadable documents
- Mental Capacity Record form (Microsoft Word format, 78kb)
- IMCA Referral form (Microsoft Word format, 216kb)
Managing authority
- Managers Authority Form guide (Adobe PDF format, 85kb)
- F1 Urgent Authorisation form (Rich text format, 350kb)
- F4 Standard form (Rich text format, 969kb)
- F14 Standard Suspension of Authorisation (Rich text format, 207kb)
- F15 Notice that Suspension has been lifted (Rich text format, 122kb)
- F19 Request for a review by the managing authority (Rich text format, 230kb)
Assessor
- Best Interest Assessment form guide (Adobe PDF format, 44kb)
- Best Interests Meeting Record form (Microsoft Word format, 59kb)
- F5 Age assessment (Rich text format, 189kb)
- F7 Mental Capacity Assessment form (Rich text format, 191kb)
- F8 No Refusals Assessment form(Rich text format, 176kb)
- F10 Best Interest Assessment form (Rich text format, 708kb)
- F17 Unauthorised Department of Liberty Assessor report (Rich text format, 204kb)
- F24 Selection of a Representative form (Rich text format, 426kb)
Mental health assessor
- Mental Health Assessor form guide (Rich text format, 172kb)
- F6 Mental Health Assessment (Rich text format, 172kb)
- F7 Mental Capacity Assesment (Rich text format, 191kb)
- F8 No Refusals Assessment (Rich text format, 176kb)
- F9 Eligibility Assessment (Rich text format, 361kb)
Code of practice
If you are unable to view documents of these types, our downloads page provides links to viewing software.
This page was last updated on 12 July 2011
