1 Start 2 Step 2 3 Step 3 4 Step 4 5 Step 5 6 Step 6 7 Step 7 8 Step 8 9 Step 9 10 Complete ANNEX III CERTIFICATE CONCERNING DECISIONS IN MATTERS OF PARENTAL RESPONSIBILITY (Point (b) of Article 36(1) of Council Regulation (EU) 2019/1111(1)) IMPORTANT To be issued, upon application by a party, with regard to a decision in matters of parental responsibility, by the court of a Member State of origin as communicated to the Commission pursuant to Article 103 of the Regulation. 1. MEMBER STATE OF ORIGIN * - Select -AustriaBelgiumBulgariaCyprusCzechiaGermanyEstoniaGreeceSpainFinlandFranceCroatiaHungaryIrelandItalyLithuaniaLuxembourgLatviaMaltaNetherlandsPolandPortugalRomaniaSloveniaSlovakiaSweden 1. MEMBER STATE OF ORIGIN (2) List of options for 1. MEMBER STATE OF ORIGIN <sup>(2)</sup> Austria Belgium Bulgaria Cyprus Czechia Germany Estonia Greece Spain Finland France Croatia Hungary Ireland Italy Lithuania Luxembourg Latvia Malta Netherlands Poland Portugal Romania Slovenia Slovakia Sweden United Kingdom 2. COURT ISSUING THE CERTIFICATE 2.1. Name * 2.2. Address * 2.3. Tel./fax/e-mail* Tel. * Fax E-mail 3. COURT WHICH GAVE THE DECISION (if different) 3.1. Name 3.2. Address 4. DECISION* 4.1. Date (dd/mm/yyyy) * 4.2. Reference number * Upload file Leave this field blank Download the blank form Save draft Load draft Next Page >