From 49.83-A 
 
Form of certificate relating to the making of a maintenance assessment under the Child Support Act 1991 
 
I, Deputy Principal Clerk of Session, certify that notification has been received from the Secretary of State under section 10 of the Child Support Act 1991 of the making of a maintenance assessment under that Act which supersedes the decree [or order] granted on (date) in relation to aliment for (name(s) of child(ren)) with effect from (date). 
 
 (Signed) 
 
 Deputy Principal Clerk of Session 
 
Date: