FORM 35A.4
Form of certificate of intimation
Rule 35A.4(1)

VULNERABLE WITNESSES (SCOTLAND) ACT 2004 Section 12
CERTIFICATE OF INTIMATION
Cause Reference No.

I, (name and designation) certify that I intimated the child witness notice [or vulnerable witness application] relating to (insert name of witness) to (insert names of parties or solicitors for parties, as appropriate) by (insert method of intimation) on (insert date of intimation).
Date: …………

…………………(Signed)
Solicitor [or Agent]
(include full business designation)