You dont say why you have interim residence, but I am guessing that mother is not fit to have the child.
Your statement should be headed up with the heading of the case..i.e. in xxxx County Court, the case number and refer to In the matter of child's name (dob .....). State the names of the parties, and Applicant and Respondent.
In the centre head it Statement of KF83
The paragraphs of the statement should numbered.
State your name and address and I am the Applicant in these proceedings. The Respondent is xxx of (address) and she is the mother of my son/daughter name and date of birth).
Next para insert Statement of truth I make this statement conscientiously believing the same to be true to the best of my belief and knowledge and in the knowledge that this statement will be placed before the Court as evidence in these proceedings
Next para I make this Statement further to the Order of the Court of xxxxx.
In the next paragraph state your address, i.e. I live at xxx. This is a (2) bedroomed property with lounge kitchen,bathroom, garden.
In the next paragraph state briefly (i.e. as the Court is aware because of this that and the other interim contact was granted to you on xxxx.....)
In the next paragraph state what contact you propose mother should have, state whether you want contact to be supervised or not. State why that contact is suitable for you, the child, i.e. I propose mother has contact o Monday (state time 10 a.m. until 4.00 p.m.)and a Saturday (state the time from and to again)
In the next para state contact for school holidays
In the next para state contact for xmas, easter etc
The final paragraph must also include a statement of truth "I make this statement conscientiously believing the same to be true to the best of my belief and knowledge and in the knowledge that this statement will be placed before the Court as evidence in these proceedings.
Sign and date your statement.
Send three copies to the Court
I will be happy to look the statement over for you ...as long as its okay with the Forum, don't mean to overstep boundaries. 🙂