Deprivation of Liberty Safeguards (DoLS)

Use these forms to notify us of Deprivation of Liberty Safeguards requests and/or authorisations.

It is your legal responsibility to tell us about events that take place in your service. Under Section 31(1) Care Standards Act 2000 you must notify us of any Deprivation of Liberty requests and/or authorisations.

Please download the form below, complete and return to your regional office.

If you send your completed form by secure email, you do not need to send us a hard copy.

Reference to ‘Care and Social Services Inspectorate Wales’ (CSSIW) in the documents on this page should be read as ‘Care Inspectorate Wales'.


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Concerns about care? Please let us know if you have any concerns about us, a service, or a member of care staff. Raise a concern