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Sorry if I'm missing the point but I'd never sign an enpty form myself.
What's to stop you filling it in, having it checked, sending it to her then getting it back and submitting it?
Where the downside to that?
Do you both need to sign or is the referral just meant to come from her?
So, perhaps, send her a complete form without your signature to prevent her sending it in with amendments.
Get that form checked after she's signed it and if it's not correct get a letter from the centre explaining why they've rejected it.
You then have evidence to attach to your letter to the court.