Section 7 (or section 52 or section 56 or section 62 or section 66), Domestic Violence Act 1995
(Front page—Form DV 1)
*Application for protection order
I, [full name], apply (*without notice) for a protection order against [full name], the respondent.
*Request for direction to protect specified persons
[Note: A protection order automatically protects children of the applicant's family.]
I also seek a direction that the protection order apply for the benefit of [full name].
*Request for protection from respondent's associates
I also seek a direction that the protection order apply against [full name], the associated respondent.
*Request for special conditions
I request that the following special conditions be part of the protection order: [set out in sufficient detail the nature of the special conditions sought, eg, a condition specifying a person who, for the purposes of sections 19(2), 20, and 28 of the Domestic Violence Act 1995, is entitled to consent on behalf of a protected person].
*Request for direction relating to standard condition relating to weapons
[Note: This request may be made only if the application is on notice.]
I seek—
*Request for provision of programme
I request the Registrar to authorise the provision of a programme to the following person(s): [full name(s)].
*Application for occupation order (or tenancy order)
*I apply (*without notice) for an occupation order granting me the right to personally occupy the dwellinghouse situated at [full address] (*for a period of [state if order sought for specific period]).
*I request that the occupation order be made on the following terms and conditions: [specify any terms and conditions sought].
*I apply (*without notice) for a tenancy order vesting in me the tenancy of the dwellinghouse situated at [full address].
*Application for ancillary furniture order
I apply for an ancillary furniture order granting me the possession and use of—
*(b) the following furniture, household appliances, and household effects in the dwellinghouse situated at [full address]: [specify the items. It is not necessary to specify every item as long as the items in respect of which the application is made are readily ascertainable]—
*for a period of [state if order sought for a specific period].
*I request that the ancillary furniture order be made on the following terms and conditions: [specify any terms and conditions sought].
*Application for furniture order
I apply (*without notice) for a furniture order granting me the possession and use of—
*(b) the following furniture, household appliances, and household effects in the dwellinghouse situated at [full address]: [specify the items. It is not necessary to specify every item as long as the items in respect of which the application is made are readily ascertainable]—
*for a period of [state if order sought for a specific period].
*I request that the furniture order be made on the following terms and conditions: [specify any terms and conditions sought].
Affidavit in support
I rely on the content of the affidavit dated [date] filed in support of this application (or these applications).
*Previous proceedings
*The parties to this application were the parties (or some of the parties) to a previous application—
and that previous application was filed in a court other than the court in which this application is filed.
*The file number of that previous application is [specify].
or
*[State other information that may assist in identifying the file.]
*The previous application was filed in the [specify] Court at [place].
*I request that all documents relating to the previous application be transferred to the court in which this application is filed.
...........................
Signature of applicant
...........................
Date
*Certificate of lawyer
[Note: Complete if applying without notice for a protection order or a property order, or both, and the application is not intended to be made by the applicant in person.]
I certify that—
...........................
Lawyer for applicant
...........................
Date
*Date of hearing
[Note: The Registrar must complete the following appointment for a hearing—
I appoint [date] at [time] at the Family Court at [place] for the hearing of this application (or these applications).
...........................
Registrar
...........................
Date
Notes
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Information sheet
A completed information sheet (Form G 7) must accompany this application. An applicant may request that his or her residential address be kept confidential. See rule 311 of the Family Courts Rules 2002.
Affidavit in support
An affidavit in form DV 4 must be filed with this application.
Notice to Police
If applying for a protection order, a notice in form DV 6 must be filed with this application.
Application may be made on behalf of another person
A person may be appointed by the court to make this application on behalf of another person (including a child). See sections 9, 11, 12, and 73 of the Domestic Violence Act 1995.
Domestic Violence Act 1995
(Front page—Form DV 1)
I, [full name], of *[address], [occupation], swear (or affirm):
3 The nature of my domestic relationship with the respondent is as follows: [state sufficient facts to indicate the nature of the domestic relationship with the respondent (ie, whether a present or former spouse or partner, family or household member, or a close personal relationship) and its duration (if applicable)].
*Facts in support of application for protection order
[Note: Complete paragraphs 4 to 16 (where applicable) if applying for protection order.]
*Facts relating to respondent
or
or
[Note: The Domestic Violence Act 1995 defines a weapon as any firearm, airgun, pistol, restricted weapon, ammunition, or explosive, as those terms are defined in the Arms Act 1983.]
*Facts relating to special conditions
[Note: Complete paragraph 6 if applying for special conditions.]
*Facts relating to other person to be protected by protection order
[Note: Complete paragraphs 7 to 12 if seeking a direction that the order protect another person. The order will automatically protect children of the applicant's family.]
*8 The nature of my domestic relationship with [full name] is as follows: [state sufficient facts to indicate the nature of the domestic relationship (ie, whether a spouse or partner, a family or household member, or a close personal relationship)].
or
*Facts relating to associated respondent
[Note: Complete paragraphs 13 to 15 if seeking a direction that the order apply to the associated respondent.]
*13 The respondent is encouraging (or has encouraged) [full name], the associated respondent, to engage in behaviour against me (or a child of my family or the person referred to in paragraph 7) that would amount to domestic violence if it were engaged in by the respondent: [state sufficient facts to indicate the way in which the respondent is encouraging or has encouraged the associated respondent's behaviour].
or
or
[Note: The Domestic Violence Act 1995 defines a weapon as any firearm, airgun, pistol, restricted weapon, ammunition, or explosive, as those terms are defined in the Arms Act 1983.]
*Facts in support of application for protection order without notice
[Note: Complete paragraph 16 if applying for a protection order without notice to the respondent.]
*Facts in support of application for occupation order
[Note: Complete paragraphs 17 to 19 (where applicable) if applying for occupation order.]
*Facts in support of application for tenancy order
[Note: Complete paragraphs 20 to 22 (where applicable) if applying for tenancy order.]
*Facts in support of application for ancillary furniture order
[Note: Complete paragraphs 23 to 25 (where applicable) if applying for ancillary furniture order.]
*24 The respondent and I have lived in the same dwellinghouse at the same time for [state period during which you and the respondent lived in same house at same time] and I am (or I will be) living in the dwellinghouse specified in paragraph 23. [If not currently living in the dwellinghouse, give sufficient information to indicate intention to return. If seeking particular terms or conditions, indicate the reasons for doing so.]
*25 The following people have an interest in the furniture, household appliances, and household effects that would be affected by the making of an ancillary furniture order: [list names of people and their addresses, and state the nature of their interests].
*Facts in support of application for furniture order
[Note: Complete paragraphs 26 to 31 (where applicable) if applying for furniture order.]
*30 The furniture, household appliances, and household effects in respect of which I am seeking a furniture order are reasonably required to equip another dwellinghouse in which I am living (or will live) (or a child of my family lives (or will live) or both I and a child of my family are living (or will live)): [state sufficient facts to indicate the reasons for these statements. If seeking particular terms or conditions, indicate the reasons for doing so].
*31 The following people have an interest in the furniture, household appliances, and household effects that would be affected by the making of a furniture order: [list names of people and their addresses, and state the nature of their interests].
*Facts in support of application for property order without notice
[Note: Complete paragraph 32 if applying for a property order without notice to the respondent.]
[State sufficient facts to indicate the reasons for these statements.]
*Other facts in support of application
[Set out sufficient information to inform the court of any other facts relied on in support of each application.]
...........................
Signature of deponent
Sworn (or Affirmed) at [place], this [date], before me:
...........................
Registrar
(or Solicitor of the High Court
or Justice of the Peace)
Notes
Schedule 5 form DV 4: amended, on 26 April 2005, by section 8(2) of the Relationships (Statutory References) Act 2005 (2005 No 3).
Domestic Violence Act 1995
Applicant
Full name: ...................................................................
*Residential address: ...................................................................
*Contact telephone number(s):
....................*[home] ....................*[work]
| *These details must not be disclosed to the respondent or associated respondent. |
Respondent
Full name: ...................................................................
Residential address: ...................................................................
Occupation: ...................................................................
Name and address of employer: ...................................................................
Contact telephone number(s):
....................[home] ....................[work]
Date of birth: ......./......./....... Age in years: .......
*Associated respondent
Full name: ...................................................................
Residential address: ...................................................................
Occupation: ...................................................................
Name and address of employer: ...................................................................
Contact telephone number(s):
....................[home] ....................[work]
Date of birth: ......./......./....... Age in years: .......
Information about firearms licence and weapons
[Note: Circle the appropriate answer. Please see the note at the end of this form about what is a weapon.]
| 1 | Does the respondent have a firearms licence? | | yes | | no | | unknown |
| *2 | Does the associated respondent have a firearms licence? | | yes | | no | | unknown |
| 3 | Does the respondent have access to a weapon? | | | | | | |
| | at home | | yes | | no | | unknown |
| | at work (eg, sporting goods shop) | | yes | | no | | unknown |
| | through part-time work (eg, territorial soldier) | | yes | | no | | unknown |
| | through sporting interests (eg, gun club) | | yes | | no | | unknown |
| | through a relative or friend | | yes | | no | | unknown |
| *4 | Does the associated respondent have access to a weapon? | | | | | | |
| | at home | | yes | | no | | unknown |
| | at work (eg, sporting goods shop) | | yes | | no | | unknown |
| | through part-time work (eg, territorial soldier) | | yes | | no | | unknown |
| | through sporting interests (eg, gun club) | | yes | | no | | unknown |
| | through a relative or friend | | yes | | no | | unknown |
[Note: If you answered yes to any part of question 3 or question 4, please answer questions 5 to 8. Circle unknown if you do not know the answer.]
5 How many weapons does the respondent (or the associated respondent) have access to? ...................................................................
...................................................................
6 What types of weapons does the respondent (or the associated respondent) have access to? ...................................................................
...................................................................
7 Where are the weapons kept or stored? [Please be as precise as possible.]
...................................................................
...................................................................
8 If the respondent (or the associated respondent) has access to a relative's or friend's weapons, please give the name and address of each of those people:
...................................................................
...........................
Signature of applicant
...........................
Date
[Note: The Domestic Violence Act 1995 defines a weapon as any firearm, airgun, pistol, restricted weapon, ammunition, or explosive, as those terms are defined in the Arms Act 1983.]
Section 9 (or section 11 or section 12), Domestic Violence Act 1995
(Front page—Form DV 1)
*Application to be appointed representative of child
I, [full name], apply (*without notice) for an order appointing me as representative of [full name of child to be represented], the child, on the grounds that—
Affidavit (or statement) in support
[Note: You must—
(a) file an affidavit containing sufficient particulars to show the grounds on which you claim to be entitled to the order sought, and sufficient information to inform the court of the facts relied on in support of the application (including the age of the child and your relationship to the child); or
*Affidavit in support
I rely on the content of the affidavit dated [date] filed in support of this application.
or
*Statement in support
I say: [set out sufficient particulars to show the grounds on which you claim to be entitled to the order sought, and sufficient information to inform the court of the facts relied on in support of the application (including the age of the child and your relationship to the child)].
*Application to be appointed representative of person lacking capacity
I, [full name], apply (*without notice) for an order appointing me as representative of [full name of person to be represented], the specified person, on the grounds that—
*(b) the specified person lacks, wholly or partly, the capacity to understand the nature, and to foresee the consequences, of decisions in respect of matters relating to his (or her) personal care and welfare:
or
*(b) the specified person has the capacity to understand the nature, and to foresee the consequences, of decisions in respect of matters relating to his (or her) personal care and welfare, but wholly lacks the capacity to communicate decisions in respect of those matters:
Affidavit (or statement) in support
[Note: You must—
(a) file an affidavit containing sufficient particulars to show the grounds on which you claim to be entitled to the order sought, and sufficient information to inform the court of the facts relied on in support of the application (including the reasons for believing that the specified person lacks capacity); or
*Affidavit in support
I rely on the content of the affidavit dated [date] filed in support of this application.
or
*Statement in support
I say: [set out sufficient particulars to show the grounds on which you claim to be entitled to the order sought, and sufficient information to inform the court of the facts relied on in support of the application (including the reasons for believing that the specified person lacks capacity)].
*Application to be appointed representative of person unable to make application personally
I, [full name], apply without notice for an order appointing me as representative of [full name of person to be represented], the specified person, on the grounds that—
Affidavit (or statement) in support
[Note: You must—
(a) file an affidavit containing sufficient particulars to show the grounds on which you claim to be entitled to the order sought, and sufficient information to inform the court of the facts relied on in support of the application (including the reasons for believing that the specified person is unable to make the application personally); or
*Affidavit in support
I rely on the content of the affidavit dated [date] filed in support of this application.
or
*Statement in support
I say: [set out sufficient particulars to show the grounds on which you claim to be entitled to the order sought, and sufficient information to inform the court of the facts relied on in support of the application (including the reasons for believing that the specified person is unable to make the application personally)].
...........................
Signature of applicant
...........................
Date
To the Registrar
Family Court at [place]
This application is filed by [full name], whose address for service is [address].
Date of hearing
I appoint [date] at [time] at the Family Court at [place] for the hearing of this application.
...........................
Registrar
...........................
Date
Notes
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Section 22, Domestic Violence Act 1995
(Front page—Form DV 1)
I, [full name], apply (*without notice) for a variation of the (*temporary) protection order made on [date] in favour of [full name of applicant for protection order] against [full name of respondent].
I apply for the court to vary the order (*, in so far as it relates to the associated respondent,) by—
Affidavit (or statement) in support
[Note: You must—
*Affidavit in support
I rely on the content of the affidavit dated [date] filed in support of this application.
or
*Statement in support
I say: [set out sufficient particulars to show the grounds on which you claim to be entitled to the order sought, and sufficient information to inform the court of the facts relied on in support of the application].
...........................
Signature of applicant
...........................
Date
To the Registrar
Family Court at [place]
and
To the protected person(s)
(or the respondent) (or the associated respondent)
This application is filed by [full name], whose address for service is [address].
*Date of hearing
[Note: The Registrar must complete the following appointment for hearing if an appearance is necessary or required.]
I appoint [date] at [time] at the Family Court at [place] for the hearing of this application.
...........................
Registrar
...........................
Date
Notes
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Domestic Violence Act 1995
(Heading—Form DV 2)
To
....................
....................
....................
Notification of application for order
[Full name], the applicant, has filed an application in this court.
A copy of the application is attached. The order (or orders) sought is (or are) specified in the application.
The applicant's address for service is [address].
Notice of defence
If you wish to defend the application, you must file a notice of defence in this office of the court at least 5 clear days before the date of the hearing. In some cases, an affidavit must be filed with the notice of defence.
If you file a notice of defence, you must serve a copy of the notice of defence on the other party to the proceedings. That copy may be delivered to the address for service given by the applicant.
You should note that if you do not file and serve a notice of defence and an affidavit (if required) at least 5 clear days before the date of the hearing you may not be able to defend the application. On the day of the hearing of the application, should you appear, the Judge may—
You should also note that the Judge may make an order against you for costs properly incurred as a consequence of your failure to file and serve a notice of defence and an affidavit (if required) within time.
Address for service
If you do not wish to defend the application but you do wish to know what is happening, you should—
Assistance
If you wish, a lawyer will prepare a notice of defence for you. If you want a lawyer but think you cannot afford one, contact an office of the Family Court immediately. You may also see an example of the form of the notice of defence at any office of the Family Court.
Copies of order
You will get copies of any orders made against you. However, any order will probably be in force from the time it is made. The fact that you have not got a copy of the order will not be an excuse for not obeying it.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
...........................
Registrar
...........................
Date
Schedule 5 form DV 9: amended, on 3 August 2009, by rule 14(1) of the Family Courts Amendment Rules 2009 (SR 2009/185).
Section 82, Domestic Violence Act 1995
(Heading—Form DV 2)
To [full name], of [address], [occupation]
*Summons to appear as witness
*An application has been made by [full name], the applicant, against [full name], the respondent, for the following order(s): [specify nature of order(s) sought].
or
*On application by [full name], the applicant, against [full name], the respondent, the court has made the following temporary order: [specify order made].
*A hearing is to be held to decide—
I believe that you are capable of giving evidence that may assist the court.
*Summons to appear before court
*On [date], the court directed you to attend a programme.
The programme provider of that programme—
You are summoned to appear (*as a witness) at the hearing at [time] on [date] at the Family Court at [place].
...........................
Judge (or Registrar)
...........................
Date
Notes
Failure to appear
If (*, having been tendered or paid allowances and travelling expenses at the appropriate rate,) you fail to attend, the court may issue a warrant to arrest you and bring you before the court.
If, without sufficient cause, you refuse or fail to attend, you may be prosecuted and fined.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 13: amended, on 3 August 2009, by rule 14(2) of the Family Courts Amendment Rules 2009 (SR 2009/185).
Section 14, Domestic Violence Act 1995
(Heading—Form DV 2)
On application without notice, the court makes a temporary protection order against [full name], the respondent.
*Order to apply against other person(s) (or associated respondent(s))
*The court also directs that the order applies against the following person(s):
[full name of each person in respect of whom the court makes a direction under section 17(1) of the Act].
Person(s) protected by the order
This order protects the following person(s):
[full name of applicant]:
*[full name of each child of the applicant's family].
*The court also directs that the order applies for the benefit of the following person(s):
[full name of each person in respect of whom the court makes a direction under section 16(2) of the Act].
Conditions of order
1 Standard conditions prohibiting domestic violence and contact
| 1The court may specify, in a special condition of a protection order, a person who may consent or withdraw consent on a protected person's behalf. |
2 Standard conditions relating to weapons
[Note: The Domestic Violence Act 1995 defines a weapon as any firearm, airgun, pistol, restricted weapon, ammunition, or explosive, as those terms are defined in the Arms Act 1983.]
*3 Special conditions
The court also imposes the following special conditions: [set out any special conditions imposed].
Unless otherwise stated, these conditions last for the duration of this order.
*4 Attendance at programme
...........................
Registrar
...........................
Date
*Direction that hearing be held
The court directs that there be a hearing in relation to the whole of this order (or the following parts of this order: [specify parts]).
*Date of hearing
I appoint [date] at [time] at the Family Court at [place] for this hearing.
*Review of contact arrangements
Although no application has been made to it, the court, on its own initiative, has decided to direct that there be a review of the arrangements for contact between the respondent and [full name of each child of the applicant's family in respect of whom contact arrangements are to be reviewed].
Date of review
I appoint [date] at [time] at the Family Court at [place] for this review.
| *Omit if court does not direct that there be a review. |
...........................
Registrar
...........................
Date
Important information for respondent (or associated respondent)
Effect of temporary protection order
The applicant has made an application to the court for a protection order, and this order has been made without notice first being given to you. A copy of the application and related papers—
This order is a temporary order.
*If you do nothing after being served, this order will automatically become a final order 3 months after the date on which it was made. The final order will come into effect immediately. If you wish to dispute this temporary protection order, you must notify the court as soon as possible.
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
This hearing will take place whether or not you wish to appear. If you wish to dispute any part of the order, you must notify the court as soon as possible.
If you do nothing, the court may make a final order in your absence (or the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
Effect of standard condition relating to weapons
The effect of this condition is that any firearms licence held by you is automatically suspended as soon as this order is made. If the order becomes final, the licence is automatically revoked. However, you may apply to the court to modify or discharge this condition (see below).
If you do not surrender to the Police all weapons in your possession or under your control, and your firearms licence, within 24 hours after being served with this order, or on demand made by a member of the Police, the Police may use their powers under the Arms Act 1983 to enter your property without warrant and search for and seize the weapons. You may also be prosecuted for failing to comply with this order (see below).
Objection to direction to attend programme
The court has directed you to attend a programme. You have 10 working days after you have been served with this order to notify the court if you object to that direction.
If you do not make an objection within this 10-working-day period, and then fail to attend programme sessions, you may be prosecuted for failing to comply with this order (see below).
Prohibition on contact with protected person
The effect of this order is to prohibit you from having contact with any protected person in any of the ways set out in the order. This order may also contain special conditions relating to contact between you and a protected person. You must read the terms of the order very carefully to find out what contact you may or may not have with any protected person.
If the protected person has expressly consented to living in the same dwellinghouse with you, the prohibition on contact and any special condition that is inconsistent with living in the same dwellinghouse are suspended.
The protected person may withdraw that consent at any time. If that happens (and this order has not in the meantime been discharged or varied), you must comply with all the standard conditions and special conditions of the order.
Note that the special conditions of this order may specify who is entitled to consent (or withdraw consent) on behalf of a protected person.
If a child of the applicant's family attains the age of 17 and continues to ordinarily or periodically reside with the applicant, then that adult child continues to be a protected person under this order.
If the applicant dies, this order continues to apply for the benefit of the other protected persons until it lapses or is discharged. In the case of a protected person who at the time of the applicant's death was a child of the applicant's family, the order continues to apply to that person until he or she attains the age of 17, unless it sooner lapses or is discharged.
Modification or discharge of this order
You (or any other party) may apply to the court at any time—
(a) for the modification or discharge of the standard condition relating to weapons. (The court may make a change to this standard condition only if it is satisfied that the condition, or a term of the condition, is not needed to protect the persons for whose benefit this order applies from further domestic violence):
Consequences of breach of this order
You commit an offence if you breach the order by—
You have a defence to proceedings for this offence if you can prove that you had a reasonable excuse for breaching the order.
The maximum penalty for this offence is 2 years' imprisonment.
If a constable has good cause to suspect that you have breached this order, you may be arrested without warrant. Police bail is not available during the 24 hours immediately following an arrest. During that period, any bail application must be made to a Judge.
Consequences of failing to comply with direction
You commit an offence if, without reasonable excuse, you fail on any occasion to comply with a direction to attend a programme.
The maximum penalty for this offence is 6 months' imprisonment or a fine not exceeding $5,000.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for protected persons
Effect of temporary protection order
This order has been made without notice first being given to the respondent.
This order is a temporary order.
*If the respondent or associated respondent does nothing after being served, this order will automatically become a final order 3 months after the date on which it was made and will come into effect immediately. You will then be sent a copy of the final order. The respondent or associated respondent may, however, give notice that he or she wishes to dispute this order. In that case, a hearing will be held and you will be notified of the hearing date.
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
You are entitled to appear or be represented at the hearing to present your case to satisfy the court that the order must be made final (or the parts of the order in relation to which the hearing is required must be part of the final order. If the respondent does nothing, the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
Respondent or associated respondent prohibited from contact with you
The effect of this order is to prohibit the respondent or associated respondent from having contact with you in any of the ways set out in the order. This order may also contain special conditions relating to contact between you and the respondent or associated respondent.
If you expressly consent to living in the same dwellinghouse with the respondent or associated respondent, the prohibition on contact and any special condition that is inconsistent with living in the same dwellinghouse are suspended.
You may withdraw that consent at any time. If that happens (and this order has not in the meantime been discharged or varied), the respondent or associated respondent must comply with all the standard conditions and special conditions of the order.
Note that the special conditions of this order may specify who is entitled to consent (or withdraw consent) on behalf of a protected person.
Standard condition relating to weapons
The effect of this condition is that any firearms licence held by the respondent or associated respondent is automatically suspended as soon as this order is made. If the order becomes final, the licence is automatically revoked. However, this condition may be modified or discharged by the court (see below).
Attendance at programme
If you have requested referral to a programme, you will be advised in the near future of the programme provider and the relevant dates. If you wish to make that request for yourself or for any child or other person protected by the order, you may do so by contacting the Registrar.
Modification or discharge of this order
You (or any other party, including the respondent or associated respondent) may apply to the court at any time—
(a) for the modification or discharge of the standard condition relating to weapons. (The court may make a change to this standard condition only if it is satisfied that the condition, or a term of the condition, is not needed to protect the persons for whose benefit this order applies from further domestic violence):
If the respondent or associated respondent makes any of these applications, you will be notified and have an opportunity to dispute the application.
Consequences of breach of this order
The respondent or associated respondent commits an offence if he or she—
The respondent or associated respondent will have a defence to proceedings for this offence if it can be proved that he or she had a reasonable excuse for breaching the order.
The maximum penalty for this offence is 2 years' imprisonment.
If a constable has good cause to suspect that the respondent or associated respondent has breached the order, the respondent or associated respondent may be arrested without warrant. Police bail is not available during the 24 hours immediately following an arrest. During that period, any bail application must be made to a Judge.
Consequences of failing to comply with direction
The respondent or associated respondent commits an offence if, without reasonable excuse, he or she fails on any occasion to comply with a direction to attend a programme.
The maximum penalty for this offence is 6 months' imprisonment or a fine not exceeding $5,000.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 14: amended, on 17 November 2011, by rule 11 of the Family Courts Amendment Rules 2011 (SR 2011/349).
Schedule 5 form DV 14: amended, on 28 October 2009, by section 10 of the Domestic Violence Amendment Act 2009 (2009 No 43).
Schedule 5 form DV 14: amended, on 1 July 2005, by rule 33(1) of the Family Courts Amendment Rules 2005 (SR 2005/101).
Sections 14, 77, and 124N, Domestic Violence Act 1995
(Heading—Form DV 2)
*On application, the court makes a protection order against [full name], the respondent.
*On application without notice, the court made a temporary protection order against [full name], the respondent, on [date], which order is now final in whole (or in part or with modifications or without modification).
*The temporary protection order made against [full name], the respondent, on [date] by the District Court after the court had been satisfied that the respondent had refused or failed to comply with a Police safety order, is now final in whole (or in part or with modifications or without modifications).
*Order to apply against other person(s) (or associated respondent(s))
*The court also directs that the order applies against the following person(s):
[full name of each person in respect of whom the court makes a direction under section 17(1) of the Act].
Person(s) protected by the order
This order protects the following person(s):
[full name of applicant].
*[full name of each child of the applicant's family].
*The court also directs that the order applies for the benefit of the following person(s):
[full name of each person in respect of whom the court makes a direction under section 16(2) of the Act].
Conditions of order
1 Standard conditions prohibiting domestic violence and contact
| 1The court may specify, in a special condition of a protection order, a person who may consent or withdraw consent on a protected person's behalf. |
*2 Standard conditions relating to weapons
[Note: The Domestic Violence Act 1995 defines a weapon as any firearm, airgun, pistol, restricted weapon, ammunition, or explosive, as those terms are defined in the Arms Act 1983.]
[Note: If the court has modified the terms of the standard condition relating to weapons, or directed that the standard condition relating to weapons is not a condition of the order (whether absolutely or only in so far as the order relates to the respondent or associated respondent), set out the terms of the court's decision.]
*3 Special conditions
The court also imposes the following special conditions: [set out any special conditions imposed].
Unless otherwise stated, these conditions last for the duration of this order.
*4 Attendance at programme
...........................
Registrar
...........................
Date
Important information for respondent (or associated respondent)
Effect of protection order
This order is a final protection order that lasts indefinitely. Certain conditions of this order may have a limited duration.
*Effect of standard condition relating to weapons
*The effect of this condition is that any firearms licence held by you is automatically revoked.
*If you have not already done so, you must surrender to the Police all weapons in your possession or under your control, and your firearms licence, within 24 hours after being served with this order or on demand made by a member of the Police. If you do not, the Police may use their powers under the Arms Act 1983 to enter your property without warrant and search for and seize the weapons. You may also be prosecuted for failing to comply with this order (see below).
*This order may permit you to have in your possession, or under your control, a specified weapon, or weapons of a specified class, either unconditionally or subject to certain conditions. You may also be permitted to hold a firearms licence. You are in breach of this order if you possess weapons, or have weapons under your control, other than as permitted by this order.
*Objection to direction to attend programme
*The court has directed you to attend a programme. If you fail to attend programme sessions, you may be prosecuted for failing to comply with this order (see below).
Prohibition on contact with protected person
The effect of this order is to prohibit you from having contact with any protected person in any of the ways set out in the order. This order may also contain special conditions relating to contact between you and a protected person. You should read the terms of the order very carefully to find out what contact you may or may not have with any protected person. If the protected person has expressly consented to living in the same dwellinghouse with you, the prohibition on contact and any special condition that is inconsistent with living in the same dwellinghouse are suspended.
The protected person may withdraw that consent at any time. If that happens (and this order has not in the meantime been discharged or varied), you must comply with all the standard conditions and special conditions of the order.
Note that the special conditions of this order may specify who is entitled to consent (or withdraw consent) on behalf of a protected person.
If a child of the applicant's family attains the age of 17 and continues to ordinarily or periodically reside with the applicant, then that adult child continues to be a protected person under this order.
If the applicant dies, this order continues to apply for the benefit of the other protected persons until it lapses or is discharged. In the case of a protected person who at the time of the applicant's death was a child of the applicant's family, the order continues to apply to that person until he or she attains the age of 17, unless it sooner lapses or is discharged.
Modification or discharge of this order
You (or any other party) may apply to the court at any time—
(a) for the modification or discharge of the standard condition relating to weapons. (The court may make a change to this standard condition only if it is satisfied that the condition, or a term of the condition, is not needed to protect the persons for whose benefit this order applies from further domestic violence):
Consequences of breach of this order
You commit an offence if you breach the order by—
You have a defence to proceedings for this offence if you can prove that you had a reasonable excuse for breaching the order.
The maximum penalty for this offence is 2 years' imprisonment.
If a constable has good cause to suspect that you have breached this order, you may be arrested without warrant. Police bail is not available during the 24 hours immediately following an arrest. During that period, any bail application must be made to a Judge.
Consequences of failing to comply with direction
You commit an offence if, without reasonable excuse, you fail on any occasion to comply with a direction to attend a programme.
The maximum penalty for this offence is 6 months' imprisonment or a fine not exceeding $5,000.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for protected persons
Effect of protection order
This order is a final protection order that lasts indefinitely. Certain conditions of this order may have a limited duration.
Respondent or associated respondent prohibited from contact with you
The effect of this order is to prohibit the respondent or associated respondent from having contact with you in any of the ways set out in the order. This order may also contain special conditions relating to contact between you and the respondent or associated respondent.
If you expressly consent to living in the same dwellinghouse with the respondent or associated respondent, the prohibition on contact and any special condition that is inconsistent with living in the same dwellinghouse are suspended.
You may withdraw that consent at any time. If that happens (and this order has not in the meantime been discharged or varied), the respondent or associated respondent must comply with all the standard conditions and special conditions of the order.
Note that the special conditions of this order may specify who is entitled to consent (or withdraw consent) on behalf of a protected person.
Attendance at programme
If you have requested referral to a programme, you will be advised in the near future of the programme provider and the relevant dates. If you wish to make a request for yourself or for any child or other person protected by the order, you may do so by contacting the Registrar.
Modification or discharge of this order
You (or any other party, including the respondent or associated respondent) may apply to the court at any time—
(a) for the modification or discharge of the standard condition relating to weapons. (The court may make a change to this standard condition only if it is satisfied that the condition, or a term of the condition, is not needed to protect the persons for whose benefit this order applies from further domestic violence):
If the respondent or associated respondent makes any of these applications, you will be notified and have an opportunity to dispute the application.
Consequences of breach of this order
The respondent or associated respondent commits an offence if he or she—
The respondent or associated respondent will have a defence to proceedings for this offence if it can be proved that he or she had a reasonable excuse for breaching the order.
The maximum penalty for this offence is 2 years' imprisonment.
If a constable has good cause to suspect that the respondent or associated respondent has breached the order, the respondent or associated respondent may be arrested without warrant. Police bail is not available during the 24 hours immediately following an arrest. During that period, any bail application must be made to a Judge.
Consequences of failing to comply with direction
The respondent or associated respondent commits an offence if, without reasonable excuse, he or she fails on any occasion to comply with a direction to attend a programme.
The maximum penalty for this offence is 6 months' imprisonment or a fine not exceeding $5,000.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 15 heading: amended, on 1 July 2010, by rule 7(1) of the Family Courts Amendment Rules (No 2) 2010 (SR 2010/122).
Schedule 5 form DV 15: amended, on 17 November 2011, by rule 11 of the Family Courts Amendment Rules 2011 (SR 2011/349).
Schedule 5 form DV 15: amended, on 1 July 2010, by rule 7(2) of the Family Courts Amendment Rules (No 2) 2010 (SR 2010/122).
Schedule 5 form DV 15: amended, on 28 October 2009, by section 10 of the Domestic Violence Amendment Act 2009 (2009 No 43).
Schedule 5 form DV 15: amended, on 1 July 2005, by rule 33(2) of the Family Courts Amendment Rules 2005 (SR 2005/101).
Section 53, Domestic Violence Act 1995
(Heading—Form DV 2)
On application without notice, the court makes a temporary occupation order against [full name], the respondent.
The court orders that [full name], the applicant, be entitled, to the exclusion of the respondent, to personally occupy the dwellinghouse at [full address], together with any land, buildings, or improvements appurtenant to the dwellinghouse that are used, or ordinarily would be used, for the purposes of a household.
*The court directs that the applicant be entitled to occupy the dwellinghouse for the period from [date] to [date].
*The court also imposes the following terms and conditions relating to the occupation of the dwellinghouse: [set out any terms and conditions imposed].
...........................
Registrar
...........................
Date
*Direction that hearing be held
The court directs that there be a hearing in relation to the whole of this order (or the following parts of this order: [specify parts]).
*Date of hearing
I appoint [date] at [time] at the Family Court at [place] for this hearing.
...........................
Registrar
...........................
Date
Important information for respondent
Effect of temporary occupation order
The applicant has made an application to the court, and this order has been made without notice first being given to you. A copy of the application and related papers—
This order is a temporary order.
*If you do nothing after being served, this order will automatically become a final order 3 months after the date on which it was made. The final order will come into effect immediately. If you wish to dispute this temporary occupation order, you must notify the court as soon as possible.
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
This hearing will take place whether or not you wish to appear. If you wish to dispute any part of the order, you must notify the court as soon as possible.
If you do nothing, the court may make a final order in your absence (or the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required even if you do not wish to be heard. In that case, you will be notified of the hearing date.
*If this order is made while you and the applicant are living in the same dwellinghouse, this order will expire—
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
If you breach this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove you from the property.
If you stay or go on to the property in breach of this order, you may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of temporary occupation order
This order has been made without notice first being given to the respondent.
This order is a temporary order.
*If the respondent does nothing after being served, this order will (subject to notice being given to other persons with an interest in the property) automatically become a final order 3 months after the date on which it was made and will come into effect immediately. You will then be sent a copy of the final order.
*The respondent may, however, give notice that he or she wishes to dispute this order. In that case, a hearing will be held, and you will be notified of the hearing date.
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
You are entitled to appear or be represented at the hearing to present your case to satisfy the court that the order should be made final (or the parts of the order in relation to which the hearing is required should be part of the final order. If the respondent does nothing, then (subject to action being taken by another person with an interest in the property) the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required, even if the respondent does not wish to be heard. In that case, you will be notified of the hearing date.
*If this order is made while you and the respondent are living in the same dwellinghouse, this order will expire—
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
If the respondent breaches this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove the respondent from the property.
If the respondent stays or goes on to the property in breach of this order, the respondent may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 16: amended, on 17 November 2011, by rule 11 of the Family Courts Amendment Rules 2011 (SR 2011/349).
Schedule 5 form DV 16: amended, on 1 October 2008, pursuant to section 116(a)(ii) of the Policing Act 2008 (2008 No 72).
Section 53, Domestic Violence Act 1995
(Heading—Form DV 2)
*On application, the court makes an occupation order against [full name], the respondent.
*On application without notice, the court made a temporary occupation order against [full name], the respondent, on [date], which order is now final in whole (or in part or with modifications or without modifications).
The court orders that [full name], the applicant, is entitled, to the exclusion of the respondent, to personally occupy the dwellinghouse at [full address], together with any land, buildings, or improvements appurtenant to the dwellinghouse that are used, or ordinarily would be used, for the purposes of a household.
*The court directs that the applicant is entitled to occupy the dwellinghouse for the period from [date] to [date].
*The court also imposes the following terms and conditions relating to the occupation of the dwellinghouse: [set out any terms and conditions imposed].
...........................
Registrar
...........................
Date
Important information for respondent
Effect of occupation order
This order is a final occupation order that lasts for the period specified in the order or, if no period is specified, indefinitely.
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
If you breach this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove you from the property.
If you stay or go on to the property in breach of this order, you may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of occupation order
This order is a final occupation order that lasts for the period specified in the order or, if no period is specified, indefinitely.
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
If the respondent breaches this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove the respondent from the property.
If the respondent stays or goes on to the property in breach of this order, the respondent may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 17: amended, on 1 October 2008, pursuant to section 116(a)(ii) of the Policing Act 2008 (2008 No 72).
Section 57, Domestic Violence Act 1995
(Heading—Form DV 2)
On application without notice, the court makes a temporary tenancy order against [full name], the respondent.
The court orders—
(a) that the tenancy of the dwellinghouse at [full address] be vested in [full name], the applicant, on and subject to the terms and conditions of the tenancy in force on [date on which order is made]; and
...........................
Registrar
...........................
Date
*Direction that hearing be held
The court directs that there be a hearing in relation to this order.
*Date of hearing
I appoint [date] at [time] at the Family Court at [place] for this hearing.
...........................
Registrar
...........................
Date
Important information for respondent
Effect of temporary tenancy order
The applicant has made an application to the court, and this order has been made without notice first being given to you. A copy of the application and related papers—
This order is a temporary order.
*If you do nothing after being served, this order will automatically become a final order 3 months after the date on which it was made. The final order will come into effect immediately. If you wish to dispute this temporary tenancy order, you must notify the court as soon as possible.
*The court has directed that a hearing be held in relation to this order.
This hearing will take place whether or not you wish to appear. If you wish to dispute any part of the order, you must notify the court as soon as possible.
If you do nothing, the court may make a final order in your absence.
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required even if you do not wish to be heard. In that case, you will be notified of the hearing date.
*If this order is made while you and the applicant are living in the same dwellinghouse, this order will expire—
Discharge of this order
You (or any other party) may apply to the court at any time to discharge this order and revest the tenancy. The court cannot vary the terms and conditions of the tenancy itself.
Consequences of breach of this order
If you breach this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove you from the property.
If you stay or go on to the property in breach of this order, you may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of temporary tenancy order
This order has been made without notice first being given to the respondent.
This order is a temporary order.
*If the respondent does nothing after being served, this order will (subject to notice being given to other persons with an interest in the property) automatically become a final order 3 months after the date on which it was made and will come into effect immediately. You will then be sent a copy of the final order.
The respondent may, however, give notice that he or she wishes to dispute this order. In that case, a hearing will be held, and you will be notified of the hearing date.
*The court has directed that a hearing be held in relation to this order.
You are entitled to appear or be represented at the hearing to present your case to satisfy the court that the order must be made final.
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required even if the respondent does not wish to be heard. In that case, you will be notified of the hearing date.
*If this order is made while you and the respondent are living in the same dwellinghouse, this order will expire—
Discharge of this order
You (or any other party) may apply to the court at any time to discharge this order and revest the tenancy. The court cannot vary the terms and conditions of the tenancy itself.
Consequences of breach of this order
If the respondent breaches this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove the respondent from the property.
If the respondent stays or goes on to the property in breach of this order, the respondent may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 18: amended, on 17 November 2011, by rule 11 of the Family Courts Amendment Rules 2011 (SR 2011/349).
Schedule 5 form DV 18: amended, on 1 October 2008, pursuant to section 116(a)(ii) of the Policing Act 2008 (2008 No 72).
Section 57, Domestic Violence Act 1995
(Heading—Form DV 2)
*On application, the court makes a tenancy order against [full name], the respondent.
*On application without notice, the court made a temporary tenancy order against [full name], the respondent, on [date], which order is now final.
The court orders—
(a) that the tenancy of the dwellinghouse at [full address] be vested in [full name], the applicant, on and subject to the terms and conditions of the tenancy in force on [date on which order is made]; and
...........................
Registrar
...........................
Date
Important information for respondent
Effect of tenancy order
This order is a final tenancy order that lasts indefinitely. The applicant becomes the tenant of the dwellinghouse to which this order relates, subject to the terms and conditions of the tenancy in force at the time this order is made. You cease to be a tenant.
Discharge of this order
You (or any other party) may apply to the court at any time to discharge this order and revest the tenancy. The court cannot vary the terms and conditions of the tenancy itself.
Consequences of breach of this order
If you breach this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove you from the property.
If you stay or go on to the property in breach of this order, you may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of tenancy order
This order is a final tenancy order that lasts indefinitely. You become the tenant of the dwellinghouse to which this order relates, subject to the terms and conditions of the tenancy in force at the time this order is made. The respondent ceases to be a tenant.
Discharge of this order
You (or any other party) may apply to the court at any time to discharge this order and revest the tenancy. The court cannot vary the terms and conditions of the tenancy itself.
Consequences of breach of this order
If the respondent breaches this order by staying on the property, a warrant may be issued by a District Court authorising a bailiff or constable to remove the respondent from the property.
If the respondent stays or goes on to the property in breach of this order, the respondent may also commit the offence of trespass. That offence carries a maximum penalty of 3 months' imprisonment.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 19: amended, on 1 October 2008, pursuant to section 116(a)(ii) of the Policing Act 2008 (2008 No 72).
Section 63, Domestic Violence Act 1995
(Heading—Form DV 2)
Having made—
on [date] in favour of [full name], the applicant, against [full name], the respondent, the court, on application without notice, makes a temporary ancillary furniture order.
The court orders that the applicant be entitled, to the exclusion of the respondent, to the possession of—
*(a) all the furniture, household appliances, and household effects in the dwellinghouse to which the occupation order (or tenancy order) relates, which is situated at [full address].
*(b) the following furniture, household appliances, and household effects in the dwellinghouse to which the occupation order (or tenancy order) relates, which is situated at [full address]: [specify the items. It is not necessary to specify every item as long as the items to which the order relates are readily ascertainable from the terms of this order].
*The court directs that this order continue in force for [specify duration if order made for specific period].
*The court also imposes the following terms and conditions relating to the furniture, household appliances, and household effects to which this order relates: [set out any terms and conditions imposed].
...........................
Registrar
...........................
Date
*Direction that hearing be held
The court directs that there be a hearing in relation to the whole of this order (or the following parts of this order: [specify parts]).
*Date of hearing
I appoint [date] at [time] at the Family Court at [place] for this hearing.
...........................
Registrar
...........................
Date
Important information for respondent
Effect of temporary ancillary furniture order
The applicant has made an application to the court, and this order has been made without notice first being given to you. A copy of the application and related papers—
This order is a temporary order.
*If you do nothing after being served, this order will automatically become a final order 3 months after the date on which it was made. The final order will come into effect immediately. If you wish to dispute this temporary ancillary furniture order, you must notify the court as soon as possible.
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
This hearing will take place whether or not you wish to appear. If you wish to dispute any part of the order, you must notify the court as soon as possible.
If you do nothing, the court may make a final order in your absence (or the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required even if you do not wish to be heard. In that case, you will be notified of the hearing date.
Duration of order
This order continues in force for—
This order expires if the occupation order (or tenancy order) to which this order relates expires or is discharged.
*If this order is made while you and the applicant are living in the same dwellinghouse, this order will expire—
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in the applicant's favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of temporary ancillary furniture order
This order has been made without notice first being given to the respondent.
This order is a temporary order.
*If the respondent does nothing after being served, this order will (subject to notice being given to other persons with an interest in the property) automatically become a final order 3 months after the date on which it was made and will come into effect immediately. You will then be sent a copy of the final order.
The respondent may, however, give notice that he or she wishes to dispute this order. In that case, a hearing will be held, and you will be notified of the hearing date.
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
You are entitled to appear or be represented at the hearing to present your case to satisfy the court that the order must be made final (or the parts of the order in relation to which the hearing is required must be part of the final order. If the respondent does nothing, then (subject to action being taken by another person with an interest in the property) the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required even if the respondent does not wish to be heard. In that case, you will be notified of the hearing date.
Duration of order
This order continues in force for—
This order expires if the occupation order (or tenancy order) to which this order relates expires or is discharged.
*If this order is made while you and the respondent are living in the same dwellinghouse, this order will expire—
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in your favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 20: amended, on 17 November 2011, by rule 11 of the Family Courts Amendment Rules 2011 (SR 2011/349).
Section 63, Domestic Violence Act 1995
(Heading—Form DV 2)
*Having made—
on [date] in favour of [full name], the applicant, against [full name], the respondent, the court, on application, makes an ancillary furniture order.
*On application without notice, the court made a temporary ancillary furniture order in favour of [full name], the applicant, against [full name], the respondent, on [date], which order is now final in whole (or in part or with modifications or without modification).
The court orders that the applicant be entitled, to the exclusion of the respondent, to the possession of—
*(a) all the furniture, household appliances, and household effects in the dwellinghouse to which the occupation order (or tenancy order) relates, which is situated at [full address] (or the dwellinghouse situated at [full address]).
*(b) the following furniture, household appliances, and household effects in the dwellinghouse to which the occupation order (or tenancy order) relates, which is situated at [full address] (or the dwellinghouse situated at [full address]): [specify the items. It is not necessary to specify every item as long as the items to which the order relates are readily ascertainable from the terms of this order].
*The court directs that this order continue in force for [specify duration if order made for specific period].
*The court also imposes the following terms and conditions relating to the furniture, household appliances, and household effects to which this order relates: [set out any terms and conditions imposed].
...........................
Registrar
...........................
Date
Important information for respondent
Effect of ancillary furniture order
This is a final order that gives the applicant possession of the furniture, household appliances, and household effects to which it relates. While this order remains in force, you are not entitled to possession of these items.
Duration of order
This order continues in force for—
This order expires if the occupation order (or tenancy order) to which this order relates expires or is discharged.
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in the applicant's favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of ancillary furniture order
This is a final order that gives you possession of the furniture, household appliances, and household effects to which it relates. While this order remains in force, the respondent is not entitled to possession of these items.
Duration of order
This order continues in force for—
This order expires if the occupation order (or tenancy order) to which this order relates expires or is discharged.
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in your favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Section 67, Domestic Violence Act 1995
(Heading—Form DV 2)
Having made a protection order on [date] in favour of [full name], the applicant, against [full name], the respondent, the court, on application without notice, makes a temporary furniture order.
The court orders that the applicant be entitled, to the exclusion of the respondent, to the possession of—
*(b) the following furniture, household appliances, and household effects in the dwellinghouse situated at [full address]: [specify the items. It is not necessary to specify every item as long as the items to which the order relates are readily ascertainable from the terms of this order].
*The court directs that this order continue in force for [specify duration if order made for specific period].
*The court also imposes the following terms and conditions relating to the furniture, household appliances, and household effects to which this order relates: [set out any terms and conditions imposed].
...........................
Registrar
...........................
Date
*Direction that hearing be held
The court directs that there be a hearing in relation to the whole of this order (or the following parts of this order: [specify parts]).
*Date of hearing
I appoint [date] at [time] at the Family Court at [place] for this hearing.
...........................
Registrar
...........................
Date
Important information for respondent
Effect of temporary furniture order
The applicant has made an application to the court, and this order has been made without notice first being given to you. A copy of the application and related papers—
This order is a temporary order.
*If you do nothing after being served, this order will automatically become a final order 3 months after the date on which it was made. The final order will come into effect immediately. If you wish to dispute this temporary furniture order, you must notify the court as soon as possible.
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
This hearing will take place whether or not you wish to appear. If you wish to dispute any part of the order, you must notify the court as soon as possible.
If you do nothing, the court may make a final order in your absence (or the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required even if you do not wish to be heard. In that case, you will be notified of the hearing date.
Duration of order
This order continues in force for—
This order expires if the protection order to which this order relates expires or is discharged.
*If this order is made while you and the applicant are living in the same dwellinghouse, this order will expire—
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in the applicant's favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of temporary furniture order
This order has been made without notice first being given to the respondent.
This order is a temporary order.
(*If the respondent does nothing after being served, this order will (subject to notice being given to other persons with an interest in the property) automatically become a final order 3 months after the date on which it was made and will come into effect immediately. You will then be sent a copy of the final order.
The respondent may, however, give notice that he or she wishes to dispute this order. In that case, a hearing will be held, and you will be notified of the hearing date.)
*The court has directed that a hearing be held in relation to the whole of this order (or specified parts of this order).
You are entitled to appear on or be represented at the hearing to present your case to satisfy the court that the order should be made final (or the parts of the order in relation to which the hearing is required should be part of the final order. If the respondent does nothing, then (subject to action being taken by another person with an interest in the property) the parts of the order in relation to which a hearing is not required will become final 3 months after the date on which this order was made, and the court may confirm the other parts of the order at the hearing).
*If another person who has an interest in the property and who has been given notice wishes to be heard, a hearing will be required, even if the respondent does not wish to be heard. In that case, you will be notified of the hearing date.
Duration of order
This order continues in force for—
This order expires if the protection order to which this order relates expires or is discharged.
*If this order is made while you and the respondent are living in the same dwellinghouse, this order will expire—
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in your favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Schedule 5 form DV 22: amended, on 17 November 2011, by rule 11 of the Family Courts Amendment Rules 2011 (SR 2011/349).
Schedule 5 form DV 22: amended, on 27 May 2010, by rule 12 of the Family Courts Amendment Rules 2010 (SR 2010/97).
Section 67, Domestic Violence Act 1995
(Heading—Form DV 2)
*Having made a protection order on [date] in favour of [full name], the applicant, against [full name], the respondent, the court, on application, makes a furniture order.
*On application without notice, the court made a temporary furniture order in favour of [full name], the applicant, against [full name], the respondent, on [date], which order is now final in whole (or in part or with modifications or without modification).
The court orders that the applicant be entitled, to the exclusion of the respondent, to the possession of—
*(b) the following furniture, household appliances, and household effects in the dwellinghouse situated at [full address]: [specify the items. It is not necessary to specify every item as long as the items to which the order relates are readily ascertainable from the terms of this order].
*The court directs that this order continue in force for [specify duration if order made for specific period].
*The court also imposes the following terms and conditions relating to the furniture, household appliances, and household effects to which this order relates: [set out any terms and conditions imposed].
...........................
Registrar
...........................
Date
Important information for respondent
Effect of furniture order
This is a final order that gives the applicant possession of the furniture, household appliances, and household effects to which it relates. While this order remains in force, you are not entitled to possession of these items.
Duration of order
This order continues in force for—
This order expires if the protection order to which this order relates expires or is discharged.
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in the applicant's favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.
Important information for applicant
Effect of furniture order
This is a final order that gives you possession of the furniture, household appliances, and household effects to which it relates. While this order remains in force, the respondent is not entitled to possession of these items.
Duration of order
This order continues in force for—
This order expires if the protection order to which this order relates expires or is discharged.
Variation or discharge of this order
You (or any other party) may apply to the court at any time—
Consequences of breach of this order
This order may be enforced as if it were an order of the court for delivery of chattels made in your favour. The court may make further orders to ensure compliance with this order.
Advice
If you need help, consult a lawyer or contact a Family Court office immediately.
Office hours
The office of the Family Court is open from 8.30 am to 5 pm on Mondays to Fridays inclusive.