Taxation Administration Act 1953

be in the *approved form; and

be accompanied by a statutory declaration by the person making the request stating that:

the person reasonably believes that the circumstances mentioned in paragraphs 139‑55(1)(a) to (e) exist; and

the person understands that disclosing any information given by the Commissioner under subsection 139‑25(1) other than for the purposes of making an application under section 139‑55 or in a proceeding for an order under section 139‑60 is an offence against section 355‑155; and

the person understands that making a false statement in a statutory declaration is an offence against section 11 of the Statutory Declarations Act 1959; and

if the perpetrator has been convicted of the *specified child abuse offence—be accompanied by evidence of the conviction; and

be accompanied by a copy of the order mentioned in paragraph 139‑55(1)(b); and

state the date on which the victim alleges that the conduct constituting the offence first occurred.