Application for a family violence intervention order
4.03 Application for a family violence intervention order
For the purposes of an application for a family violence intervention order under section 43 or 44 of the Act, the following information is prescribed—
the name of the applicant;
the capacity in which the applicant applies;
the name and date of birth of each affected family member;
if the applicant is not the affected family member or a police officer—
whether the affected family member consents to the making of the application; or
if the affected family member is a child, whether a parent of the child consents to the making of the application; or
if the affected family member has a guardian, whether the guardian consents to the making of the application;
whether the applicant requires leave of the Court to make the application;
the name, date of birth and address of the respondent;
the relationship between the respondent and the affected family member;
the reasons for seeking the order;
the nature of the family violence alleged;
the conditions on the order sought;
whether a warrant is sought for the arrest of the respondent;
details of any relevant Family Law Act order or child protection order, or any current application for a relevant Family Law Act order or child protection order;
details of any previous application or order made, or family violence safety notice issued, under the Act;
whether the respondent holds—
a firearms authority; or
a weapons approval; or
a weapons exemption;
whether an affected family member or the respondent has a disability;
whether an affected family member or the respondent is of Aboriginal or Torres Strait Islander descent.
If the applicant seeks a warrant for the respondent's arrest, the application must set out the reasons why a warrant is sought.
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