Form 1410-2026

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The document is a statutory declaration form for individuals claiming family violence in relation to their partner visa applications in Australia. It outlines the definition of family violence, eligibility criteria for applicants, and the necessary evidence required to support claims of family violence. The form is intended for use by those who made their first claim on or after November 24, 2012, and provides guidance on how to complete the declaration, including details about the relationship with the alleged perpetrator and any incidents of violence experienced.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1, providing your personal details such as your name, address, and occupation. Ensure all information is accurate and written in BLOCK LETTERS.
In Section 2, provide details about the person who has suffered family violence. Include their name, date of birth, and relationship to you.
Proceed to Part A if you are the victim. Describe the relevant family violence experienced, including dates and frequency. Attach additional details if necessary.
If another person is the victim, complete Part B with similar details regarding their experience of family violence.
Finally, sign at Part C in front of a witness as required. Make sure to keep a copy of your completed declaration for your records.

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