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Form 1040 - Statutory declaration relating to family violence

Form 1040 - Statutory declaration relating to family violence-2026

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The document is a statutory declaration form related to family violence provisions for visa applicants in Australia. It outlines the process for individuals who have experienced family violence to continue their visa application despite ending their relationship with an abusive partner. The form specifies eligibility criteria, required evidence, and the role of competent persons in verifying claims of family violence. It emphasizes that the declaration does not provide protection from family violence and advises seeking assistance from relevant services.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your personal details in Part A, including your name, address, and occupation. Ensure you write clearly using BLOCK LETTERS.
In Part B, if you are the partner alleging family violence against yourself, describe the incidents of violence experienced. Include details such as what happened, when it started, and its impact on you.
If you are completing Part C for another person, provide their details and describe the relevant incidents of family violence they experienced.
Competent persons should complete Part D by providing their qualifications and evidence supporting the claim of family violence.
Finally, sign at Part E in front of a witness who is a prescribed person under the Statutory Declarations Act 1959.

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