Form 1410-2026

1. Click ‘Get Form’ to open form 1410 in the editor.
2. Begin by filling in your personal details in Section 1, including your name, address, and occupation. Ensure you write clearly using BLOCK LETTERS.
3. In Section 2, provide details about the person who has suffered family violence. Include their name, date of birth, and relationship to you.
4. If you are the victim, complete Part A by detailing when your relationship ended and describing the incidents of family violence experienced. Attach any additional evidence if necessary.
5. If another person is the victim, complete Part B with similar details regarding their experience of family violence.
6. 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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