Children's Court of Victoria Banner
Home > Forms > Intervention Order Forms

Intervention Order Forms

These forms are published as Word and PDF documents.

Forms in Word can be downloaded and completed electronically.

Title Summary
Application for Associated Final Order - For Additional Applicant

Use this form to apply to add an additional applicant to a final order if the additional applicant is an associate of the protected person.

Application for Associated Final Order - Against Additional Respondent

Use this form to add a respondent to a final order if the additional person is an associate of the respondent.

Application for a Family Violence Intervention Order

Use this form to apply for a family violence intervention order.

Application for a Personal Safety Intervention Order

Use this form to apply for a personal safety intervention order.  To be used in cases where there is no family or intimate relationship between the parties.

Application for a Rehearing (Family Violence)

This form should be completed by a respondent when seeking a rehearing of an application for a family violence intervention order.

Application for a Rehearing (Personal Safety)

This form should be used by a party when seeking a rehearing of an application for a personal safety intervention order.

Application to be Deemed a Non-Prohibited Person

A prohibited person can use this form to apply to be permitted to be the holder of firearms licence.

Application to Extend, Vary or Revoke a Family Violence Intervention Order

Use this form to apply to extend, change or cancel a family violence intervention order.

Application to Vary, Revoke or Extend a Personal Safety Intervention Order

Use this form to apply to extend, change or cancel a personal safety intervention order.

Consent Orders (Family Violence)

This form should be completed by the parties when there are agreed proposed orders for the making of a family violence intervention order.

Consent Orders (Personal Safety)

This form should be completed by the parties when there are agreed proposed orders for the making of a personal safety intervention order.

Notice of Reinstatement

Use this form to apply for reinstatement of an intervention order if the matter was withdrawn with a right of reinstatement.

Notice of Withdrawal (Family Violence)

Use this form if you want to withdraw your application for a family violence intervention order.

Notice of Withdrawal (Personal Safety)

Use this form if you want to withdraw your application for a personal safety intervention order.

Undertaking (Family Violence)

This form should be completed by the respondent when an agreement has been reached by the parties. 

Undertaking (Personal Safety)

This form should be completed by the respondent when an agreement has been reached by the parties.  

Subpoena

Use this form to subpoena a person to attend court to give evidence and/or produce a document or thing in an intervention order matter.