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Phone: 8999 7977 Email: info@dvls.nt.gov.au

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Forms

This site does not have a Quick Exit Option. Proceed with careThe relevant forms are on the NT Local Court website, click here.

Any information you include will be sent to the other person, other than the Service Information Form. This means if you don’t want the other person to know your address, you can write “ADDRESS WITHHELD” on the Affidavit.

For more information on applying for a domestic violence order, please see our fact sheet on What is a domestic violence order and how do I get one?
You can also Contact Us.

This is for information only and is not legal advice. If you would like legal advice, you can Contact Us.

To apply for a domestic violence order

To apply for a domestic violence order you need to fill in:

  • Application for Domestic Violence Order
  • Affidavit
  • Service Information Form
To apply to vary a domestic violence order

To apply to vary a domestic violence order you need to fill in:

  • Application to Vary or Revoke a Domestic Violence Order
  • Affidavit
  • Service Information Form
Guideline for drafting an affidavit

This information is a guide only and should not be used as a substitute for individual legal advice

  1. DO NOT use your address or that of where you are staying if you do not want the other person to know it.
    • Use “ADDRESS WITHHELD”
  2. Use paragraphs and number each paragraph;
  3. Detail the relationship:
    • Husband, Wife, defacto partner etc
    • Relationship length
    • (ie: May 2011-June 2013 or started in 2003, married in 2008 and separated in 2013)
  4. Are there any children of the relationship?
    • Give their names and dates of birth
  5. Are there any Parenting Plans, Family Law Orders or other agreements for the children:
    • provide brief overview of arrangement including change­overs
    • (ie: children spent every second weekend with the other party)
  6. Provide one or two sentences that describe the kinds of domestic violence the other person has been doing to you:
    • If it involves text, email messages, verbal abuse or Facebook posts, use the exact words in quotations
    • (ie: Text 04/04/14: “I’m going to smash you, you fucking dog”)
  7. Details of the most serious domestic violence incident:
    • Include dates if known
    • Can use approximate dates
    • (ie: Around the beginning of January 2012 or around Christmas 2012)
    • If text etc, set out like paragraph 6
    • Put in if the incident was reported to Police
    • Were there any injuries and did you get medical attention
    • How did it make you feel
  8. Details of the most recent domestic violence incident:
    • See paragraph 7
  9. What are your fears for the future if the court does not give you a domestic violence order.

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