Approved form AF2001-161

made under the
Domestic Violence Act 1986

Domestic Violence Act 1986—Form 1
(see s 12)

AUSTRALIAN CAPITAL TERRITORY
Domestic Violence Act 1986
Notice of Proceedings

IN THE MAGISTRATES 
COURT AT CANBERRA					   No     of 19
				Between 			   (applicant)
				and				   (respondent)

To the Respondent 

An application under section 4 of the Domestic Violence Act 1986 for a protection order has been made by 				    against you. A copy of the application is attached.  The application has been set down for hearing on			19     at		(time)			at
			 (place)			.
If you do not appear in person at the hearing of the application, the Court may—
(a)	deal with the application in your absence; or
(b)	issue a warrant for your apprehension to be brought before the Court.
Dated				19     .

	[Signature]
	Registrar of the Magistrates Court

Endnote
1	The form under the Domestic Violence Act 1986 (the authorising Act) was originally in schedule 2 to that Act.  Under an amendment made by the Legislation (Consequential Amendments) Act 2001, the form became a form approved under the authorising Act, section 35 (see amdt 1.1174).

©  Australian Capital Territory 2004