Approved form AF2001-162

made under the
Domestic Violence Act 1986

Domestic Violence Act 1986—Form 2
(see s 19)

AUSTRALIAN CAPITAL TERRITORY
Domestic Violence Act 1986
Protection order or interim protection order

IN THE MAGISTRATES 
COURT AT CANBERRA					No       of 19

The Court, having heard an application made by [name of applicant] under the Domestic Violence Act 1986 in respect of the conduct [or threatened conduct] of [name of respondent] towards [name of person to be protected]:
Now the Court this day orders that, for [period]:
1.	[name of respondent] not engage in the following conduct:
*2. 	[name of respondent] not engage in conduct that constitutes any domestic violence offence.
3. 	[name of respondent] comply with the following prohibitions and conditions:
[specify prohibitions and conditions and any other period or periods for which they are imposed]
Dated				19    .
	[Signature]
	Registrar of the Magistrates court
*  Delete for interim protection order.
Note:  If a State or another Territory has reciprocal legislation in force, this order may be registered and enforced, in that State or Territory without notice of registration being given to the respondent.

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