Form 8	Application to amend a personal protection order, workplace protection order or registered order
Personal Violence Act 2016
(see pt 5 or s 93 (b))
In the Magistrates Court of the Australian Capital Territory

PPO / WPO ........ /.................

........................................................................................................... (full name)
Applicant
..............................................................................................................(full name)
Respondent

Order type: 	Interim / Final / Consent / Registered
(Circle all that are applicable)
	□	I am a protected person under the order

	□	I am the applicant for the order but not a protected person 			under it

	□	I am the respondent to the order
(Tick if applicable)

I,...............................................................................................................(full name), apply to have the order, dated .............................................................................., amended:
*by extending the order in the same terms for the following period:
______ /______ /20______ to ______ /______ /20______.
OR
*as follows:............................................................................................................
................................................................................................................................
................................................................................................................................

*for the period of the order OR *for the following period:
______ /______ /20______ to ______ /______ /20______.

This application is made on the following grounds:
................................................................................................................................
................................................................................................................................
................................................................................................................................
................................................................................................................................

...................................................................	Dated: ______ /______ /20______
(Signature of applicant or applicant’s solicitor)

................................................................................................................................
(Name of applicant or applicant’s solicitor)
* Delete whichever is inapplicable