Form 13	Application for registration of a recognised protection order
Family Violence Act 2016
(see s 200A)
Personal Violence Act 2016
(see pt 7)

In the Magistrates Court of the Australian Capital Territory

FVO / PPO / WPO ......../........
............................................................................................................(full name)
Applicant
............................................................................................................(full name)
Respondent

To the Registrar of the Magistrates Court:
I, ..............................................................................................................(full name), 
request that the recognised order made by the 
........................................................................................................... (name of court)
................................................................................................... (State / Territory / NZ)
at ...................................................................................................... (place of sitting)
on................................................................................................................... (date),

* which is attached, 

OR

* a certified copy of which is attached, 
be registered in the ACT.

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

................................................................................................................................
(Name of applicant or applicant’s solicitor)

* Delete whichever is inapplicable