Use this form to apply for a review of a judicial registrar decision in a civil, criminal or personal safety intervention order proceeding.

This is the first form to be used if you are an existing applicant/affected person  to the proceeding and do not require leave of the court. If you require leave (permission) of the court please complete the leave form here first.

This form must be used if:

• you are not the person needing protection;
• you are not the protected person on a personal safety intervention order;
• you are applying on behalf of of a protected person or a person; or
• you are a child above the age of 14 years.

You are required to seek leave (permission) of the court to lodge a personal safety intervention order application or an application to vary, extend or revoke a personal safety intervention order.

This form is to be used if you are a protected person or the applicant for the original intervention order or a new applicant with leave of the court, and want to apply to revoke (remove) the intervention order.

This is the first step in the process to apply to vary or revoke a personal safety intervention order if you are a respondent.

If you have completed this step and received leave (permission), proceed to step two here.

This form must be used to apply to the court to make an application to vary or revoke a family violence intervention order. 

This is called making an application for leave.

This is the second step in the process to apply to vary or revoke a personal safety intervention order if you are the respondent.

Please complete step one here before completing this step.

Varying an intervention orders means that the order will continue, but you want to change the conditions of the order. 

Revoking an intervention order means you want to ask the court to cancel the order.

This form is to be completed by legal representatives and/or police representative if applicable, to notify the court of a proposed resolution to a personal safety intervention order proceeding.

If you have an upcoming court hearing date you must contact the court about your matter at least seven days before your court hearing. You can do this by completing this form.

You must complete the form if you are the affected person or the respondent to the intervention order application.

This form provides the court with the following information:

This checklist must be completed and filed with the court at all personal safety intervention order (PSIO) hearings, per Practice Direction 10 of 2015. The exception is if the proceeding is listed for a contested hearing, unless a magistrate orders otherwise. 

This form is to be completed and filed with the court if the applicant wishes to withdraw their application for a personal safety intervention order.