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This page links to an example of a completed form. This is the actual form with sample text added in each section.
You should make sure that your form relates to your circumstances. If you need more help to prepare your form, you should get legal advice.
Do not try to file this sample form.
This sample form is provided in PDF format.
• Sample Application to Vary (reduce) Apprehended Violence Order (18 kb) or text only version