1. Are you currently involved in any legal proceedings under the Family Law Act 1975 of the Commonwealth that may be relevant?
2. Has the court made a property order or are property orders currently being sought under the Family Law Act 1975 of the Commonwealth that may be relevant?
3. Has the court made a parenting order under the Family Law Act 1975 of the Commonwealth of that affects this application?
The applicant asks that the court make the following orders against the defendant –
The standard orders that the applicant asks the court to make
Orders about behaviour
1. The defendant must not do any of the following to the protected person(s) or anyone the protected person(s) has a domestic relationship with –
(a) Assault or threaten them, and
(b) Stalk, harass or intimidate them, and
(c) Intentionally or recklessly destroy or damage any property or harm an animal that belongs to or is in the possession of them.
Additional orders that the application asks the court to make (tick if required)
Orders about contact
2 The defendant must not approach or contact the protected person(s) in any way, unless contact is through a lawyer.
3 The defendant must not approach –
(a) the school or any other place the protected person(s) might go to for study, or
(b) any place the protected person(s) might go to for childcare, or
(c) any other place listed here -
4 The defendant must not approach or be in the company of the protect person(s) within at least 12 hours after drinking alcohol or taking illicit drugs.
5 The defendant must not try to find the protected person(s), except as ordered by a court.
Orders about family law and parenting
6 The defendant must not approach or contact the protected person(s) in any way, unless contact is–
(a) through a lawyer, or
(b) to attend accredited or court-approved counselling, mediation and/or conciliation, or
(c) ordered by the court or another court about contact with the child/children, or
(d) as agreed in writing between the defendant and the parent(s) about contact with the child/children, or
(e) as agreed in writing between the defendant, the parent(s) and the person with parental responsibility for the child/children about contact with the child/children.
Note. Order 6(e) is an alternative to order 6(d).
Orders about where defendant cannot go
7 The defendant must not live at –
(a) the same address as the protected person(s), or
(b) any place listed here -
8 The defendant must not go into -
(a) any place where the protected person(s) lives, or
(b) any place where the protected person(s) works, or
(c) any place listed here –
9 The defendant must not go within 100 metres of –
(a) any place where the protected person(s) lives, or
(b) any place where the protected person(s) works, or
(c) any place listed here – 12/100 Victoria Road, Double Bay
Orders about weapons
10 The defendant must not possess any firearms or prohibited weapons.
Other orders
11 [List other orders].
Signature of the applicant -
Date - 15 November 20XX