Departmental form 1410i
Completing a Statutory Declaration for a Family Violence Claim
Join or bring family · PDF form · updated 19/06/2023
Important notice: General information only — not immigration assistance or legal advice. For advice about your circumstances, book a verified practitioner.
Compiled from official Department of Home Affairs sources — practitioner verification pending.
- What it is for
- This is an information sheet explaining how to complete a statutory declaration in support of a family violence claim under the family violence provisions of the Migration Regulations 1994. It guides the reader rather than collecting data itself.
- Who completes it
- It is guidance for a visa applicant (or a member of their family unit) making a family violence claim, and it explains that the statutory declaration itself must be made by the partner of the person alleged to have committed the family violence.
- Information it collects (in general terms)
- As an instruction sheet it does not collect applicant data; it explains the regulatory definition of relevant family violence, the kinds of judicial and non-judicial evidence that may be provided, and the general content a statutory declaration should set out depending on who the alleged victim is.
- When it is used
- It is used by partner-visa applicants seeking to continue an application for permanent residence after a relationship has ended, where they or a member of their family unit have experienced relevant family violence committed by their partner.
Visas that commonly use this form
The downloadable PDF is the Department of Home Affairs' own official file (© Commonwealth of Australia, CC BY 3.0 AU), provided unmodified for convenience — always check the official page for the current version. This site is not affiliated with the Australian Government. Forms are completed and lodged in your own ImmiAccount; this platform never submits anything to the department.