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Dated factual snapshot · captured 2026-07-15

Departmental form summaries: a searchable copy of published facts from an earlier capture. Records are not rechecked for each release and may have changed or been withdrawn. Confirm the current record at the official source before relying on it.

Source: Australian Government Department of Home Affairs. Official source · Creative Commons Attribution 3.0 Australia.

About this copy

Original factual summaries describing what each official form is for and who lodges it. No form fields, layout or text are reproduced; the official PDF remains the only form.

Platform-authored navigation; no lawyer or registered migration agent reviewed this catalogue. It does not assess eligibility, points or suitability for any person.

Purpose

This form supports the Department in considering care arrangements for a minor under the Unaccompanied Humanitarian Minor Program and helps assess the minor's status under the Immigration (Guardianship of Children) Act 1946. It is expressly not evidence of an established care arrangement and is not a legal document.

Who lodges it

The proposed carer - a person over 21 who intends to provide care for the minor - completes and signs the care undertaking.

When it is used

It is used within the humanitarian program when the Department is considering who might care for an unaccompanied minor and the proposed carer sets out their circumstances and willingness to provide care.

Visas that commonly use this form

The official visa page lists what an application actually requires.

Official form

Open the Department's own PDF or instructions page.

Open official form 1258

Genuine PDF held here

An unmodified copy of the Department’s file as captured on 2026-09-17 (directory listing dated 2022-06-01, ? pages, 178 KB). The Department may have published a newer version since; check the official link above before relying on it.

Download form 1258 (PDF)

SHA-256 e9ebb43a2a8d10862c8d449e158ad671a174593589e822c07f05f6eea0abe00b. Reference only: the Department published this file with PDF security.

Australian Government Department of Home Affairs, licensed under Creative Commons Attribution 3.0 Australia (copyright notice). Nothing is completed or submitted here.