Form 1410i · Join or bring family
Completing a statutory declaration for a family violence claim
What the form is for and who lodges it. The form itself is the Department's own PDF; nothing is completed or submitted here.
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The official source has changed since these records were last reviewed. Our copy last changed on 30 September 2026. Confirm the current record at the official source. Official source ↗
Source: Australian Government Department of Home Affairs. Creative Commons Attribution 3.0 Australia.
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Information on completing a statutory declaration for a family violence claim
Purpose
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.
About this explanation
Dated copy · captured
Our recheck of this copy is overdue, so treat every entry as historical: check the Home Affairs forms directory ↗ before relying on one.
Source: Australian Government Department of Home Affairs. Creative Commons Attribution 3.0 Australia.
YourVisaSite has arranged this copy for searching. No lawyer or registered migration agent has reviewed it, and it does not assess eligibility or choose a form, course or provider for you.
Who lodges 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.
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
- Partner visa (offshore), subclasses 309 and 100
- Partner visa (onshore), subclasses 820 and 801
- Prospective Marriage visa, subclass 300
The official visa page lists what an application actually requires.
Official form
Open the Department's own PDF or instructions page.
Open official form 1410i ↗Saved copy of the PDF
An unmodified copy of the Department’s file as captured on (listing dated , 2 pages, 157 KB). The Department may have published a newer version since; check the official link above before relying on it.
Australian Government Department of Home Affairs, licensed under Creative Commons Attribution 3.0 Australia (copyright notice). Nothing is completed or submitted here.