Form 1410i · Join or bring family
Completing a Statutory Declaration for a Family Violence Claim
What this official form is for and who lodges it. The form itself is only ever the Department's own document; nothing is completed or submitted here.
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 Records are not rechecked for each release and may have changed or been withdrawn.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 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 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
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 ↗Genuine PDF held here
An unmodified copy of the Department’s file as captured on 2026-09-17 (directory listing dated 2023-06-19, 2 pages, 157 KB). The Department may have published a newer version since; check the official link above before relying on it.
SHA-256 d8ec6e9a2eaca6ae1c95d958ec70a0fe10edee2799d7b9477aaa25af91ab7c5e. Reference only: the file has no form fields.
Australian Government Department of Home Affairs, licensed under Creative Commons Attribution 3.0 Australia (copyright notice). Nothing is completed or submitted here.