Victorian Consolidated Regulations Victorian Consolidated Regulations(1) For the purposes of section 13 of the Act, the following information is prescribed for inclusion in an application for a personal safety intervention order—
(a) the name of the applicant;
(b) the capacity in which the applicant applies;
(c) the name and date of birth of each affected person;
(d) if the applicant is not the affected person or a police officer—
(i) whether the affected person consents to the making of the application; or
(ii) if the affected person is a child, whether a parent of the child consents to the making of the application; or
(iii) if the affected person has a guardian, whether the guardian consents to the making of the application;
(e) whether the applicant requires leave of the Court to make the application;
(f) the name, date of birth and address of the respondent;
(g) the relationship between the respondent and the affected person;
(h) the reasons for seeking the order;
(i) the nature of the prohibited behaviour or stalking alleged;
(j) the conditions on the order sought;
(k) whether a warrant is sought for the arrest of the respondent;
(l) details of any previous application or order made under the Act or the Stalking Intervention Orders Act 2008 (as in force immediately before its repeal);
(m) whether the respondent holds—
(i) a firearms authority; or
(ii) a weapons approval; or
(iii) a weapons exemption;
(n) whether an affected person or the respondent has a disability;
(o) whether an affected person or the respondent is of Aboriginal or Torres Strait Islander descent.
(2) If the applicant seeks a warrant for the respondent's arrest, the application must set out the reasons why a warrant is sought.
Note
There is currently no Rule 4.03.