Victorian Numbered Regulations Victorian Numbered RegulationsFor the purposes of section 8N of the Crimes (Family Violence) Act 1987 , a certificate is in the prescribed form if it is in Form 1.
FORM 1
Crimes (Family Violence) Act 1987 (section 8N)
CERTIFICATE OF NON-ATTENDANCE
Form 1
*1. ( If the order is for a defendant to be assessed as to eligibility for counselling )
I, [ name of person specified in the order to perform the assessment ] was to assess [ name of defendant ] at [ time ] at [ place ] on [ date ] concerning *his/her eligibility for counselling under the terms of an order made by the Family Violence Court Division of the Magistrates' Court at [ venue ] on [ date of order ].
*1. ( If the order is for a defendant to attend counselling )
I, [ name of person specified in the order to provide counselling or if a body was specified in the order to provide counselling, name of representative of the body ] was to provide counselling to [ name of defendant ] at [ time ] at [ place ] on [ date ] under the terms of an order made by the Family Violence Court Division of the Magistrates' Court at [ venue ] on [ date of order ].
Note: The time place and date referred to above may be—
*(a) as specified in the order; or
*(b) as varied by the registrar; or
*(c) if for subsequent counselling, as notified by the person or body who is to provide the subsequent counselling.
2. I certify that [ name of defendant ] did not attend—
* for an assessment as to eligibility for counselling—
* for counselling—
at the time place and date referred to in paragraph 1.
Signed—
[ name ]
Date—
* Delete if inapplicable.
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