If you are the Affected Family Member (person protected by the order), please use this form

The court collects your contact details for court use only. The court won’t share your personal information with the other person involved in this hearing.

Please email your local court to provide evidence (e.g. medical certificate, flight details) of the reason you are requesting an adjournment.

The court can give you some support to help you with your family violence hearing. For extra support, you may want to contact these free services:

Safe Steps – Family Violence Response Centre www.safesteps.org.au 1800 015 188
InTouch – Multicultural Centre Against Family Violence www.intouch.org.au 1800 755 988
1800RESPECT – Family Violence Counselling Service www.1800respect.org.au 1800 737 732
Dardi Munwurro - Aboriginal and Torres Strait Islander Family Service www.dardimunwurro.com.au 8456 3044

Please note that this email will be sent from noreply.fvio@courts.vic.gov.au and may appear in your junk mail.

Information about their role can be found here

Family violence practitioners A family violence practitioner provides non-legal information, support and referral for people who are respondents to an application for an intervention order or involved in criminal proceedings arising from or including allegations of family violence. may be available at the court location. Information about their role and availability can be found here.

You can read more about what the Koori family violence practitioner does in the here

You can read more about what the LGBTIQ+ family violence practitioner does in the here

Respondent pre-court information form

This form will help us prepare your case for court. This form gives the court information about your legal and other needs, as well as the best way to contact you.

Information provided in this form will form part of the court file and may be used to assist with service of any court documents.

Please fill in this form at least seven days before your court hearing. If you can’t fill in this form, you need to contact the court.

This form is for respondent (the person protected the order has been made against) in family violence intervention order hearing.

You need to complete a different form if:

You are the applicant (the person making the order) in a family violence intervention order hearing. FVIO Applicant form
Your matter is a criminal family violence hearing Guilty plea form
Not guilty plea form
You are the protected person (the person protected by the order) in a personal safety intervention order hearing (e.g. stalking, not a family member). PSIO protected person form
You are the respondent (the person the order has been made against) in a personal safety intervention order hearing (e.g. stalking, not a family member). PSIO Respondent form

How the court will use this information

The court will:

  • include the information in this form on the court file
  • use the information in this form to assist with service of any court documents
  • ask for your approval before it shares any of your information with an outside support agency, such as Victoria Legal Aid.

The court will not share any personal information you include on this form with any other person involved in this case.

Who can help you complete this form

If you are experiencing problems with the form or need help please contact your local court.

About your hearing

Your contact details

Legal support services

Going to your court hearing

Result of the court hearing

Support services

Confirmation email