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Forms
Domestic Violence
Please note that currently all forms are in plain PDF format as taken from the Domestic Violence Regulations 2022, GG 48428, RG 11572, GoN 3289 [Published 14 Apr 2023]. Formatted, fillable eForms will be published as soon as possible. Download a list of email addresses for Domestic Violence Courts.
- Form 01 [J471]: Notice to be handed and explained to complainant by police official in case of domestic violence
- Form 02 [J961]: Report and risk assessment by functionary
- Form 03 [J962]: Affidavit by adult to report knowledge, belief or suspicion of acts of domestic violence
- Form 04 [J963]: List of accessible shelters and public health establishments
- Form 05 [J964]: Notice to be handed and explained to complainant by peace officer in case of domestic violence
- Form 06 [J480]: Application for protection order
- Form 07 [J965]: Consent for another person to apply for protection order on behalf of victim
- Form 08 [J506]: Information notice to complainant who is not represented by legal practitioner
- Form 09 [J966]: Application for domestic violence safety monitoring notice
- Form 11 [J968]: Report by member of South African Police Service to court
- Form 18 [J973]: Affidavit by electronic communications service provider furnishing information to court
- Form 19 [J974]: Application by electronic communications service provider for extension of period within which information must be provided to court or cancellation of direction
- Form 21 [J976]: Affidavit by electronic communications service provider furnishing additional evidence to court regarding extension of time
- Form 24 [J979]: Application by electronic communications service provider to set aside or amend court order
- Form 26 [J981]: Affidavit by electronic communications service provider furnishing additional evidence to court regarding application to set aside or amend court order
- Form 34 [J591]: Affidavit for purposes of second or further warrant of arrest
- Form 35 [J608]: Affidavit regarding contravention of protection order
- Form 38 [J649]: Application for variation or setting aside of protection order
- Form 41 [J988]: Request for authorisation of alternative manner of service
THE FOLLOWING FORMS ARE ISSUED BY COURT OFFICIALS ONLY
- Form 10: Court order for domestic violence safety monitoring
- Form 12 [J507]: Interim protection order
- Form 13 [J523]: Notice to respondent to show cause (submit reasons) why protection order should not be issued
- Form 14: Subpoena for witness
- Form 15: Subpoena for book, document, or objects
- Form 16: Direction issued to electronic communications service provider to furnish information to court
- Form 17: Court order regarding payment of costs of electronic communications service provider
- Form 20: Request for additional evidence by court regarding extension of time period
- Form 22: Information to electronic communications service provider of outcome of application
- Form 23: Court order to electronic communications service provider to remove or disable access to electronic communication
- Form 25: Request for additional evidence from electronic communications service provider regarding application to set aside or amend court order
- Form 27: Court order setting aside or amending court order
- Form 28: Court order for refund of costs paid to electronic communications service provider by State
- Form 29 [J551]: Final protection order where interim protection order was issued
- Form 30 [J566]: Final protection order where interim protection order was not issued
- Form 31: Court order for the extension or discharge of interim protection order
- Form 32: Notification of next date of hearing
- Form 33 [J590]: Warrant of arrest
- Form 36 [J645]: Notice to appear before Court
- Form 37: Information to station commander and National Commissioner of South African Police Service of final protection order
- Form 39 [J653]: Notice of variation or setting aside of protection order
- Form 40: Return of service
- Form 42: Court order authorising alternative manner of service