Protection order change form

1. Can I apply?

   1. Do you have a current Queensland domestic violence order? *

      • Yes
      • No
   2. Do you have a current order from another state or territory? *

      • Yes
      • No

   3. You can’t complete this online form without a current Queensland order

      If you want to make changes to an application for protection that is currently with a Queensland court you should contact the court where you filed the application.

      You can find out more about applying for a domestic violence orders or find other domestic and family violence protection forms.

   4. You can’t complete this online form if you have an interstate order

      You can't use this online form to change a current domestic violence order from another state or territory.

      If your current domestic violence order was not made in Queensland and you want to make changes, you must complete an application to vary a recognised interstate order—DV4A (DOCX, 155KB).

      You can apply for an interstate order to be recognised here (DOCX, 347KB) or find other domestic and family violence protection forms.

   5. Who are you in relation to the current order? *

      • The aggrieved
      • The respondent
      • A named person (relative or associate)
      • A person authorised by the aggrieved to apply for changes on their behalf
      • A person acting for the aggrieved under another Act
      • A person acting for the respondent under another Act
      • A person acting for a named person under another Act

   6. As you are not the aggrieved or respondent on this order, you can only apply to change parts of the order that apply to you. For example, you could apply to remove yourself from the order, or change any conditions relating to you.

   7. As you are not applying for the aggrieved or respondent on this order, you can only apply to change parts of the order that apply to the named person you are applying for. For example, you could apply to remove them from the order, or change any conditions relating to them.

   8. Who is the named person you are applying on behalf of?

      1. Given name
      2. Family name
2. Protection order details

   1. What type of order are you applying to change?

      • Protection order
      • Temporary protection order
   2. What date was the current order originally made? Example: 12/07/2017

   4. Any domestic violence order made by a court or a police officer in Australia from 25 November 2017 is automatically a nationally recognised order.

   5. If you want the current domestic violence order to be nationally recognised, you need to apply to the court to declare it to be nationally recognised.

   7. Would you like to apply to declare the domestic violence order to be recognised interstate?

      • Yes
      • No
   8. Which court was the current order made in? —please select— Atherton Magistrates Court Ayr Magistrates Court Bamaga Magistrates Court Barcaldine Magistrates Court Beaudesert Magistrates Court Beenleigh Magistrates Court Biloela Magistrates Court Blackall Magistrates Court Blackwater Magistrates Court Bowen Magistrates Court Brisbane Magistrates Court Bundaberg Magistrates Court Caboolture Magistrates Court Cairns Magistrates Court Caloundra Magistrates Court Charleville Magistrates Court Charters Towers Magistrates Court Cherbourg Magistrates Court Childers Magistrates Court Chinchilla Magistrates Court Clermont Magistrates Court Cleveland Magistrates Court Cloncurry Magistrates Court Cooktown Magistrates Court Coolangatta Magistrates Court Cunnamulla Magistrates Court Dalby Magistrates Court Emerald Magistrates Court Gatton Magistrates Court Gayndah Magistrates Court Gladstone Magistrates Court Goondiwindi Magistrates Court Gympie Magistrates Court Hervey Bay Magistrates Court Holland Park Magistrates Court Hughenden Magistrates Court Ingham Magistrates Court Innisfail Magistrates Court Ipswich Magistrates Court Julia Creek Magistrates Court Kingaroy Magistrates Court Landsborough Magistrates Court Longreach Magistrates Court Mackay Magistrates Court Mareeba Magistrates Court Maroochydore Magistrates Court Maryborough Magistrates Court Mitchell Magistrates Court Moranbah Magistrates Court Mossman Magistrates Court Mount Isa Magistrates Court Murgon Magistrates Court Nambour Magistrates Court Nanango Magistrates Court Noosa Magistrates Court Normanton Magistrates Court Oakey Magistrates Court Pine Rivers Magistrates Court Pittsworth Magistrates Court Pomona Magistrates Court Proserpine Magistrates Court Quilpie Magistrates Court Redcliffe Magistrates Court Richlands Magistrates Court Richmond Magistrates Court Rockhampton Magistrates Court Roma Magistrates Court Roma Street Arrest Court St George Magistrates Court Sandgate Magistrates Court Sarina Magistrates Court Southport Magistrates Court Springsure Magistrates Court Stanthorpe Magistrates Court Taroom Magistrates Court Thursday Island Magistrates Court Toogoolawah Magistrates Court Toowoomba Magistrates Court Townsville Magistrates Court Tully Magistrates Court Warwick Magistrates Court Weipa Magistrates Court Wynnum Magistrates Court Yeppoon Magistrates Court
   9. Aggrieved's name in the current order

      1. Given name
      2. Family name
   10. Is the aggrieved under 18?

       • Yes
       • No

   11. 1. As the aggrieved is under 18, all documents must be given to a parent unless the court orders otherwise.

       2. Aggrieved's parent’s name
       3. Would you like to keep the aggrieved's parent's address confidential from the respondent?

          • Yes
          • No
       4. Aggrieved's parent’s address CONFIDENTIAL (not shared with the respondent)
3. Respondent's details

   1. If you have these details about the respondent, please enter the information below.

   2. Respondent's name in the current order

      1. Given name
      2. Family name
   3. Respondent's address Please provide as much information as you can about where the respondent is currently staying. This will help police give (or serve) them a copy of this application.
   4. Respondent's phone number
   5. Respondent's email
   6. Respondent's place of employment
   7. Respondent's vehicle model
   8. Respondent's vehicle registration
   9. Is the respondent under 18?

      • Yes
      • No

   10. 1. As the respondent is under 18, all documents must be given to a parent unless the court orders otherwise.

       2. Respondent's parent’s name
       3. Respondent's parent’s address
4. Details of the changes you want made

   1. The magistrate may ask you:

      • whether or not anyone has pressured you to ask to change the order
      • exactly why you are asking for the changes to be made
      • how you and others named on the order (e.g. your children) will be protected from domestic violence if the changes are made.

   2. The court may only vary the order if the court considers that the safety, protection or wellbeing of the aggrieved or any people named on the order (including a child) will not be adversely affected by the changes you are asking for.

      You will need to explain to the court:

      • how the aggrieved will be protected from domestic violence if conditions are removed from the order
      • any current contact with the aggrieved or named persons (including a child)
      • how the court can be satisfied that the aggrieved will still be protected from domestic violence if the order ends sooner.
   3. Do you want to add or remove people from the order (i.e. children, relatives or associates)? You cannot add or remove the aggrieved or respondent from a current order. If you’re pregnant, you can apply to add your child so that they’re protected by the order from birth

      • Yes
      • No
   4. 1. Who would you like to add or remove?

         Details of people to add / remove from protection order
         1	Full name: Gender: Date of birth: Address: Add or remove:	Add Remove

      3. Why are you asking for this change? Explain how your situation has changed. If you are asking to remove someone from the order, explain how they will be protected from domestic and family violence if they are removed. Explain how your situation has changed and why you think these people will be protected from domestic violence if they are removed from the order.
   5. Do you want to change how long the order lasts?

      • Yes
      • No
   6. 1. When would you like the order to end? If known, write the exact date (e.g. 12/07/2019), otherwise include an approximate date (e.g. Christmas 2019).
      2. Why are you asking for this change? Explain how your situation has changed and why you think you will be protected from domestic violence if the order ends sooner or why you want the protection order to be extended. Explain how your situation has changed and how the aggrieved and named persons (including a child) will still be protected from domestic violence if the order ends sooner.
   7. Do you want to change the conditions included in the order?

      • Yes
      • No
   8. What changes would you like to make to the order?

      • Add new conditions
      • Remove current conditions
      • Change current conditions
   9. Add new conditions

      1. Select any conditions you would like added to the order.

         • Approaching or attempting to approach the aggrieved or a named person
         • Contacting or attempting to contact the aggrieved or a named person (including asking someone else to contact the aggrieved)
         • Locating or attempting to locate the aggrieved or a named person (if the respondent does not know where they live)
         • Recovery of personal property of the aggrieved or the respondent
         • Condition limiting contact between a parent and a child/children
         • Ouster order—stopping the respondent remaining at a premises, entering the premises or approaching the premises
         • Other
      2. Please specify what condition you would like added to the order.
      3. Why are you asking for extra conditions to be included? Explain how your situation has changed (e.g., what has happened to make you want extra conditions?).
   10. Remove current conditions

       1. Select any conditions you would like to remove from the order.

          • Approaching or attempting to approach the aggrieved or a named person
          • Contacting or attempting to contact the aggrieved or a named person (including asking someone else to contact the aggrieved)
          • Locating or attempting to locate the aggrieved or a named person (if the respondent does not know where they live)
          • Recovery of personal property of the aggrieved or the respondent
          • Condition limiting contact between a parent and a child/children
          • Ouster order—stopping the respondent remaining at a premises, entering the premises or approaching the premises
          • Other
       2. Please specify what condition you would like to remove from the order.
       3. Why are you asking to remove these conditions? Explain how your situation has changed and why you think you will be protected from domestic violence if the court removes the conditions. Explain how your situation has changed and how the aggrieved and named persons (including a child) will still be protected from domestic violence if the court removes the conditions.
   11. Change current conditions

       1. Select any conditions you would like to change on the order.

          • Approaching or attempting to approach the aggrieved or a named person
          • Contacting or attempting to contact the aggrieved or a named person (including asking someone else to contact the aggrieved)
          • Locating or attempting to locate the aggrieved or a named person (if the respondent does not know where they live)
          • Recovery of personal property of the aggrieved or the respondent
          • Condition limiting contact between a parent and a child/children
          • Ouster order—stopping the respondent remaining at a premises, entering the premises or approaching the premises
          • Other
       2. Please specify what condition you would like to change on the order.
       3. How would you like the chosen condition(s) to be changed.
       4. Why are you asking to change conditions? Explain how your situation has changed and why you think you will be protected from domestic violence if the conditions are changed. Explain how your situation has changed and how the aggrieved and named persons (including a child) will still be protected from domestic violence if the conditions are changed.
5. Details of the changes you want made

   1. The magistrate may ask you:

      • whether or not anyone has pressured you to ask to change the order
      • exactly why you are asking for the changes to be made
      • how you and others named on the order (e.g. your children) will be protected from domestic violence if the changes are made.
   2. Do you want to remove a named person from the order?

      • Yes
      • No
   3. 1. Why do you want remove the named person from the order? Explain how your situation has changed and how you will be protected from domestic violence if you are removed from the order.
   4. Do you want to change the conditions in the order that relate to the named person? As you are a relative or associate named on the order, you can only apply to change a condition relating to you.

      • Yes
      • No
   5. What changes would you like to make to the order?

      • Remove current conditions relating to a named person
      • Change current conditions relating to a named person
   6. Remove current conditions

      1. Select any conditions you would like removed from the order.

         • Approaching or attempting to approach a named person
         • Contacting or attempting to contact a named person
         • Locating or attempting to locate a named person (if the respondent does not know where they live)
         • Condition limiting contact between a parent and a child/children
         • Other
      2. Please specify what condition you would like removed from the order.
      3. Why are you asking to remove the named person from the conditions? Explain how your situation has changed and how you will be protected from domestic violence if you are removed from the conditions.
   7. Change current conditions

      1. Select any conditions you would like to change on the order.

         • Approaching or attempting to approach a named person
         • Contacting or attempting to contact a named person
         • Locating or attempting to locate a named person (if the respondent does not know where they live)
         • Condition limiting contact between a parent and a child/children
         • Other
      2. Please specify what condition you would like to change on the order.
      3. Please provide details on how you would like the conditions that apply to the named person changed.
      4. Why are you asking to change conditions that relate to the named person? Explain how your situation has changed and how you will still be protected from domestic violence without being included in the condition.

   8. You can't make any other changes to the protection order

      You can only apply to change parts of the order that apply to the named person. Only the aggrieved or the respondent can apply to extend the order, to end it sooner, or to remove conditions.

6. Other orders

   1. Has the court made any other orders or are there other court proceedings that involve the aggrieved and the respondent?

      • Yes
      • No

   2. Please attach a copy of the original order(s) with this application. If you are unable to do so, court registry staff will obtain a copy on your behalf.

   3. Please tick the box next to the type of order.

      1. Type of order
         Childrens court order	Yes	No
         Police protection notice	Yes	No
         Intervention Order	Yes	No
         Interstate / New Zealand domestic violence order	Yes	No
         Family court or federal circuit court order	Yes	No
         Other relevant court order	Yes	No

      2. Type of order:
7. Temporary protection

   1. Police will give (or serve) a copy of the application to the respondent.

      You must give a copy of the application to the aggrieved and any other person named on the order (other than the respondent).

      You must give a copy of the application to any other person named on the order (except the respondent).

      If you are concerned that the person you are applying on behalf of may be in danger before your court date, you can ask the court to consider making a temporary protection order—with the changes you’ve applied for—before the respondent is served.

      If you are concerned that you may be in danger before your court date, you can ask the court to consider making a temporary protection order—with the changes you’ve applied for—before the respondent is served.

   2. Do you want to apply for a temporary protection order before the respondent is served?

      • Yes
      • No
   3. Please tell the court why a temporary protection order is necessary. Describe why you are concerned about your immediate safety (or the immediate safety of the named person) and if you think domestic violence may occur before the court date.
8. Your details

   1. Name

      1. Given name
      2. Family name
   2. Date of birth Example: 12/07/1989
   3. 2. As you are under 18, all documents must be given to a parent unless the court orders otherwise.

      3. Your parent’s name
      4. Would you like to keep your parent's address confidential from the respondent?

         • Yes
         • No
      5. Your parent’s address CONFIDENTIAL (not shared with the respondent)
   4. Gender
   5. Phone
   6. Email Example: jane.smart@example.com
   7. Would you like to keep your address confidential from the respondent?

      • Yes
      • No
   8. Address CONFIDENTIAL (not shared with the respondent)
   9. 1. What is your place of employment?
      2. What is your vehicle model?
      3. What is your vehicle registration?
   10. Do you require an interpreter?

       • Yes
       • No
   11. Language/Dialect
   12. Do you identify as an Aboriginal or Torres Strait Islander?

       • Aboriginal
       • Torres Strait Islander
       • Aboriginal and Torres Strait Islander
       • Neither
   13. Do you have a disability, illness or impairment where support and/or special arrangements are required?

       • Yes
       • No
   14. Please give details about your needs. For example, Auslan or deaf interpreter.
9. • Continue

Next steps

Your form has not been submitted.

You must:

1. download and print your completed application form
2. get a JP or Cdec to witness your signature on the declaration section of the form
3. lodge your application to a magistrates court by post or at the counter.

After your application is lodged

Court date

Once you have lodged this application, you will be given a date to appear in court (usually in a few weeks).

Serving the application

Once you have lodged your application to change your domestic violence order, the police will give (or serve) a copy to the aggrieved and/or respondent. So, if you are the aggrieved on the current order, the police will serve the respondent with a copy of your application. If you are the respondent on the current order, the police will serve the application on the aggrieved and any named person on the order.

If someone else applied for the protection order on behalf of the aggrieved, they will also be given a copy of your application.

A relative or associate named on the order may also be given a copy of the application.

Support available

For counselling, information and referrals call:

• DV Connect Womensline on 1800 811 811
• DV Connect Men’s Line on 1800 600 636 (9am–midnight, 7 days)
• Kids Help Line (if you are between 5 and 25) on 1800 55 1800 (24 hours, 7 days).

For crisis counselling call Lifeline on 13 11 14 (24 hours, 7 days).

To apply for increased safety measures for your court date complete the domestic and family violence safety form (PDF, 456KB) and send it to, or lodge it at, the court you will be going to.

Legal advice and assistance

You can get legal advice from:

• Legal Aid Queensland—phone 1300 65 11 88 for free legal advice or to find out if you are eligible for a Legal Aid-funded lawyer
• Community Legal Centres Queensland
• private solicitors—phone the Queensland Law Society on 1300 367 757 for names of solicitors who can help you.