This process is outlined in the oaths and affirmations act 2018. Declared at in the state of victoria this day of 20. Authorised persons in accordance with the evidence miscellaneous provisions act 1958, any of the following persons may witness the signing of a statutory declaration within victoria. For example, if you have been unemployed for more than 4 weeks, then you may state. Statutory declaration form canada in word and pdf formats. Evidence miscellaneous provisions act 1958 as of 12 june 2015, previously.
A nsw statutory declaration is made under the oaths act 1900. Signature of person making the declaration before me declared at of month year on day full name of person before whom the declaration is made qualification of person before whom the declaration is made. State of victoria evidence act statutory declaration. Under the evidence act 1958, there are many people who may witness the signing of a statutory declaration in victoria. Or, you can post your litter statutory declaration to. Victoria statutory declaration a person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 15 years under s314 of the crimes act 1958 vic. Download the statutory declaration form, print it out, complete it, and submit it to juries victoria either through the online juror portal or via email. Statutory declaration for downloaded documents pdf 25kb statutory declaration for downloaded documents accessible alternative txt 1. Page 2 in confidence when completed making and signing the declaration a statutory declaration under the statutory declarations act 1959 may be made before a person who is currently licensed or registered under a law to practise in one of the following occupations.
Fillable and printable statutory declaration form 2020. I declare that the contents of this statutory declaration are true and correct and i make it knowing that making a statutory declaration that i know to be untrue is an offence. Chiropractor dentist legal practitioner medical practitioner nurse optometrist patent attorney pharmacist. You must submit your statutory declaration in hard copy printed, if its required by legislation. Statutory declaration i full name of address do solemnly and sincerely declare that. This page explains how to make a statutory declaration in victoria. Use this form to dispute the infringement or nominate the person who was responsible for the vehicle at the time of the.
For example, under the marriage act 1961, you may need to complete a statutory declaration and provide it in hard copy. Statutory declaration litter this statutory declaration is provided for use by individuals who have received a litter infringement under section 45 of the environment protection act 1970 ep act. Declarations, a notary public, a person before whom a statutory declaration may be made under the law of the state in which the declaration is made, an australian consular officer or an australian diplomatic officer as defined by section two of the consular fees act 1995, a chiropractor. If the person making the declaration has a disability or impairment that prevents them from completing any of the prescribed steps, please. Start a free trial now to save yourself time and money. Statutory declaration fill out and sign printable pdf. Download free victorian statutory declaration form pdf. Details of the person who received the infringement full name. Find out how to make a statutory declaration in victoria, and see a list of authorised witnesses. Statutory declarations department of justice and community safety. Statutory declaration form pdf statutory declaration form word list of persons who may witness statutory declarations in. Statutory declaration i enter your full name of enter the address where you live enter your occupation for example, bricklayer, teacher, unemployed solemnly and sincerely declare that list the facts in your own words. Signature of person making the declaration declarant declared. Statutory declaration for the state of victoria health.
Download and create your own document with victorian statutory declaration form kb 1 pages for free. Statutory declarations department of justice and community. You can send your statutory declaration to the person or organisation that asked for it. If applicable i certify that i have read the statutory declaration. This information sheet explains how to make a statutory declaration in victoria in accordance with the oaths and affirmations act 2018. When making the statutory declaration the declarant must say aloud. As part of making a statutory declaration, it is usual for the declarant to repeat the following words in the presence of the authorised witness. From 1 january 2020, statutory declarations must follow the process below. Statutory declaration state of victoria edit, fill. If the person making the declaration has a disability or impairment that prevents them from completing any of.
The appropriate wording for a statutory declaration made in new south wales is incorporated in the approved form of any dealing that requires the making of a statutory declaration, e. Statutory declaration state of victoria edit, fill, sign. Complete a statutory declaration attorneygenerals department. Statutory declaration authorised witnesses in accordance with the evidence act 1958, any of the following persons may witness the signing of a statutory declaration within victoria. When completing the statutory declaration, you must state exactly what you are declaring. For a new south wales statutory declaration see fact sheet what is a statutory declaration pdf 197. If youve been asked to witness a statutory declaration, please see the. A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years see section 11 of the statutory declarations act 1959. A statutory declaration must also contain a written acknowledgment by the declarant that it is true and correct and is made in the belief that a person making a false declaration is liable to the penalties of perjury. The regulations and a separate list of signatories can be accessed via a link at warning.
The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. I declare that the contents of this statutory declaration are true and correct and i make it knowing that making a statutory declaration that i know to be untrue is an. Statutory declaration of acknowledgement of parentage form. I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the. Who can witness a statutory declaration in victoria.
A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years see section 11 of the. New laws the laws about making a statutory declaration will change on 1 march 2019 when the oaths and affirmations act 2018 commences. Commonwealth of australia statutory declaration form subject. State of victoria statutory declaration i, full name of address, do solemnly and sincerely declare that. Use this template to create a statutory declaration for the state of victoria. Instructions and help about statutory declaration epa victoria. If the declaration is not completed, signed and witnessed correctly, your claim will not be processed.
I acknowledge that this declaration is true and correct and i make it in the belief that a person making a false declaration is liable to the penalties of perjury. This document is valid for twelve months from the date of declaration. Statutory declaration registrar generals guidelines. Full name of address do solemnly and sincerely declare that. Edit, fill, sign, download statutory declaration state of victoria online on. May, 2005 a statutory declaration must also contain a written acknowledgment by the declarant that it is true and correct and is made in the belief that a person making a false declaration is liable to the penalties of perjury. Signature of person making the declaration place city, town or suburb date declared at in the state of victoria on signature of authorised statutory declaration witness. Occupation i acknowledge that this declaration is true and correct and i make it in the belief that a person making a false declaration is liable to the penalties of perjury. A statutory declaration is a written statement that you sign and declare to be true and correct in the presence of an authorised witness. Statutory declaration for the state of victoria pdf, kb.
Statutory declaration form department of home affairs. Commonwealth of australia statutory declaration form. You can use this commonwealth provided template to make a declaration under the statutory declarations act 1959. Submitting the form submit this form with any application with which you are sending us copies of original documents. Fill out, securely sign, print or email your statutory declaration form pdf 23kb melbourne vic gov instantly with signnow. For a complete list of people who can witness a statutory declaration, go to the department of justice and community safety website at.
Statutory declaration fill out and sign printable pdf template. Persons who may witness statutory declarations in victoria. If youve been asked to witness a statutory declaration, please see the information for authorised witnesses. Occupation i acknowledge that this declaration is true and correct, and i make it with the understanding and belief that a person who makes a false declaration is liable to the penalties of perjury. A statutory declaration is a written statement which a person swears, affirms or declares to be true in the presence of an authorised witness usually a jp, lawyer or notary public. Printable and fillable statutory declaration state of victoria.
A statutory declaration is a written statement that a person the declarant signs and declares to be true and correct in the presence of an. When you make a statutory declaration, you are declaring that the statements in it are true. A statutory declaration is a written statement that a person the declarant signs and declares to be true and correct in the presence of an authorised witness. Commonwealth of australia, statutory declaration, stat dec, declartion. Or i have been unemployed since insert the date when you were last. There are two alternative formats specified in the act, in the eighth schedule and in the ninth. Before you sign the form and fill in the date and place, you need to find an authorised witness. Evidence act 1958, the list of persons who may witness statutory declarations. Stat dec vic fill out and sign printable pdf template. You must also use an updated form, like the one on this page. To send us a statutory declaration, fill out the relevant statutory declaration form.
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