Please note that all documentation on the site is in PDF eFormformat and require Acrobat Reader to open and read.

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 1: Notice to be handed and explained to complainant by police official in case of domestic violence
• Form 2: Report and risk assessment by functionary
• Form 3: Affidavit by adult to report knowledge, belief or suspicion of acts of domestic violence
• Form 4: List of accessible shelters and public health establishments
• Form 5: Notice to be handed and explained to complainant by peace officer in case of domestic violence
• Form 6: Application for protection order
• Form 7: Consent for another person to apply for protection order on behalf of victim
• Form 8: Information notice to complainant who is not represented by legal practitioner
• Form 9: Application for domestic violence safety monitoring notice
• Form 11: Report by member of South African Police Service to court
• Form 18: Affidavit by electronic communications service provider furnishing information to court
• Form 19: Application by electronic communications service provider for extension of period within which information must be provided to court or cancellation of direction
• Form 21: Affidavit by electronic communications service provider furnishing additional evidence to court regarding extension of time
• Form 24: Application by electronic communications service provider to set aside or amend court order
• Form 26: Affidavit by electronic communications service provider furnishing additional evidence to court regarding application to set aside or amend court order
• Form 34: Affidavit for purposes of second or further warrant of arrest
• Form 35: Affidavit regarding contravention of protection order
• Form 38: Application for variation or setting aside of protection order
• Form 41: 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: Interim protection order
• Form 13: 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: Final protection order where interim protection order was issued
• Form 30: 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: Warrant of arrest
• Form 36: 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: Notice of variation or setting aside of protection order
• Form 40: Return of service
• Form 42: Court order authorising alternative manner of service

Source: https://www.justice.gov.za/forms/form_dva.htm

Directive: Applications for protection orders after-hours, assistance to unrepresented complaintant

Domestic Violence Regulations and Forms as at 14 April 2023

Domestic Violence Act

Domestic Violence Act (116/1998) » Revision of SAPS National Instruction 7 of 1999 in terms of section 18(3) of the Act

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