You can be charged with a criminal offence if the information is false. Statutory declaration sample letter template for the bank. Send the form to us at the address that appears on the form. We own and maintain 5 aquatic centres, 34kms of bike paths, 15km of the great blue mountains trail, 7 cliff sport precincts, 6 skate parks, 6 natural campgrounds and 2 tourist parks. A person who makes a false statement in a statutory declaration is guilty of a crime criminal code act 1924 s1 and can be fined, or given a jail term or both. Traffic related online services including paying infringements, applications, updating details, report a hoon and report a crash.
A blank stat dec form for declaration in the state of south australia. 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 statutory declarations. A list of all persons qualified to witness or affirm the signature of the declarant is attached. Sapol dealing with a notice south australia police. Download a statutory declaration attorneygenerals department. Examples of when statutory declarations might be used include. A nsw statutory declaration is made under the oaths act 1900. A statutory declaration must be signed in the presence of a justice of the peace or commissioner for declarations in order to make the declaration legally binding. These tickets are issued only after having a facetoface conversation with a police officer. In australia a stat dec can be made under state law or commonwealth law depending upon the circumstances requiring the document. The act contains 2 alternative formats for a statutory declaration, and you can use whichever is more suitable for your needs. Statutory declarations attorneygenerals department. Application for the new south wales police diligent.
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. The completed statutory declaration form tells us that you are sending us true copies of the originals. The departments policy is that these statements be provided in the form of statutory declarations. Department will use the information provided in this form your statements, among other things, to assess these aspects. If youve received a penalty notice but werent the driver or person responsible for the offence, in order to transfer the penalty youll need to nominate whomever was responsible. Person before whom a statutory declaration may be made under the law of the state or territory in which the declaration is made police officer registrar, or deputy registrar, of a court senior executive service employee of. 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 justice of the peace, a lawyer or a notary public. A statutory declaration is a legal document that you sign to state something is true. Easy to use and so many options to get things filed on time. Qld statutory declaration, oaths act 1867, stat dec, statutory declaration, queensland, form.
Statutory declaration fill online, printable, fillable, blank pdffiller. 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. By signing it, you agree that the information in it is true. Access forms for major events, where more than 5,000 patrons are expected, or more than 10 police officers will be required to attend. Each state and territory, except the australian capital territory, have their own legislation. It can be signed in front of any witness who is 18 or older. To find a justice of the peace jp in your area go to.
Coronavirus covid19 and the attorneygenerals department. There are two alternative formats specified in the act, in the. Your affidavit will be governed by the laws of new south wales. To make a statutory declaration, download and complete the statutory declaration form below then have it witnessed by one of the many people authorised to do so refer to the list of authorised witnesses below. Oaths act 1900, nsw ninth schedule nsw police force. A blank stat dec form for declaration in the state of victoria. Send the form to us at the address that appears on.
Statutory declaration, free stat dec form australia. 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. Submit this form with any application with which you are sending us copies of original documents. 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. Some offences, such as camera detected offences and parking in a school zone, will apply demerit points to a driver licence, so its important the correct person is named.
If you are having difficulty opening or filling out a pdf form we suggest you read these fillabe forms tips. This is in questionnaire form, useful if you wish to prepare the whole document on the screen before printing out and signing before a qualified witness. New south wales a member of the police force the sheriff or deputy sheriff. You may be given a declaration form to fill in or you can write it yourself. I saw the face of the person or i did not see the face of the person because the person was wearing a face covering, but i am satisfied that the person had a special justification 1. I saw the face of the person or i did not see the face of the person because the person was wearing a face covering, but i am satisfied that the person had a special justification.
This declaration is to be completed and signed by a person making a statement download statutory declaration dh1030 pdf file statutory declaration dh1030, english pdf file 140. Download a statutory declaration download a word or pdf copy of a commonwealth statutory declaration. Statutory declaration oaths act 1900, nsw, ninth schedule i, of. Dispute a fine in court transport and motoring queensland. Use this template and statutory declaration sample to get your home loan approved. Its your responsibility to make sure your declaration is correct and meets all the necessary legal requirements.
I, make the following statutory declaration under the oaths and affirmations act 2018. A statutory declaration or stat dec is a written statement declared to be true in the presence of an authorised witness. Commonwealth of australia statutory declaration form. Western australian licensing form statutory declaration for vehicle and driver licensing\r keywords. Nsw statutory declaration forms justices of the peace. You can receive a fine of up to 600 penalty units, imprisonment for up to 5. Western australian licensing form statutory declaration for vehicle and driver licensing\r\n keywords. Statutory declarations department of justice and community. Get, create, make and sign nsw statutory declaration. Safety camera photos can only be viewed with a police officer at expiation notice branch. The regulations and a separate list of signatories can be accessed via a link at warning. Police certificate guidelines for aged care providers page 2 updated 2009 1.
Affidavit form free affidavit template au lawdepot. A statutory declaration is a sworn or affirmed statement and is usually used where there are no court proceedings but some fact needs to be proved. In some legal matters, the evidence you want the court to hear about your matter must be in an affidavit e. Editable word doc doc 43kb uneditable pdf pdf 12kb. To login, enter the penalty notice number and date of the offence, and the following information about the person responsible for the incident. When you make a statutory declaration, you are declaring that the statements in it are true. An affidavit sets out the facts as you remember them. All south australia police forms available on our site can be found here. Statutory declaration i full name of address do solemnly and sincerely declare that. The declarant is the name of the person or company that the penalty notice has been originally addressed to. Department of transport and main roads po box 673 fortitude valley qld 4006. For covid19 news, updates and advice from the australian government, visit australia. The act contains 2 alternative formats for a statutory declaration, and you.
Australian capital territory new south wales northern territory queensland south australia tasmania victoria western australia new south wales. Introduction these guidelines have been developed to assist approved providers with the management of police certificate requirements under the accountability principles 1988 the accountability principles made pursuant to the aged care act 1997 the act. These are never autogenerated without contact from a police officer. Use this form to provide evidence of your aboriginality if you are not able to get confirmation from a local aboriginal land council or an aboriginal community organisation download confirmation of aboriginality statutory declaration dh0165 pdf file.
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. 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. Use this form when a western australia statutory declaration is required. An organisations roads and maritime services customer number is found on the vehicles registration papers. Statutory declaration form department of home affairs. And i make this solemn declaration conscientiously believing the same to be true, and by virtue of the. Attachment 9 hepatitis b statutory declaration author. Electronic tickets etickets is an infringement that is generated and usually delivered electronically to a person. A statutory declaration is a written statement that you sign and declare to be true and correct in the presence of an authorised witness. You may use this form, or alternatively, you may use the statutory declaration template.
Find out how our services are being delivered and how you can access them. Statutory declaration western australia police force. Qld statutory declaration, oaths act 1867, stat dec, statutory declaration, queensland, form, created date. Making a false statement in a statutory declaration is against the law, and you can be. Affidavits and statutory declarations legal aid queensland. A person who makes a false statement in a statutory declaration is guilty of a crime criminal code act 1924 s1 and can be fined, or given a. You may also obtain a copy from most court houses and police stations.
Papua new guinea statutory declaration i, a do solemnly and sincerely declare that b and i make this solemn declaration by virtue of the oaths, affirmations and statutory declarations act 1962 conscientiously believing the statements contained therein to be true in every particular. Fill commonwealth statutory declaration word document. Templates for a statutory declaration are also available in either pdf form or editable doc form on the nsw. Any authorised witness for the state of western australia may also witness a commonwealth statutory declaration, as long as they are in western australia at the time of witnessing schedule 2, item 231 of the statutory declarations regulations 1993 commonwealth. A list of authorised witnesses under the oaths and affirmations act 2018 as of 1 march 2019 is attached. You can be fined and lose your driving privileges if you make a false nomination.
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