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Seeking urgent recovery orders in the Family Court

Information sheet

To be completed by client

  1. Name:
                                                                                                     
  2. Address:
                                                                                                      
                                                                                                     
  3. Current mobile telephone number:
                                                                                                     
  4. Home telephone number:
                                                                                                     
  5. I was born on:
                                                                                                     
    I am currently         years of age.         
  6. The respondent was born on:
                                                                                                     
    and is currently years         of age.
  7. I started a relationship with the respondent in
                                                                                                     
  8. The respondent and I married on:
                                                                                                     
  9. The respondent and I separated on a final basis on:
                                                                                                     
  10. Names and dates of birth of the child/ren:
    Child One
    Names                                                                                        
    Date of birth                                                                                
    Child Two
    Names                                                                                        
    Date of birth                                                                                
    Child Three
    Names                                                                                        
    Date of birth                                                                                
    Child Four
    Names                                                                                        
    Date of birth                                                                                
  11. Is there a Family Violence Order?         Yes         No
  12. When was it made?
                                                                                                     
  13. Are there any orders from the Family/Local Court about the child/ren?
             Yes         No
  14. What responsibilities did you have in relation to the child/ren before separation including taking them to school, doctors, cooking and cleaning?
                                                                                                     
                                                                                                     
  15. What duties did the respondent carry out during the relationship?
                                                                                                     
                                                                                                     
  16. What housing do you currently live in?
                                                                                                     
  17. Who else lives there?
                                                                                                     
  18. What housing does the respondent live in? 
                                                                                                     
  19. Who else lives there?
                                                                                                     

Since separation:

  1. Who has supervised the child/ren in your household?
                                                                                                     
  2. Who has supervised the child/ren in the respondent’s household?
                                                                                                     
  3. How often have the child/ren spent time with the respondent?
                                                                                                     
  4. Has anything changed to the time that the child/ren have spent with the respondent recently?
                                                                                                      
                                                                                                     
  5. Does the respondent pay Child Support?         Yes         No
  6. If so how much?
                                                                                                     
  7. Do you financially support the child/ren?         Yes         No
  8. Do you work?         Yes         No
  9. If so where do you work and what are your hours of work?
                                                                                                     
  10. Who looks after the child/ren when you are at work?
                                                                                                     
  11. Are the child/ren in good health?         Yes         No
  12. Do the child/ren have any medical problems?         Yes         No
  13. If so what are they?
                                                                                                     
  14. Are they undergoing  any counselling?         Yes         No
  15. Who has taken the child/ren to medical appointments and immunisations etc in the past?
                                                                                                     
  16. Are the child/ren fully immunised?         Yes         No
  17. Do the child/ren attend daycares/school?         Yes         No
  18. If yes, please state where:
                                                                                                     
  19. Has their school/daycare/preschool changed recently?         Yes         No
  20. Do any of the child/ren have any special needs?         Yes         No
    If yes, please state here:
                                                                                                     

Details of respondent

  1. What is the respondent’s full name?
                                                                                                     
  2. What is their date of birth?
                                                                                                     
  3. Where do they usually live?
                                                                                                     
  4. Who lives with them?
                                                                                                     
  5. If the respondent is not at their home, at what other address would we be able to find them?
                                                                                                     
                                                                                                     
  6. What is the respondent’s telephone number?
                                                                                                     

Risks to the child/ren

  1. What were the circumstances surrounding the child/ren being retained/removed by the respondent?
                                                                                                     
                                                                                                     
  2. Has there ever been any involvement by DoCS with your family, if so when and in what circumstances?
                                                                                                     
                                                                                                     
  3. Do you allege that the respondent has abused the child/ren? If so, when and what is the nature of the allegation?
                                                                                                     
                                                                                                     
  4. Do you allege that the respondent drinks excessively or is a drug user? If so, what specifically do you allege?
                                                                                                     
                                                                                                     
                                                                                                     
  5. Has the respondent been violent towards you? If so, when and what happened?
                                                                                                     
                                                                                                     
  6. Has the respondent been violent towards the child/ren? If so, when and in what circumstances?
                                                                                                     
                                                                                                     
                                                                                                     
  7. Did you report the violence to anyone including to doctors, teacher, psychologists, police, the Department of Community Services (DoCS) or friends?
                                                                                                     
                                                                                                     
  8. If the child/ren have a passport who currently holds that passport?
                                                                                                     
  9. Are you alleging that there is any risk that the other party will remove the child/ren from Australia?