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Application Form

Personal Details

Step 1/3

Declaration

Step 2/3

This means a conviction, finding of guilt, on-the-spot fine for, or court order relating to:

  • an apprehended violence or protection order
  • one or more traffic offences involving speeding more than 30 kilometres over the speed limit, injury to a person or damage to property;
  • a crime or offence involving the consumption, dealing in, possession or handling of alcohol, a prohibited drug, narcotic or other prohibited substance;
  • a crime or offence involving violence against or the injury, but excluding the death of, a person; or
  • a minor crime or offence involving dishonesty,

This means a sex-related offence or a crime, including sexual assault, Child pornography or an indecent act involving a child

Application Files & Additional Information

Step 3/3

Call Us 1800 800 098

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Important Note

Please note that the Women’s Safety Services SA contact email is only supervised between 9AM-5PM, Monday to Friday, and you will not receive a response outside these times.

If you are in urgent need of assistance or are concerned for your safety, please call 000 or call our Domestic Violence Crisis Line on 1800 800 098 or 1800 RESPECT (1800 737 732)

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