Aboriginal DFV Court Support Program Registration form

The Aboriginal DFV Court Support Program is a support service for Aboriginal families experiencing domestic and family violence.

Please complete this form to lodge an enquiry and/or register for the program.

Information you disclose in this form will be used to make contact with you and will not be disclosed to other parties without your consent.

All form fields are required unless marked (optional).

Personal details

Given name

Last name

Preferred name (optional)

Phone number

Email address

I would prefer to be contacted by

What is your enquiry?

Do you identify as an Aboriginal person?

Select why you are before Moree or Gunnedah local court. I am:

The team will contact you in within 2-5 business days.

If you need to get in contact with the team immediately please contact AboriginalDFVCourtSupport@dcj.nsw.gov.au.

Your reference number is: ADFV .

You may close this window now.

This can happen if you clicked Submit more than once.

Please check your email for a confirmation message.

If you have not received a confirmation message within a few minutes please submit another form.

If you have received a confirmation message, your submission has been received.