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Abuse and Violence

Application Forms

The following fillable forms are intended to help victims of intimate partner violence prepare their application for an Emergency Intervention Order. Victims cannot submit these forms directly to an Emergency Adjudicative Officer or to the Court. To apply, the applicant must work with one of the designated community groups. See the forms below:

Click here for a list of helping agencies under the Act.


NOTE: There are minor amendments to the application forms effective September 2022 (page numbering and reference to Court of King's Bench). Please destroy previous versions and use these.


Back to Emergency Intervention Orders

Disclaimer: Please note that our website contains general information about the law. This is not a complete statement of the law on particular topics. We try to update our publications often, but laws change frequently so it is important for you to check to make sure the information is up to date.  The information in our publications is not a substitute for legal advice. To receive legal advice about your specific situation, you need to speak to a lawyer.