Commonwealth statutory declaration form – to be made with a witness

Administrative law

Publication date

26 September 2018

Last updated

1 January 2024

Download

Commonwealth statutory declaration form [PDF 713.38 KB]

Commonwealth statutory declaration form [DOCX 21.59 KB]

You can download a blank PDF or Word version of the Commonwealth statutory declaration form, or fill in your details below to generate a pre-populated PDF statutory declaration.

Find more information about how to complete this form and have it witnessed on Making a Commonwealth statutory declaration with a witness.

Online form

The form will automatically generate a PDF with the information you type below for you to download and then sign in front of a witness, either in person or remotely.

The download button is at the bottom of this webpage.

Commonwealth of Australia
STATUTORY DECLARATION
Statutory Declarations Act 1959

The (required) labels in this online form indicate information that is required to create a valid statutory declaration. You can generate the Statutory Declaration PDF at any time with any amount of information entered and then fill out any remaining required fields with a pen or electronically.

1. Insert the name, address and occupation of person making the declaration (required)

Full name (required)

Insert your full legal name.

Address (required)

Insert an address you can be contacted at such as a home or work address.

Occupation (required)

If you are a student, insert student. If you are unemployed, insert unemployed.

make the following declaration under section 9 of the Statutory Declarations Act 1959:

2. Set out matter declared to in numbered paragraphs (required)

I believe that the statements in this declaration are true in every particular, and 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 Act 1959, the punishment for which is imprisonment for a term of 4 years.

3. Signature of person making the declaration (required)

Sign your statutory declaration in front of an approved witness.

4. Email address or telephone number of person making the declaration (required)

Telephone number

Declared at

5. Place (required)

Insert the address or location where you are signing the statutory declaration.

6. Day (required)

7. Month and year (required)

Observed by me,

8. Signature of person observing the declaration being made (required)

Witness signs the statutory declaration.

9. Full name, qualification and address of person observing the declaration being made (required)

If you don't know who will be witnessing your statutory declaration at this stage, you can leave these fields blank and have these fields filled out by your witness in the generated PDF.

Full name (required)

Insert full legal name of witness.

Qualification (required)

Address (required)

Insert an address where the witness can be contacted such as a home or work address.

10. Email address and/or telephone number of person observing the declaration being made (required)

Telephone number

A statutory declaration under the Statutory Declarations Act 1959 may be made before–

(1) a person who is currently licensed or registered under a law to practise in one of the following occupations:

Architect	Chiropractor	Dentist
Financial adviser	Financial Planner	Legal practitioner
Medical practitioner	Midwife	Migration agent registered under Division 3 of Part 3 of the Migration Act 1958
Nurse	Occupational therapist	Optometrist
Patent attorney	Pharmacist	Physiotherapist
Psychologist	Trade marks attorney	Veterinary surgeon

(2) a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or

(3) a person who is in the following list:

Accountant who is:
- a) a fellow of the National Tax Accountants’ Association; or
- b) a member of any of the following:
  - i. Chartered Accountants Australia and New Zealand;
  - ii. the Association of Taxation and Management Accountants;
  - iii. CPA Australia;
  - iv. the Institute of Public Accountants
Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public
APS employee engaged on an ongoing basis with 5 or more years of continuous service who is not specified in another item in this list
Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955)
Bailiff
Bank officer with 5 or more continuous years of service
Building society officer with 5 or more years of continuous service
Chief executive officer of a Commonwealth court
Clerk of a court
Commissioner for Affidavits
Commissioner for Declarations
Credit union officer with 5 or more years of continuous service
Employee of a Commonwealth authority engaged on a permanent basis with 5 or more years of continuous service who is not specified in another item in this list
Employee of the Australian Trade and Investment Commission who is:
- a) in a country or place outside Australia; and
- b) authorised under paragraph 3 (d) of the Consular Fees Act 1955; and
- c) exercising the employee’s function at that place
Employee of the Commonwealth who is:
- a) at a place outside Australia; and
- b) authorised under paragraph 3 (c) of the Consular Fees Act 1955; and
- c) exercising the employee’s function at that place
Engineer who is:
- a) a member of Engineers Australia, other than at the grade of student; or
- b) a Registered Professional Engineer of Professionals Australia; or
- c) registered as an engineer under a law of the Commonwealth, a State or Territory; or
- d) registered on the National Engineering Register by Engineers Australia
Finance company officer with 5 or more years of continuous service
Holder of a statutory office not specified in another item in this list
Judge
Justice of the Peace
Magistrate
Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961
Master of a court
Member of the Australian Defence Force who is:
- a) an officer
- b) a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 with 5 or more years of continuous service
- c) a warrant officer within the meaning of that Act
Member of the Australasian Institute of Mining and Metallurgy
Member of the Governance Institute of Australia Ltd
Member of:
- a) the Parliament of the Commonwealth
- b) the Parliament of a State
- c) a Territory legislature
- d) a local government authority
Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961
Notary public, including a notary public (however described) exercising functions at a place outside
- a) the Commonwealth
- b) the external Territories of the Commonwealth
Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office providing postal services to the public
Permanent employee of
- a) a State or Territory or a State or Territory authority
- b) a local government authority with 5 or more years of continuous service, other than such an employee who is specified in another item of this list
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 employee of a Commonwealth authority
Senior executive employee of a State or Territory
SES employee of the Commonwealth
Sheriff
Sheriff’s officer
Teacher employed on a permanent full-time or part-time basis at a school or tertiary education institution

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Commonwealth statutory declaration form – to be made with a witness

Online form

Commonwealth of Australia
STATUTORY DECLARATION
Statutory Declarations Act 1959

ag.gov.au

Useful links

Related sites

Caretaker conventions now in place

Commonwealth statutory declaration form – to be made with a witness

Online form

Commonwealth of AustraliaSTATUTORY DECLARATIONStatutory Declarations Act 1959

ag.gov.au

Useful links

Related sites

Commonwealth of Australia
STATUTORY DECLARATION
Statutory Declarations Act 1959