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Declaration by medical practitioner Residential Tenancies Regulation 2010 Schedule 2A Declaration of competent person (clause 12A)Termination of tenancy in circumstances of domestic violence Purpose.

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How to fill out the AU NSW Declaration By Medical Practitioner online

This guide provides a clear step-by-step process for filling out the AU NSW Declaration By Medical Practitioner form online. The declaration is essential for tenants who are victims of domestic violence seeking to terminate their rental agreement without penalty.

Follow the steps to fill out the declaration form accurately and effectively.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the tenant's details in Part 1 of the form. This includes the tenant's family name, given names, address of the rented residential premises, suburb, state, postcode, and telephone number.
  3. Move on to Part 2 and complete the details of the relevant domestic violence offender. Here you will enter the full name of the person identified by the tenant as the perpetrator of domestic violence.
  4. Indicate whether the person named in Part 2 is a co-tenant or former co-tenant, or an occupant or former occupant of the premises. If the answer is 'No', you must provide the relationship between the tenant and the relevant domestic violence offender.
  5. In Part 3, you will declare your professional assessment. Record the date of consultation and provide the tenant's name, confirming they are a victim of domestic violence as stated. You must specify the date on which the violence was perpetrated.
  6. Complete the declaration with your full name, signature, registration number, and the date. Ensure all fields are filled accurately.
  7. Once everything is complete, save the declaration for your records. You may choose to print or share the completed form with the tenant.

Take action now by filling out the AU NSW Declaration By Medical Practitioner online to provide necessary support for those in need.

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Related links form

MO Form E-6 2019 MO MO-CRP 2019 OR OR-CPPR 2020 MO MO-5090 2019

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