[Your Full Name]

[Street / Po Box]
[Suburb State Postcode]
Telephone:
Mobile:

The Principal Registrar

Family Court of Western Australia
150 Terrace Road
PERTH WA 6000

PARTIES: [FULL NAMES]

FILE NO: PTW[NUMBER/YEAR]

REQUEST FOR PERSONAL SAFETY MEASURES

[Type body of letter here]

ITALICISED TEXT IS PROVIDED FOR INFORMATION ONLY. PLEASE DELETE PRIOR TO SUBMITTING

It is recommended that letters raising personal safety concerns include (in 1 page or less):
 the nature of the concerns (referencing court documents where relevant);
 the court event they relate to; and
 how the requesting party would like these concerns to be managed.

Standard options to manage personal safety concerns include:

a) attending from an offsite location by telephone;
b) attending from an offsite location by video-link;
c) attending from an onsite location (in a separate room to the other parties) by video-link; or
d) provision of a security escort to and from the court event. Please note escorts are limited to within the Court
building.

Yours faithfully

______________________
(Signature)

[Date]