Domestic and Family Violence Notice ending residency

Note: this form can only be used until 30 September 2021 as stated in section 3 of the Residential Tenancies and Rooming Accommodation (COVID-19 Emergency Response) Regulation 2020.

A resident completes the Domestic and Family Violence Notice ending residency when they wish to end their obligations/interest in their current rooming agreement and vacate the premises on grounds of domestic and family violence.

A resident must provide the completed form to their provider/manager or agent alongside evidence or information supporting their circumstances (e.g. a Domestic and Family Violence Report).

The resident must provide seven days notice and pay rent until the end of the notice period. They can leave before the end of the seven days, but will not be liable for any other costs and can request their rental bond contribution (if applicable) to be refunded to them. 


Everyone deserves to feel safe at home – domestic and family violence is never acceptable.

Help and support is available. Learn more.

Form - Domestic and Family Violence Notice ending residency
Download(PDF 72KB)
Current version: v4 May21
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