Fillable Printable Statutory Declaration Form - Western Australia
Fillable Printable Statutory Declaration Form - Western Australia
Statutory Declaration Form - Western Australia
Western Australia
Oaths, Affidavits and Statutory Declarations Act 2005
Statutory Declaration
I,
{name of perso n
making declaration}
of
{address of person
making declaration}
occupation
{occupation of person
making declaration}
sincerely declare as follows:
{insert above the content of the statutory declaration; use numbered paragraphs if
content is long}
This declaration is true and I know that it is an offence to make a declaration knowing
that it is false in a material particular.
This declaration is made under the Oat hs, Af fi dav it s and St at utor y Dec l ar ati ons Ac t
2005.
At
{place}
On
{date}
In the presence of
{Signature of authorised witness}
{Name of authorised witness}
{Qualification as suc h a w it ness }
By
{Signature of person making the declaration}
*Important - This Decla ration must be made be f ore any of the
follow ing persons:
Academic (post-secondary institution)
Local government councillor
Accountant
Loss adjuster
Architect
Marriage Celebrant
Australian Consular Officer
Member of Parl i ament
Australian Diplomatic Officer
Minister of religion
Bailiff
Nurse
Bank Manager
Optometrist
Chartered secretary
Patent Attorney
Chemist
Physiotherapist
Chiropractor
Podiatrist
Company auditor or liquidator
Police officer
Court officer (magistrate, registrar or clerk)
Post Office ma nag er
Defence Forc e o ffic er
Psychologist
Dentist
Public Notary
Doctor
Public Servant (State or Commonwealth)
Electorate Officer (State – WA only )
Real Estate ag ent
Engineer
Settleme nt ag ent
Industr ial org ani sati o n s ecr et ary
Sheriff or deputy Sheriff
Insurance broker
Surveyor
Justice of the Peace (any State)
Teacher
Lawyer
Tribunal officer
Local government CEO or deputy CEO
Veterinary surgeon
Full descriptions of these professions are available via the foll owing websit e link
http://www.courts.dotag.wa.gov.au/_files/Professions_witness_statutory_declara
tions.pdf
Or
any person before whom, under the Stat ut or y D ec lar at ions Act 1959 of the
Commonw ealt h, a Stat utor y Declarati on may be mad e.
Any authorised witness for the State of Western Australia may also witness a
Commonwealth Statutory Declaration, as long as they are in Western Australia at t he
time of witnes si ng - Schedule 2, item 231 of the Statutory Declarations Regulations
1993 (Commonwealth).
Further information on witnessing documents is available at
www.courts.dotag.wa.gov.au.
Last updated on 18 August 2015.
