Minutes of proposed consent orders (Form PSIO5)
DraftThis template has not been through our editorial review yet. Check it against Magistrates' Court of Victoria's current form before you rely on it.
- Format
- Word (DOCX)
- Category
- Court form
- Form number
- Form PSIO5
- Version
- vdb752231
- Last verified
- 31 August 2026
Magistrates' Court of Victoria · Personal Safety Intervention Orders Act 2010

How to lodge - See instructions
- 1
Assemble the form
Pull the latest Minutes of proposed consent orders (Form PSIO5) into your practice management system. Your matter details (the parties, court file details, and your firm details) populate the form automatically, on your own machine.
- 2
Review and check
Confirm the populated fields are correct and complete any office-use or matter-specific fields the catalogue does not fill.
- 3
Lodge the form
Form header: 'For use in applications made under the Personal Safety Intervention Orders Act 2010'. Word and PDF both verified HTTP 200 (PDF 153782 bytes).
Lodgement notesForm header: 'For use in applications made under the Personal Safety Intervention Orders Act 2010'. Word and PDF both verified HTTP 200 (PDF 153782 bytes).
This form maps to the published matter-field vocabulary, so your practice management system fills it from your matter data - on your own machine. Practice management systems can fetch and assemble it through the document assembly API.