Notice of withdrawal of a personal safety intervention order (Form PSIO3)
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
- Category
- Court form
- Form number
- Form PSIO3
- Version
- v8a2c73f7
- Last updated
- 1 September 2026
Magistrates' Court of Victoria · Magistrates' Court (Personal Safety Intervention Orders) Rules 2021 r 4.08; Personal Safety Intervention Orders Act 2010
Type into every field, sign it, and save it - all on your own machine. The completed form is never uploaded.
How to lodge - See instructions
- 1
Assemble the form
Pull the latest Notice of withdrawal of a personal safety intervention order (Form PSIO3) 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
MCV publishes this form as PDF only (file labelled 'PSIO 3 (MCV) - Application to withdraw PSIO application'); no Word version on the page. Rule 4.08 'Withdrawal of applications' confirmed in the 2021 Rules (SR 101/2021). PDF verified HTTP 200.
Lodgement notesMCV publishes this form as PDF only (file labelled 'PSIO 3 (MCV) - Application to withdraw PSIO application'); no Word version on the page. Rule 4.08 'Withdrawal of applications' confirmed in the 2021 Rules (SR 101/2021). PDF verified HTTP 200.
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.