Affidavit (Form 1A)
Form 1A is the affidavit form for civil proceedings in the District Court of Western Australia. It has a cover sheet, index and numbered paragraphs of evidence, signed before an authorised witness.
Word document from District Court of Western Australia's website.
DraftOur fillable copy of this form has not been through editorial review yet. Check it against District Court of Western Australia's current form before you rely on it.
- Format
- Word (DOCX)
- Category
- Court form
- Form number
- Form 1A
- Version
- vd688ff37
- Last updated
- 14 October 2026
District Court of Western Australia · District Court Rules 2005 (WA)

For law practices: 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.
What Form 1A is for
Rule 23A of the District Court Rules 2005 (WA) provides that an affidavit filed in the Court may be in the form of Form 1A. The affidavit must also comply with Order 37 of the Rules of the Supreme Court 1971, which the District Court applies (DCR r 6 and note 1 to Form 1A). Order 37 sets the rules for title, first-person wording, numbered paragraphs, page numbering, attachments, the index and exhibits. The Oaths, Affidavits and Statutory Declarations Act 2005 (WA) Part 3 sets out the requirements for making an affidavit and who may witness it (note 5 to Form 1A).
When you need it
- You need to put evidence before the District Court in writing, for example to support or oppose a chamber summons or an originating summons.
- You are applying for an interlocutory order after the case is listed for trial, which must be supported by affidavit (DCR r 48B).
- You need to attach documents such as letters, contracts or records to your evidence; they are attached to and bound with the affidavit (RSC O 37 r 2(8) and (9)).
How to fill it in
- 1
Complete the cover sheet
Enter the action number (and registry location if not Perth), the parties, the person making the affidavit, the date it is made, its purpose (for example "to support the plaintiff's summons dated ...") and who it is filed by. Order 37 r 13(2) requires the deponent's name, the dates of swearing and filing, and the party it is filed for to be noted on the affidavit.
- 2
Complete the index
If there are attachments, list the affidavit and each attachment with its page numbers and a short description (RSC O 37 r 2(7)). The rules' version of Form 1A uses the deponent's initials and a number for each attachment, for example "VVG 1".
- 3
Start the affidavit on a separate page
Page 1 of the affidavit itself must be on a separate sheet from the cover and index (note 4 to Form 1A). State your full name, the place where you live and your occupation, in the first person. If you are, or are employed by, a party, say so (RSC O 37 r 2(1) and (2)).
- 4
Use the right oath or affirmation words
The Court's Word template is worded for a sworn affidavit ("being duly sworn make oath and say"). If you are affirming, change the words to an affirmation in accordance with the Oaths, Affidavits and Statutory Declarations Act 2005.
- 5
Write the evidence
Use consecutively numbered paragraphs, each confined as far as possible to one topic, and write dates, sums and other numbers in figures (O 37 r 2(3) and (4)). Stick to facts you can prove from your own knowledge; statements of information and belief are only allowed in limited cases, such as interlocutory proceedings, and must give their source (O 37 r 6).
- 6
Number pages and attach documents
Number every page of the affidavit and attachments consecutively in the upper right-hand corner (O 37 r 2(6)). Refer to each attachment in the affidavit as being attached. A bound register, account book or unusually sized document is an exhibit instead and must be identified by a certificate of the witness (O 37 r 9).
- 7
Sign before an authorised witness
Complete the jurat with your name, the place and date, then sign in the presence of an authorised witness, who signs and adds their name and qualification.
Filing, lodging and service
- File the affidavit before it is used, unless the Court directs otherwise (RSC O 37 r 13(1)). Where a special time is set for filing, a late affidavit can only be used with leave (O 37 r 14).
- Lawyers must eLodge through the ECMS. A self-represented party should use the ECMS if registered, or otherwise may lodge by email to districtcourt@justice.wa.gov.au (preferred) or in hard copy at the registry (PNC 1.2.1).
- An affidavit presented through the ECMS must be signed and in PDF format (RSC O 67A r 4(5), applied by DCR r 6). Each electronic file must be under 200 megabytes (O 37 r 2(11)). Exhibits cannot be filed electronically (O 37 r 9(3)).
- Paper volumes of an affidavit and its attachments must not be more than 40 mm thick unless the Court allows otherwise (O 37 r 2(10)).
- Serve a copy on the other parties within the time the rules or the Court's orders require for the application it supports.
Common mistakes
- Leave out argument, hearsay and long extracts from documents. The costs of an affidavit that unnecessarily includes them are paid by the party filing it (O 37 r 6(3)).
- Check that the index page numbers match the actual page numbers in the top right corner.
- Do not use vague occupations or descriptions; O 37 r 2(1) says they must not be used.
Frequently Asked Questions
Is there a Word version of the WA District Court affidavit form?
Yes. The Court's Civil Procedure Forms page has Form 1A - Affidavit in Word and PDF.
Who can witness an affidavit in WA?
An authorised witness under Part 3 of the Oaths, Affidavits and Statutory Declarations Act 2005 (WA). Note 5 to Form 1A points to that Part for the requirements and the list of authorised witnesses.
What is the difference between an attachment and an exhibit?
Most documents are attached to and bound with the affidavit and listed in the index. Bound registers, account books and documents of unusual size are exhibits instead, identified by a certificate of the witness (RSC O 37 r 9).
Checked against the official sources on 26 October 2026
- District Court Rules 2005 (WA) rr 6, 23A, 48B and Form 1A
- Rules of the Supreme Court 1971 (WA) O 37 and O 67A r 4
- District Court of WA - Form 1A Affidavit (Word)
- District Court of WA - Civil Procedure Forms
- District Court of WA - Practice Notes Civil (PNC 1.2)
General information about the form, not legal advice about your matter. Rules and forms change: if anything here differs from the court or agency's current instructions, theirs apply.
Field map
2 boxes on the Affidavit (Form 1A) fill from your matter.
- Operator
- Operator signature (image), User Full Name (first + surname)
Matter plans that use this form
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