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orical Fee Refund Hist Give Details File number (Services Australia)

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Approved by the Principal Registrar – January 2022 Page 1
Family Court of
Western Australia
Hist
orical Fee Refund
Historical Divorce Fees (Reduced Fee)
2016-17, 2017-18 and 2018-19 financial years
Important note
Court users who paid a filing fee for an application for a divorce order, which was reduced by reason of financial
hardship, in the 2016-17, 2017-18 and 2019-20 financial years are eligible for a $5.00 refund.
Rounding rules were incorrectly applied to the indexation of a subset of filing fees for an application for a divorce order
under the Family Law (Fees) Regulation 2012 in the 2016-17, 2017-18 and 2019-20 financial years. This led to a small
overcharge of $5.00 per applicant who paid the filing fee reduced by reason of financial hardship.
To apply for a $5.00 refund, you are required to complete this “Historical Fee Refund” form and email the form to
historicalfeerefunds@justice.wa.gov.au.
Warning: Under the Criminal Code any person who knowingly makes an untrue representation or statement to obtain a
benefit or advantage from the State is guilty of an offence and, if found guilty, can be fined or imprisoned.
Privacy Collection Notice
To determine your eligibility for a $5.00 refund, the Family Court of Western Australia (FCWA) needs to verify that you
have paid a reduced filing fee for an application for a divorce order in 2016-17, 2017-18 or 2019-20.
To do this, FCWA will ask you to provide:
• your current name and your name prior to your divorce
• your current address and your address prior to your divorce
• your date of birth
• your current email address
• the court file number of your divorce proceeding (included in email or SMS)
• the month and year that you filed your application for a divorce order
The refund of $5.00 will be paid by direct deposit to your bank account. The FCWA will ask you to provide your
nominated Australian bank account details so that the refund can be electronically transferred. This process is secure.
The FCWA will only use your personal information for the purpose of verifying your refund claim.
If you do not provide the requested information, the FCWA will be unable to verify your eligibility for a $5.00 refund, and
you will not receive a refund.
If you have any further concerns about the way your personal information will be handled, please email the FCWA at
historicalfeerefunds@justice.wa.gov.au .
Your current details
First Name
Surname
Date of Birth
Address
Email Address
Give Details
File number
File name
Date filed
Approved by the Principal Registrar – January 2022 Page 2
Family Court of
Western Australia
Your details on the divorce application (if different from above)
First Name
Surname
Address
Details of your court proceedings
Court File Number
PTW /
Date application for
divorce was filed
Only provide month and
year in format MM/YYYY
/
Your Australian bank account details
Account Name
Bank Name
Bank BSB
Account Number
Declaration
I
declare that the information in this form is true and correct to the best of my knowledge. If information I have
provided in this form proves to be false or incorrect, I acknowledge that I may not be eligible for a refund.
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Date
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orical Fee Refund Hist Give Details File number (Services Australia)

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Completed 8 March 2022

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