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Statutory Visa Form

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Commonwealth of Australia

STATUTORY DECLARATION – PARTNER VISA (APPLICANT)

Statutory Declarations Act 1959

I, 1,

1

and occupation 1 make the following declaration under the Statutory Declarations Act 1959:

1. That I have a mutual commitment to a shared life as a husband and wife, or as a de facto partner, or as an interdependent partner, to the exclusion of all others, with 2

2. That our relationship is genuine and continuing.

3. That 3 and I:

(a) live together; or

(b) live separately and apart on a permanent basis

4. That our relationship began in 5 and we have lived together for 6

5. Describe financial commitments you and your partner share, for example joint/individual bank accounts, ownership of property or other major assets, pooling of financial resources and sharing of day to day household expenses. (Please provide evidence of this financial commitment)

6. Describe the nature of your household including any joint responsibility for the care and support of children, your living arrangements and sharing of the responsibility for housework. A certified copy of birth certificate for any children born since the grant of your last visa to be provided.

7. Describe the social aspects of your relationship including social activities, attending special events or joint travel you and your partner undertake. (Please provide evidence of this commitment)

8. Describe the nature of your commitment to each other including the degree of companionship and emotional support you draw from each other and whether you see the relationship as a long-term one.

9. I also provide the details (including occupation, address and contact telephone number(s)) of the following two persons:

1. 7

Occupation:

Address:

Telephone number(s):

2. 7

Occupation:

Address:

Telephone number(s):

who have agreed to provide a verbal or written declaration on request regarding the nature of my relationship with 8 should the Department wish to contact them and request a declaration.

I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959, and I believe that the statements in this declaration are true in every particular.

Declared at 10

on 11 of 12

Signature of person making the declaration:

Before me, 13

Signature of person before whom the declaration is made:

Full name, qualification and address:

Note 1 A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959.

Note 2 Chapter 2 of the Criminal Code applies to all offences against the Statutory Declarations Act 1959 — see section 5A of the Statutory Declarations Act 1959.

* "address" means the place at which, or through which, a person may be contacted, and includes a postal address, but does not include the person’s email address.

** Department of Immigration and Citizenship policy is that a person who agrees to be your supporting witness about your relationship should know both you and your partner and the history of your relationship, be aged 18 years or over and be an Australian citizen or Australian permanent resident.

A statutory declaration under the Statutory Declarations Act 1959 may be made before–

(1) a person who is currently licensed or registered under a law to practise in one of the following occupations:

Chiropractor Dentist Legal practitioner

Medical practitioner Nurse Optometrist

Patent attorney Pharmacist Physiotherapist

Psychologist Trade marks attorney Veterinary surgeon

(2) a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or

(3) a person who is in the following list:

Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public

Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955)

Bailiff

Bank officer with 5 or more continuous years of service

Building society officer with 5 or more years of continuous service

Chief executive officer of a Commonwealth court

Clerk of a court

Commissioner for Affidavits

Commissioner for Declarations

Credit union officer with 5 or more years of continuous service

Employee of the Australian Trade Commission who is:

(a) in a country or place outside Australia; and

(b) authorised under paragraph 3 (d) of the Consular Fees Act 1955; and

(c) exercising his or her function in that place

Employee of the Commonwealth who is:

(a) in a country or place outside Australia; and

(b) authorised under paragraph 3 (c) of the Consular Fees Act 1955; and

(c) exercising his or her function in that place

Fellow of the National Tax Accountants’ Association

Finance company officer with 5 or more years of continuous service

Holder of a statutory office not specified in another item in this list

Judge of a court

Justice of the Peace

Magistrate

Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961

Master of a court

Member of Chartered Secretaries Australia

Member of Engineers Australia, other than at the grade of student

Member of the Association of Taxation and Management Accountants

Member of the Australasian Institute of Mining and Metallurgy

Member of the Australian Defence Force who is:

(a) an officer; or

(b) a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 with 5 or more years of continuous service; or

(c) a warrant officer within the meaning of that Act

Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practising Accountants or the National Institute of Accountants

Member of:

(a) the Parliament of the Commonwealth; or

(b) the Parliament of a State; or

(c) a Territory legislature; or

(d) a local government authority of a State or Territory

Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961

Notary public

Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office supplying postal services to the public

Permanent employee of:

(a) the Commonwealth or a Commonwealth authority; or

(b) a State or Territory or a State or Territory authority; or

(c) a local government authority;

with 5 or more years of continuous service who is not specified in another item in this list

Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made

Police officer

Registrar, or Deputy Registrar, of a court

Senior Executive Service employee of:

(a) the Commonwealth or a Commonwealth authority; or

(b) a State or Territory or a State or Territory authority

Sheriff

Sheriff’s officer

Teacher employed on a full-time basis at a school or tertiary education institution

Enter text✕

What the Statutory Visa Form Is and when it applies

The Statutory Visa Form is an official immigration document used to request or record visa-related rights, status changes, or statutory authorizations under U.S. immigration law. It typically collects applicant identity, immigration classification, statutory or regulatory basis for the request, supporting evidence, and certifications or declarations. Agencies, consulates, employers, or sponsors may require the form for petitions, consular processing, adjustments of status, or administrative reviews. Accurate completion and valid supporting documents are essential because the form establishes eligibility, fee payment, and the basis for adjudication by USCIS or a foreign consulate.

Why a correct Statutory Visa Form matters

A properly completed Statutory Visa Form clarifies the legal basis of a request, reduces processing delays, and helps avoid denials or requests for evidence. It documents consent, attribution, and retention needed under U.S. electronic signature law (ESIGN/UETA).

Why a correct Statutory Visa Form matters

Who typically prepares and signs this form

Typical users range from individual applicants to institutional sponsors; each role has different responsibilities when preparing and submitting the form.

  • Individual applicants: Complete personal identity, visa class, and attestations; provide passports and supporting evidence.
  • Employers or sponsors: Provide petitioner details, statutory citations, and sponsoring documentation for employment-based petitions.
  • Immigration attorneys: Review legal basis, attach briefs or exhibits, ensure compliance with USCIS or consular instructions.

Knowing which role you occupy helps you select the right fields, required supporting documents, and authentication level before submission.

Core components to include in a professional Statutory Visa Form

A complete form groups identifying data, statutory references, supporting evidence, signatures, fees, and declarations so adjudicators can verify eligibility and process the case efficiently.

Applicant Details

Full legal name, date of birth, country of citizenship, passport number, and contact information required for identification and correspondence.

Visa Classification

Exact visa category or statutory section cited (for example, employment-based category or humanitarian classification) to determine applicable criteria.

Statutory Basis

Reference the statute or regulation authorizing relief or admission, and explain the factual basis for eligibility in concise terms.

Supporting Documents

Attach passport photo, identity documents, I-94/immigration records, employment letters, or other evidence substantiating the claim.

Fees and Payment

Identify the required filing fee, payment method, and any biometrics or execution fees necessary to complete processing.

Declarations and Signatures

Signed attestations, printed name, and date for each signer; include capacity (applicant, agent, attorney) and contact details.

Security, privacy, and compliance safeguards to include

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Audit Trail: Timestamp, IP, and action log retained
HIPAA BAA: Business associate agreement when PHI present
ESIGN / UETA: Conforms to federal and state e-sign rules
21 CFR Part 11: Available for FDA-regulated records
SOC 2 Type II: Independent control report available

Step-by-step: completing the Statutory Visa Form

Follow these sequential steps to prepare a submission that aligns with agency expectations and minimizes follow-up requests.

  • 01
    Gather documents: Assemble passport, evidence, and fee payment documents first.
  • 02
    Complete fields: Enter names, dates, and statutory citations accurately.
  • 03
    Review carefully: Verify consistency across attachments and cross-check identifiers.
  • 04
    Submit and track: Send to the designated USCIS or consular channel and retain confirmation.

How to configure an online completion and signing workflow

Configure fields, authentication, attachments, and routing to match the form's requirements and the receiving agency's rules.

Field Configuration
Signature field Allow typed, drawn, or certified eSignature per ESIGN/UETA
Authentication Use email with optional SMS code or stronger KBA when required
Conditional fields Show or hide sections based on visa category selected
Attachments Require PDF upload for passport and supporting evidence

Where to file, send, or submit the completed form

Submission options depend on the specific visa process: USCIS petition, consular processing, or an employer-sponsored filing route.

  • USCIS online filing: Upload via the agency portal when the form permits electronic submission.
  • Consulate submission: Follow the consulate's instructions for electronic or in-person document delivery.
  • Mail or courier: Send required originals to the address specified in form instructions.
  • Employer submission: Employers/sponsors may submit petitions on behalf of applicants.

Digital delivery and platform requirements

Choose a platform that supports required document formats, signer authentication, and secure storage for immigration filings.

  • Formats supported: PDF, DOCX, and image uploads for supporting evidence
  • Integrations: Salesforce, Microsoft 365, NetSuite, Box, Google Workspace
  • Authentication options: Email, SMS codes, KBA, and SSO where available

Typical timelines and processing expectations

Processing timelines and promptness vary by form type, filing method, and the receiving office; always consult official form instructions for precise deadlines.

Biometrics appointment timeframe:

Typically scheduled within 30 days of receiving a filing notice from USCIS.

Interview scheduling:

Consular interviews are scheduled per post capacity; timing varies by country and post workload.

Agency processing times:

USCIS publishes form-specific processing ranges; check the agency's case processing pages for current estimates.

Fee payment deadline:

Include payment per form instructions; late or incorrect payment can void filing.

Response to RFE:

Respond within the period specified in the Request for Evidence to avoid denial.

Common mistakes that delay or jeopardize applications

  • Mismatched identity details: Entering names or passport numbers that differ from supporting documents leads to administrative delays, Requests for Evidence, or denial if not corrected promptly.
  • Incomplete or illegible attachments: Poor-quality scans, missing pages, or unlabeled documents cause adjudicators to request replacements and extend processing timelines significantly.
  • Incorrect fee or payment method: Using the wrong fee amount, payment type, or failing to include a required biometrics fee will usually result in an unprocessed or rejected filing.
  • Unsigned or improperly signed declarations: Missing signatures, unsigned certification blocks, or signatures not matching the specified signer capacity can render the filing invalid.

Consequences and legal risks of incorrect filings

Application denial: Filing errors may lead to denial
Fee forfeiture: Filing fees are generally nonrefundable
Processing delays: Errors trigger Requests for Evidence
Removal exposure: Fraud or misrepresentation may trigger removal
Criminal liability: Intentional fraud can lead to prosecution
Bar on relief: Certain misrepresentations can bar future benefits

Typical eSignature vendor comparison for form execution and secure filing

Compare common vendor criteria for executing and tracking Statutory Visa Forms; signNow is listed first per table conventions and pricing reflects annual-billing starting prices.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial Yes, 7-day trial No No Yes, limited Yes, limited
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about the Statutory Visa Form

Answers to common execution, authentication, and submission questions to reduce uncertainty when preparing or signing the form.


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