Cut and paste the template letter below or download a copy from the link above. Remember to substitute your details for the details contained in [square brackets].
[A safe postal address]
[Landlord’s or agent’s name]
[Landlord’s or agent’s address]
Domestic Violence Termination Notice
(Division 3A Residential Tenancies Act 2010)
As I am in domestic violence circumstances, I give notice that I shall cease to be a tenant of
[A date on or after this notice is given]
by serving this notice on you and vacating the premises.
[Your name / signature]
Evidence document per s105C [see above for details of what must be attached]
The attached document and its contents are confidential (s105C(3))
The attached document must be stored and disposed of securely (s105C(4))