AFSA forms

Title Description Form number
Bankruptcy application forms

This page contains the forms and information sheets required to apply for bankruptcy.

Form 3, Form 6
Bankruptcy by sequestration order forms

This page contains the forms and information sheets required if you have been made bankrupt by sequestration order.

Form 3
Debt agreement proposal forms

This page contains the forms and information sheets required to propose a debt agreement.

Form 17
Declaration of intention to present a debtor’s petition (DOI) forms

This page contain the forms and information sheets required to apply for a declaration of intention (DOI) to present debtor’s petition.

Form 5
Overseas travel request form

Overseas travel request form. Form to request permission to travel overseas while you are bankrupt.

Personal insolvency agreement proposal forms

This page contains the forms and information sheets required to propose a personal insolvency agreement.

Form 13, Form 3
Statement of affairs

Form 3 statement of affairs. Complete for involuntary bankruptcy and to apply for voluntary bankruptcy.

Form 3
77CA notice issue application

Form 27 application for the issue of a 77CA notice. A form to apply to issue a 77CA notice. Official Receiver notice (ORN).

Form 27
AFSA credit facility: director's guarantee form

AFSA credit facility: director’s guarantee form. A form for customers using AFSA's credit facility

Alleged offence referral template

Alleged offence referral form. Template for submitting an alleged offence referral.

Annual trustee return

Form 32 - Annual trustee return

Form 32
Assent / dissent form

Assent / dissent form. Form to assent or dissent to composition proposal in bankruptcy. This form must be submitted to the trustee, together with a completed proof of debt form (POD), before the meeting.

B2G integration access

Application form for access to AFSA’s business-to-government (B2G) integration environment. Use this form to apply for access to AFSA's B2G integration environment.

B2G production environment access

Application form for access to AFSA’s business-to-government (B2G) production environment. Use this form to apply for access to AFSA's B2G production environment.

Certificate by debt agreement administrator

Certificate form for debt agreement administrators (DAA). This form must be completed, signed and accompany a debt agreement proposal (DAP), explanatory statement and statement of affairs (SOA) if sent by someone other than the debtor.

Change of conditions on practising as a registered trustee

Form 25 application to change or remove conditions imposed on the registration of a debt agreement administrator (DAA). A form to change or remove the conditions imposed on the registration of a debt agreement administrator.

Form 25
Change or remove conditions imposed on the registration of a debt agreement administrator

Form 11 application for change of conditions on practising as a registered trustee (RT). A form for changing conditions as a practising registered trustee.

Form 11
Claim and vote form

Creditor claim and vote (CAV) form for debt agreement proposals, variation proposal and termination proposals.

Controlling Trustee Authority

Form 13 controlling trustee authority. A form for appointing a controlling trustee.

Form 13
Credit application

AFSA credit application form. Use this form to apply for credit as a user of AFSA’s insolvency/bankruptcy services.

Debt agreement administrator pack

Information and forms about debt agreements. Includes the prescribed information, debt agreement proposal (DAP) and explanatory statement, form 17 debt agreement statement of affairs (SOA), and certificate by debt agreement administrator (DAA).

Debt agreement proposal and explanatory statement

Debt agreement proposal (DAP) and explanatory statement form. Form for proposing a debt agreement.

Debt agreement statement of affairs

Form 17 debt agreement statement of affairs (SOA). Statement of affairs for debt agreements.

Form 17
Debtor's petition

Form 6 debtor’s petition (DP, debtors petition) including instruction sheet. This is the one of the forms you need to apply to become bankrupt. You need to submit a debtor's petition form with a completed statement of affairs form.

Form 6
Declaration of intention to present a debtor's petition

Form 5 declaration of intention to present a debtor’s petition (DOI). A form for debtors to declare their intention to present a debtor's petition (apply for bankruptcy).

Form 5
Declaration of intention to present a debtor's petition

Declaration of intention to present a debtor’s petition (DOI). Forms, instructions and information for declarations of intention to present a debtor's petition (intention to apply for bankruptcy).

Form 5
Form (CDDA) apply for compensation

Complete this form if you would like to apply for compensation for Detriment Caused by Defective Administration Scheme (CDDA Scheme).

Form 20 attachment - supervised account regime 139ZIC

An attachment for form 20 supervised account regime 139ZIC.

Method of payment

AFSA method of payment form

National panel of registered trustees application

Application to join national panel of registered trustees form (ATJNPORT). A form for trustees to consent to act as trustee for bankruptcy estates transferred from the Official Receiver.

Notice by an industry body of possible grounds for disciplinary action

Form 35 - Notice by an industry body of possible grounds for disciplinary action

Form 35
Notice of completion, variation, termination or setting aside of a PIA (Part X), composition or scheme of arrangement (Part IV)

Form 19 notice of completion, variation, termination or setting aside of a PIA (Part X), composition or scheme of arrangement (Part IV). A form to notify AFSA of a completion, variation, termination or setting aside of a personal insolvency agreement (PIA), composition or scheme of arrangement (bankruptcy).

Form 19
Notice of demand

Form 9 notice of demand. A form notifying a debtor of demand for payment.

Form 9
Notice of proposal to creditors without meeting

Notice of proposal to creditors without meeting (s64ZBA). A form to submit a proposal to creditors without holding a meeting.

Notice of special resolution

Form 18 notice of special resolution. A form for notifying AFSA of a special resolution relating to a scheme of arrangement or composition or personal insolvency agreement (PIA).

Form 18
Notification of completion of debt agreement

Notification of completion of debt agreement (subsection 185N (6)). A form for an administrator to notify AFSA of the completion of a debt agreement.

Notification of six month arrears default of debt agreement

Notification of six-month arrears default of debt agreement (Section 185LC). A form for administrators to notify AFSA of six months arrears default of a debt agreement.

Order form for information packs

Order form for information packs. A form to order information packs.

Payment of debt agreement proposal lodgment fee

Form 30 payment of debt agreement proposal (DAP) lodgement fee. A form to pay a debt agreement proposal lodgement fee.

Form 30
Personal insolvency information booklet for debtors

Information booklet. This publication is designed for people who may be finding their level of debt unmanageable and are contemplating bankruptcy or any of the formal options available under the Bankruptcy Act 1966.

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