This page explains how to fill out and lodge a Statutory Declaration (stat dec) form in cases where one is required for Internode services or products.
This article will explain how to lodge a Statutory Declaration (stat dec).
You may need to lodge a Statutory Declaration form in the following situations:
- Someone else's services are already connected at a property you own or rent (preventing you from getting services connected to that address).
- You need to take ownership of an account because the owner can no longer be contacted for any reason.
- Any other situation that requires a legal statement from you.
If you're ever unsure about what to do with your statutory declaration, please contact us.
How to lodge a Statutory Declaration
- Download and/or print a copy of the form here. Single-sided or double-sided printing is acceptable. If you do not have access to a printer, you can get a Statutory Declaration form from your local Post Office. Alternatively, your local library may be able to help you print the form.
- Using a black or blue pen, fill out your Name, Address and Occupation, and then write your declaration in the space provided. If you are making a declaration as an authorised representative for a business, be sure to state this clearly. We've included some examples of written declarations below.
Example 1: Making a declaration as an individual
Example 2: Making a declaration as an authorised representative of a business
- Take your Statutory Declaration to be witnessed and signed by anyone from the list below, or listed in Note 2 on your form.
- Sign and date your form in front of your witness and then have them sign their name and title
- Scan and email your form to [email protected], or fax it to 1300 FX NODE. Please include your reference number or Internode username in your email subject or written on your fax. If you do not have access to a scanner, your local Post Office (and some newsagents) should offer fax services
- A member of our Support Team will receive your declaration and then arrange contact with you to continue addressing your issue.
People who can witness a Statutory Declaration
- Architect
- Australian Defence Force officer or a non-commissioned officer (as per Defence Force Discipline Act 1982) with at least 5 years of continuous service
- Australian Postal Corporation worker with at least 5 years of continuous service
- Bailiff
- Bank officer with five or more years of continuous service
- Building society officer with at least 5 years of continuous service
- Chiropractor
- Civil marriage celebrant
- Commissioner for Affidavits
- Commissioner for Declarations
- Court clerk, Judge or Master
- Credit union officer with at least 5 years of continuous service
- Dentist
- Financial adviser or planner
- Justice of the Peace
- Legal practitioner (lawyer)
- Magistrate
- Medical practitioner (doctor)
- Member of Parliament
- Midwife
- Minister of religion registered under Division 1 of Part IV of the Marriage Act 1961
- Notary Public
- Nurse
- Occupational therapist
- Patent attorney
- Pharmacist
- Police officer
- Sheriff
- Sheriff's officer
- Teacher working full-time at a school or tertiary education institution.
- Veterinary surgeon
… or any other person listed on pages 2 and 3 of your Statutory Declaration Form.
