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Official form guide

Form 1451: Understanding safety in and around the home

Form 1451 is an acknowledgement form used in the Status Resolution Support Services (SRSS) Programme. It records that a client and their family have received safety briefings on emergency, fire, cooking, heating, and gardening practices.

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Form Overview

Home Affairs Form 1451 - Understanding safety in and around the home

Form 1451 is an acknowledgement form used in the Status Resolution Support Services (SRSS) Programme. It records that a client and their family have received safety briefings on emergency, fire, cooking, heating, and gardening practices.

The form captures your name, signature, date, a witness signature from the SRSS provider, details of any interpreter used, and your ID or ImmiCard number. It also confirms you received safety advice.

Risk Radar

Scan points
  • 1Leaving the SRSS provider’s witness signature blank is the most common error.
  • 2Missing client signature
  • 3Missing SRSS provider (witness) signature
  • 4Failing to note interpreter details when used
  • 5Using cursive or unclear handwriting instead of block letters

Plain English

If you’re getting help from an SRSS provider, you’ll be asked to sign this short paper to confirm you’ve been shown how to stay safe at home. It also notes if an interpreter helped you understand the information.

Submission Date

  • Filing date: Submit the form after you finish the safety orientation. Not confirmed in official source for any specific deadline.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

Hover a term to preview the meaning.

What this form is for

  • When a Status Resolution Support Services (SRSS) provider gives you an emergency and fire safety orientation.
  • When you receive advice on safe cooking, heating or gardening practices from an SRSS provider.
  • When an interpreter is used for the safety briefing and you need to record their details.
  • When you must acknowledge receipt of the safety information for Department records.

Form selector

Use this form or another form?

Need to update privacy preferences

Covers collection, use and disclosure of personal data

✓ Verify you have read Form 1442i first

Form 1442i

Applying for SRSS support services

Initiates service eligibility

✓ Complete application before signing acknowledgement

SRSS application form (not 1451)

Reporting a breach of safety advice

Records incident details

✓ Use only after an actual incident

Incident report form (SRSS)

Deadline or filing window

The form should be returned promptly after the safety briefing; no formal deadline is stated in the source.

Before you submit

  1. 1Read and understand Form 1442i privacy notice.
  2. 2Enter full name exactly as on identification.
  3. 3Provide correct date of birth and ID number if applicable.
  4. 4Indicate whether an interpreter was used and fill interpreter details.
  5. 5Sign in block letters on the individual signature line.
  6. 6Have SRSS provider sign as witness on the designated line.
  7. 7If an interpreter was used, obtain interpreter signature.
  8. 8Use block letters for all printed entries.
  9. 9Check that all required dates are filled in day, month, year format.

How to file this form

  1. 1Download Form 1451 from www.homeaffairs.gov.au/allforms/.
  2. 2Read the instructions and the linked Form 1442i privacy notice.
  3. 3Complete all fields either by typing or by printing and writing in block letters.
  4. 4Obtain signatures from the individual, SRSS provider (witness) and interpreter if required.
  5. 5Submit the completed form to your SRSS provider or the Department as directed.

Known limitations

  1. 1Only applies to the SRSS Programme safety briefings.
  2. 2Does not replace any other immigration or service application forms.
  3. 3Requires a separate privacy notice (Form 1442i) for data handling details.
  4. 4Interpreter details are optional; leave blank if none used.
  5. 5Form must be completed in block letters if printed.

Field map

Compact field-by-field guide

7 fields

Applicant

3 items

Full Name

Your name exactly as shown in your passport.

Requiredtext
Date of Birth

Your date of birth (DD/MM/YYYY).

Requireddate
Passport / Document Details

Passport number, country of issue, and expiry date.

Requiredtext

Contact

1 items

Contact and Address

Current residential address, postal address, email, and phone number.

Requiredtext

Request

1 items

Type of Application

The visa, citizenship, or sponsorship request this form relates to.

Requiredselect

Evidence

1 items

Supporting Documents

Certified copies of identity and other documents required for the request.

Requiredtext

Declaration

1 items

Declaration and Signature

Declare that the information is true and correct, then sign and date.

Requiredsignature
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Current form status
HOME_AFFAIRS

Design date March 2018; no newer version cited in official source.

What changed or needs a fresh check

  • Confirm design date matches latest version on Department website.
  • Check that the privacy notice reference (Form 1442i) is still current.
  • Verify interpreter fields (full name, TIS number, DOB) are present.
  • Ensure signature lines for individual, witness and interpreter are included.

Quick Facts

Anyone who is a client of the Department’s Status Resolution Support Services (including family members) must complete this form.
The form captures your name, signature, date, a witness signature from the SRSS provider, details of any interpreter used, and your ID or ImmiCard number. It also confirms you received safety advice.
Submit the form after you finish the safety orientation. Not confirmed in official source for any specific deadline.
Return the completed form to your SRSS provider or to the Department of Home Affairs as directed. Not confirmed in official source for exact submission channel.
Submitting correctly shows the Department that you’ve received the required safety information. Missing signatures or details can delay your SRSS support or cause the Department to request a new form.
1. Read the whole form, including the reference to privacy notice form 1442i on the Department website. 2. Fill in all personal fields – name, date of birth, ID numbers – using block letters or typing. 3. Sign and date the form, then have the SRSS provider sign as witness. 4. If an interpreter was used, tick ‘Yes’ and write their full name, TIS number and date of birth. 5. Keep a copy for your records and send the original back to the provider or Department as instructed.

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Sources

  • SRCForm number 1451 and agency Department of Home Affairsconfirmed in source.
  • SRCDesign date 03/18confirmed in source.
  • SRCPurpose: acknowledgement of SRSS safety orientationconfirmed in source.
  • SRCRequired fields: full name, signature, dates, interpreter detailsconfirmed in source.
  • SRCPrivacy Act 1988 referenceconfirmed in source.
  • SRCReference to Form 1442i privacy noticeconfirmed in source.
  • SRCInstruction to use Adobe Acrobat Readerconfirmed in source.
  • SRCNot confirmed in official source: any updates after 2018.

Common confusion points

Leaving the interpreter section blank when an interpreter was used.

Signing with cursive or lower‑case letters instead of block letters.

Using the wrong form for a new SRSS application.

Omitting the witness signature from the SRSS provider.

Not reading Form 1442i before signing.

Incorrect date format (day/month/year).

Failing to include the full name in block letters.

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