Justice of the Peace – Reappointment Form All questions must be answered, unless marked (optional). PersonalJP Number Surname Given Names Residential AddressStreet Address Suburb Postcode State Postal Address (if different to Residential)Street Address Suburb Postcode State ContactHome phone Mobile phone Business phone Email Date of Birth Are you an Australian Citizen Yes No Declaration I confirm that I wish to be reappointed as a Justice of the Peace under section 8 of the Justices of the Peace Act 2019 I confirm that I will continue to actively serve the community in the office of Justice of the Peace if re-appointed. I consent to appropriate enquiries being made to determine my suitability for reappointment as a Justice of the Peace. I certify that all the information set out in this form is correct. I note that my name, suburb and telephone number will be searchable through the Justice of the Peace online database. Last Updated: 19th February 2021