Templates for male victims

Templates

No matter how many times you are knocked down - You can Stand Again. 

Exit Planning Checklist

This checklist is here to help you plan your exit safely, clearly, and with as much control as possible. Not everything will apply to your situation — take what’s useful, adapt what you need, and move at your own pace.

Phase 1: Prepare Yourself & Build the Plan

  • ☐ Build your trusted circle
    Identify 2–4 people who are reliable, safe, and discreet. Let them know you’re planning to leave and may need help — storing things, housing, or emotional support.
  • ☐ Open your own bank account
    Choose a bank your partner doesn’t use. Some banks offer DV-sensitive processes with flexible ID requirements. Don’t log in on shared devices.
  • ☐ Slowly build a cash reserve
    Withdraw small amounts over time. Hide it in multiple safe places (books, coat pockets, toiletry bags) or ask a support person to store it.
  • ☐ Set up a secure email and phone plan
    Create a new email address not linked to your devices. Consider buying a pre-paid phone (paid in cash), and keep it hidden — powered off until needed.
  • ☐ Review your digital safety
    • Change passwords on personal accounts
    • Turn off location sharing (including photo metadata and app permissions)
    • Use incognito/private mode for searches
    • Clear browser history or use public/library computers if needed
  • ☐ Secure key documents and essentials
    Store originals or copies (digitally and physically) of:
    • IDs (yours and your kids’)
    • Medicare cards, prescriptions
    • Financial statements
    • Court/parenting documents
    • Keys, cash, phone, charger
    • School/medical information
  • ☐ Consider a safety deposit box or safe hiding place
    Use it to store cash, spare keys, medications, devices, passwords, and essentials. Keep it out of the home if possible.
  • ☐ Log incidents quietly
    Keep a written or digital log of abuse. Use our [Incident Log Template] for consistency. Save screenshots, threatening texts, voicemails. Use Dropbox/Google Drive with a private account.
  • ☐ Prepare notes to institutions
    Draft short messages for your child’s school, GP, therapist, or daycare — so you’re not scrambling post-exit. See our [Notes to Institutions Templates].
  • ☐ Talk to your GP (if safe)
    Request a 10-day “cushion” of medications. Ask for printouts of your medical history. Inform them discreetly that you’re preparing to leave.

Phase 2: Enact and Navigate the Exit

  • ☐ Choose the safest exit moment
    Plan around your partner’s routine. Exit when they are away, calm, or distracted. Have someone on standby if needed.
  • ☐ Pack your bag quietly
    Use our [What to Pack] list. Include essentials for yourself and your children. Store with a trusted friend or in your car if safe.
  • ☐ Communicate your exit clearly (if necessary)
    Use a brief, firm message. Don’t explain or argue. You do not owe them closure or permission.
  • ☐ Check for vehicle trackers
    Ask a mechanic to sweep your car for GPS trackers. If one is found, don’t remove it until you leave — but learn how to disable it.
  • ☐ Inform Police (if applicable)
    After you’re out, report your exit and provide your ex’s name, car description, and any known threats. This helps with safety and future protection orders.

Phase 3: Stabilise Post-Separation

  • ☐ Formalise finances and access
    Work with a lawyer or DV support organisation to regain access to joint funds or transfer money safely.
  • ☐ Establish formal parenting agreements
    Avoid vague or informal deals. Use our [Parenting Agreement Template] to protect time, access, and legal rights.
  • ☐ Switch to co-parenting tools
    Use an app like AppClose to keep messages timestamped and professional. Avoid verbal communication.
  • ☐ Maintain boundaries with ex
    Use BIFF responses (Brief, Informative, Friendly, Firm). Don’t JADE (Justify, Argue, Defend, Explain). Keep it child-focused.
  • ☐ Prioritise your kids’ emotional stability
    Keep routines consistent. Use safe, age-appropriate language. You don’t need to explain everything — just that they’re safe, and you’re still there.
  • ☐ Secure devices and information
    Disable tracking on your old phone. Backup and remove data. Keep a password and app list stored securely for reinstalling later.

What to Pack / Prepare

Having your essentials ready can make all the difference when it’s time to leave.

Keep this list handy and pack quietly over time, storing your bag somewhere safe — with a trusted friend, your car, or a secure location outside your home.

Essentials for You:

  • Identification documents (driver’s license, passport, birth certificate)
  • Health cards (Medicare, private health insurance)
  • Prescriptions and medications (plus a cushion supply if possible)
  • Bank cards, credit cards, checkbooks
  • Phone, charger, and any backup phone or SIM card
  • Keys (house, car, work) — multiple sets if possible
  • Change of clothes and underwear
  • Basic toiletries (toothbrush, toothpaste, deodorant, razor)
  • Any legal documents (court orders, custody papers, police reports)
  • Emergency cash (small bills in multiple hiding spots)
  • Copies of important documents stored digitally (on secure cloud storage)

For Your Children:

  • Birth certificates and immunisation records
  • Health cards and medical information
  • School and childcare contact details and schedules
  • A few changes of clothes, underwear, and shoes
  • Comfort items (blanket, favourite toy)
  • Favourite snacks or comfort foods
  • Any medications or special care items

Practical Extras:

  • Printed emergency contacts list (trusted circle, support services, lawyer, police)
  • Notepad and pen for quick notes or journaling
  • Copies of therapy or counselling appointments and contact info
  • Copies of financial information (bills, rent/mortgage, insurance)
  • Small snacks and water bottle (for unexpected delays)
  • Any devices needed for work or communication

Family Court Affidavit Starter Notes

This guide helps you organise your key information for court affidavits related to family violence and custody. Use bullet points and keep it factual.

Personal Details

  • Your full name, date of birth, and relationship to the children
  • The children’s full names and dates of birth

Summary of Family Violence

  • Dates and brief descriptions of incidents (keep it objective, use the Blueprint if needed)
  • Impact on you and the children
  • Any police reports or intervention orders in place

Parenting History

  • Custody and care arrangements before separation
  • Any changes since separation

Concerns for Children’s Welfare

  • Specific behaviours or incidents affecting children
  • Observations of children’s emotional or physical health

Your Role and Plans

  • How you have supported the children
  • Your parenting goals and proposed arrangements

Incident Log Template

Track incidents with this simple form — use for your own records or to share with professionals if needed.

  • Date
    • DD-MM-YYYY
  • Time
    • HH:MM
  • Incident Description
    • Brief, factual summary of what happened
  • People Involved
    • Names of witnesses
  • Location
    • Where it happened
  • Emotional Impact/Notes
    • How it affected you and/or children

Parenting Agreement Example

A clear, respectful agreement helps protect your relationship with your children — and reduce conflict.

This example assumes shared care and equal parental responsibility. It avoids vague or biased wording and uses specific language designed to support fair and child-focused arrangements.

Parenting Time (Custody)

  • The children live with both parents in a shared care arrangement.
    The care schedule is as follows:
    • Monday & Tuesday: with Parent A
    • Wednesday & Thursday: with Parent B
    • Friday to Sunday (alternating weekends): rotates between Parent A and Parent B
  • Changeovers occur at school or daycare when possible, or at an agreed neutral location.

School Holidays

  • The parents will alternate school holiday periods, including Easter, mid-year, and summer breaks.
  • Each parent will have the opportunity to spend up to two consecutive weeks with the children during the summer holidays.
  • Public holidays and birthdays will be alternated annually, or shared by agreement.

Special Occasions

  • Cultural and religious days important to either parent (e.g., Diwali, Christmas, Father’s Day, birthdays) will be shared or alternated.
  • A calendar will be reviewed each year to confirm arrangements.

Communication with Children

  • When not in their care, each parent may have reasonable phone/video contact with the children — up to once per day, at agreed times.

Medical, Educational, and Major Decisions

  • Parental responsibility is shared equally.
    Both parents are to be consulted on major decisions, including:
    • Education and school enrolment
    • Medical and psychological treatment
    • Religious or cultural upbringing
    • Changes to residence that affect school catchment or contact

Information Sharing

  • Both parents are to be provided with direct communication from schools, daycares, and medical professionals.
  • Each parent agrees to inform the other of any significant matters regarding the children’s health, wellbeing, or development.

Travel

  • Either parent may travel with the children within Australia during their scheduled time.
  • For overseas travel, written consent from the other parent must be obtained.
  • Children’s passports will be held in a neutral, agreed-upon location or alternated.

Relocation

  • Both parents agree to live within a [15km radius] of the children’s current school to preserve stability in care and education.

Behaviour and Communication Expectations

  • Neither parent shall speak negatively about the other in the presence of the children.
  • Both parents agree to use respectful communication and prioritise the children’s emotional wellbeing.
  • Disputes shall be resolved through Family Dispute Resolution before any legal escalation.

Emotional Ownership Framework Template

Not every feeling is yours to carry. This is your tool to unpack what’s going on — and who benefits from it.

Use this check-in when you feel emotionally overwhelmed, guilty, reactive, or ashamed.

  • Step 1: What am I feeling?
    (e.g. shame, guilt, anxiety, dread)
  • Step 2: Why is this feeling so strong right now?
    (Does it echo something from childhood? A previous relationship?)
  • Step 3: How was I made to feel this?
    (Was this emotion triggered by something said, done, or withheld? Was it manufactured?)
  • Step 4: Who benefits from me feeling this way?
    (Does it stop me from setting boundaries? Does it keep someone else in control?)
  • Step 5: So… should I really be feeling this?
    (Is this mine, or was it planted? Is it helping or harming me?)

Trigger Tracker

Understand your TTI emotional patterns so you can respond — not react.

Use this after strong emotional moments (outbursts, shutdowns, sudden shame, etc.)

  1. Date
  2. Tactic Used (What happened?)
    1. Describe the behaviour or event
    2. Where is the tactic in the blueprint?
    3. How was the tactic applied (words, actions, setup)?
  3. Internal Impact 
    1. How did you feel emotionally?
    2. Any physical signs (tight chest, dissociation)?
  4. Your Response
    1. What did you say?
    2. What did you do (fight, flight, fawn)?
  5. Trigger Hit  
    1. What internal wound did it land on?
      (e.g. fear of being alone, not being believed, needing to prove worth)
    2. Was it tied to:
      ▫ Emotional wound
      ▫ Conditioned behaviour
      ▫ Cultural narrative
      ▫ False belief
    3. Where do you think this trigger comes from?

End of week reflection:

  • What patterns in tactics am I seeing?
  • What helped me regulate?
  • What situations caught me off guard?
  • What survival tool or healthy response should I try next time?

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Disclaimer: This website offers peer-informed education and resources. It is not a substitute for legal or clinical advice.  If you are in danger or experiencing a crisis, please seek immediate professional help.

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