Services Australia Advice of Imprisonment or Custody (MOD F) Completed Form Examples and Samples

To whom it may concern at Services Australia: Please accept this summary regarding my client, Mr. Alexander Julian Vane. Mr. Vane, currently held at the Silverwater Correctional Complex under prisoner identification number 9842107, was first taken into custody on January 14, 2026, at the Newtown Police Station. He was subsequently transferred to the current facility on January 16, 2026. Alexander was born on June 5, 1988, and his Customer Reference Number is 123-456-789-0. Prior to his incarceration, he was employed by Blue Horizon Logistics, where he earned a gross income of $4,800 for the period spanning from December 1, 2025, to January 13, 2026. Mr. Vane has been known by the alias 'Alex Vane' since his youth, though he has no other formal name changes. Regarding his family circumstances, he has a partner, Sarah Vane, who also performed contract work at Green Valley Tech, earning $2,200 for the month of December 2025. He is currently not receiving Family Tax Benefit payments for his dependents, and no one is currently receiving a Carer Payment or Allowance for him. For official correspondence, please direct inquiries to the correctional facility’s administration office at fax (02) 9988-7766 or via email prefix 'silverwater.admin'. Mr. Vane’s primary residence is located at 12 Maple Street, Newtown, NSW 2042. He confirms that there have been no other significant changes to his personal circumstances besides his recent shift in housing due to custody. Should you require further clarification, please contact my office directly.