Financial assistance application forms - victims of crime

Data and Resources

• Primary Victim - Financial Assistance Application Form - Victim Assist Queensland PDF

  A person who was directly injured by violence that was committed in...

• Related Victim - Financial Assistance Application Form - Victim Assist Queensland PDF

  A close family member or dependent of a person who has died as a direct...

• Funeral Assistance Application Form - Victim Assist Queensland PDF

  The person responsible for the cost of a funeral for a person who has died as...

• Parent Secondary Victim - Financial Assistance Application Form - Victim Assist Queensland PDF

  A parent of a child victim can use this form to claim financial assistance....

• Witness - Financial Assistance Application Form - Victim Assist Queensland PDF

  People who witness violence being committed against someone else can use this...

• Special primary victim report - Victim Assist Queensland PDF

  Service providers can use this form to provide a special primary victim...

• Medical Certificate - Victim Assist Queensland PDF

  This form needs to be completed by your treating health practitioner. Use...

• Comprehensive clinical report - Victim Assist Queensland PDF

  Your health professional can use this report to tell us detailed information...

• Progress report - Victim Assist Queensland PDF

  Your health professional can use this report to provide an update about the...

• Health practitioner examination report - Victim Assist Queensland PDF

  This form may be used if Victim Assist Queensland asks you for a Health...

• Notification of banking details form (Victim Assist Qld - 2019) PDF

  You must use this form to tell Victim Assist if you have changed your banking...

• Table of costs - Victim Assist Queensland PDF

  This Table of Costs is issued pursuant to section 132 of the Victims of Crime...