Financial assistance application forms - victims of crime
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Victim Assist - Verification of ID form (2019)PDF
You must download this form and a relevant financial assistance application form. Once completed you need to send both forms to Victim Assist Queensland.
70 recent views 70 total viewsPrimary Victim - Financial Assistance ...PDF
This form is for a primary victim of an act of violence that happened in Queensland who wants to seek financial assistance. Under the Victims of Crime Assistance Act 2009, a primary victim is a person who has suffered physical,...
300 recent views 8245 total viewsRelated Victim - Financial Assistance ...PDF
This form is for a close family member or dependant of a person who has died as a direct result of an act of violence that has happened in Queensland (e.g. homicide or dangerous operation of a motor vehicle causing death). Under the...
19 recent views 450 total viewsFuneral Assistance Application Form - Victim ...PDF
This form is to be completed by the person responsible for the cost of a funeral for a person who has died as a direct result of an act of violence that has happened in Queensland (e.g. homicide or dangerous operation of a motor vehicle...
2 recent views 147 total viewsParent Secondary Victim - Financial Assistance ...PDF
This form is for a parent secondary victim of an act of violence against their child that happened in Queensland. Under the Victims of Crime Assistance Act 2009 a parent secondary victim must meet the following circumstances: You (the...
27 recent views 806 total viewsWitness - Financial Assistance Application ...PDF
An application form for a witness to an act of violence occurring in Queensland who wants to seek financial assistance. Under the Victims of Crime Assistance Act 2009 this includes someone who has been psychologically or emotionally...
21 recent views 564 total viewsVictim Assist - Medical CertificatePDF
This certificate may be used to accompany a financial assistance application form. It requests details of a victim’s medical practitioner, medical management plan and diagnostic plan. This form is optional. Other medical certificates or...
71 recent views 1766 total viewsCriminal history consent form - Victim Assist ...PDF
After applying for financial assistance, Victim Assist may request your criminal history in accordance with the section 69 of the Victims of Crime Assistance Act 2009. Your consent is needed for a criminal history report to be obtained....
6 recent views 156 total viewsTable of costs - Victim Assist QueenslandPDF
This Table of Costs is issued pursuant to section 132 of the Victims of Crime Assistance Act 2009 (the Act) as an appropriate guide for reasonable costs for counselling services, medical treatment, obtaining a report from a counsellor or...
22 recent views 612 total viewsHealth practitioner report - Victim Assist ...PDF
After applying for financial assistance, Victim Assist may request a report from a health practitioner. This report may be used to gather additional information about your injuries and their impact on you.
9 recent views 290 total viewsAdditional information
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Justice and Attorney-General, Queensland Government, Financial assistance application forms - victims of crime, licensed under Creative Commons Attribution 4.0 sourced on 19 February 2019
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