Witness - Financial Assistance Application Form - Victim Assist Queensland

People who witness violence being committed against someone else can use this form to claim financial assistance. Special conditions apply. See form for details.

Please download and save a copy of the form before you start. Do not complete the form in your internet browser. This will reduce any technical errors while you complete the form.

For your application to progress, you must return all pages of the form. This includes pages you have not filled in or have left blank.