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Financial assistance application forms - victims of crime

Victim Assist Queensland can provide grants for financial assistance to assist the recovery of victims of crime. This set includes all forms that may be used when applying for or assessing applications for financial assistance.

You only need to download the form(s) that best suit your circumstances and needs.

Publication and resources

  • Victim Assist - Verification of ID form (2019)PDF Popular

    You must download this form and a relevant financial assistance application form. Once completed you need to send both forms to Victim Assist Queensland.

    81 recent views 139 total views
  • Primary Victim - Financial Assistance ...PDF Popular

    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,...

    320 recent views 565 total views
  • Related Victim - Financial Assistance ...PDF Popular

    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 22 total views
  • Funeral 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...

    3 recent views 4 total views
  • Parent Secondary Victim - Financial Assistance ...PDF Popular

    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...

    43 recent views 62 total views
  • Witness - Financial Assistance Application ...PDF Popular

    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...

    27 recent views 43 total views
  • Victim Assist - Medical CertificatePDF Popular

    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...

    59 recent views 105 total views
  • Criminal history consent form - Victim Assist ...PDF Popular

    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....

    4 recent views 201 total views
  • Table of costs - Victim Assist QueenslandPDF Popular

    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...

    30 recent views 792 total views
  • Health practitioner report - Victim Assist ...PDF Popular

    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.

    13 recent views 391 total views

Additional information

Field Value
Version 1.0
Category Your rights, crime and the law
Licence Creative Commons Attribution 4.0
Publication set custodian Justice and Attorney-General

Publication set custodian

Justice and Attorney-General

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Publication attribution

Justice and Attorney-General, Queensland Government, Financial assistance application forms - victims of crime, licensed under Creative Commons Attribution 4.0 sourced on 17 June 2019

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