Funeral Assistance Application Form - Victim Assist Queensland

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 can use this form to claim financial assistance.

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.