Financial assistance application forms - victims of crime

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.

• 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,...

• 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...

• Funeral Assistance Application Form - Victim ...PDF Popular

  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...

• 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...

• 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...

• 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...

• 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....

• 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...

• 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.