You may apply for financial support by completing the online form below. Please remember to save your form before pressing the submit button.
Online application - Counselling and/or Financial Assistance and/or Recognition Payment (PDF 514KB)
Use of this form requires that Adobe Reader (8.01 or above) be installed on your computer. The free Adobe Reader software can be downloaded from the
At the end of the form you are asked to press a SUBMIT button which will send the application to Victim Services. If the submission process has been successful you will see on your screen a copy of the form with an enquiry number near the top.
See sample of a submitted form
If you have problems using the interactive online form above, non-interactive fillable pdf versions are available on our
If you want help filling out the form or have problems with the forms please contact
Victims Services, by phone, mail or email
For brochures on this and related topics please refer to our