Justice Home > Victims Services

Forms

    Clients of Victims Services and their representatives are advised that the new online applications forms are now available. 

    There are many new features added to the new form including;

    • The new online form provides clients the ability to attach documentation to their application upon lodgement removing the need to email or post this information separately and from the comfort of your PC or mobile device

    • Clients have the ability to select the financial assistance categories they seek and provide supporting documentation such as invoices, quotes upon lodgement

    • Clients can now save the form and return to it before lodging 

    • The online forms are now available for use on all mobile devices ensuring a greater flexibility for clients and representatives 

    We appreciate your patience during these upgrades.

    If you are experiencing issues accessing our online forms please click here.

    Online Forms

    Note: Online Forms are compatible with Google Chrome, Safari, Mozilla Firefox and Internet Explorer 11 or greater.

    Application Form for Primary Victims

    https://vsconnect.force.com/vsapplications/s/primary-victim-claim

    Application Form for Counselling

    https://vsconnect.force.com/vsapplications/s/claim-counselling-only

    Application Form for Support for a Family Member of a Homicide Victim 

    https://vsconnect.force.com/vsapplications/s/family-victim-application

    Application Form for Funeral expenses by a Funeral Director 

    https://vsconnect.force.com/vsapplications/s/funeral-expenses-application

    Application Form for Forensic cleaning expenses 

    https://vsconnect.force.com/vsapplications/s/forensic-cleaning-expense-application

    Miscellaneous

    Charter of Victims Rights complaint form (PDF 257Kb)
    4pp form

    Information about making a complaint under the Charter of Victims Rights (PDF 164Kb)
    2pp guide

    The Charter of Victims Rights sets out 18 rights which outline how government departments should treat and assist you if you are a victim of crime. Victims Services has a responsibility to receive complaints and to try to resolve th​em. The Charter Complaints webpage explains what you can do if you feel that your rights have not been met.

    Information on requesting an internal review (PDF, 114Kb)
    (2pp form)

    If you received a decision from Victims Services regarding an application for victims support that you disagree with you can request an internal review of the decision by filling out this form.

    Authorising a person to enquire or act on your behalf (PDF, 86Kb)
    (1pp form)

    Use this form to authorise someone to act on your behalf, to make enquiries and to receive written communication in relation to an application.

    Medical information release form (PDF, 121Kb)
    (1pp form)

    Use this form to hereby give consent for Victims Services to contact health professional/s listed to obtain any reports, clinical notes or other relevant medical information to determine any entitlement to support.

    Restitution

    Have you been convicted of an offence? You may have to pay restitution (PDF 190KB)
    (DL brochure)

    Notice of objection to a provisional order of restitution (PDF, 77Kb)
    (1pp form)

    Affidavit of financial circumstances (PDF, 103Kb)
    (2pp form

    Application to pay amount of restitution by arrangement or by instalments (PDF, 148Kb)    
    (2pp form)

    Restitution payment options application (PDF, 119Kb)
    (1pp form)

    Direct Credit Authority (PDF, 107Kb)
    (1pp form)

    If you have difficulty downloading any forms please contact Victims Services.

    All our forms require Adobe Reader (8.01 or above) to be installed on your computer. The free Adobe Reader software can be downloaded from the Adobe website.