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Learn how our essential services will continue to operate as we respond 'Together against COVID-19'.

Victims Access Line (Monday-Friday, 9am-5pm) 1800 633 063

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Online forms

Note: Online Forms are compatible with Google Chrome, Mozilla Firefox and Internet Explorer 11 or greater. If you are experiencing issues accessing our online forms or do not have access to a compatible web browser please click here.

The Victims Services website will be unavailable due to scheduled maintenance work occurring between 7pm Saturday 11th July 2020  and 1am Sunday 12th July 2020. We apologise for any inconvenience.

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

Application forms - PDF versions

Funeral expenses by a funeral director

Funeral expenses by a funeral director (pdf 76Kb)
Funeral expenses by a funeral director - fillable (pdf, 117Kb)

Forensic cleaning expenses

Forensic cleaning expenses (pdf 76Kb)
Forensic cleaning expenses - fillable (pdf, 117Kb)

Immediate needs support package

Immediate needs support package

Immediate needs support package - Fact sheet & form (PDF, 184Kb)

Use this fact sheet/application form to apply for a grant of financial assistance for immediate needs following domestic violence. Note: please ensure you have also submitted an Application form for primary victims.


Templates for collecting information to support your application

How to collect information to support your application

Use this guide to find out how you can use the templates below to collect information to support your application for victims support.

Certificate of Injury

Use this template to collect information about how the violent crime has affected you physically or psychologically/emotionally. Ask your medical practitioner or other health practitioner to fill out this template.

Certificate of Earnings

Use this template to collect information about how you were unable to work because of the violent crime. Ask your employer to fill out this template.

Expense Form

Use this form to claim new costs related to the violent crime, only if you have already submitted an application form. The Expense Form should only be used for new costs on existing applications.

If you have not already submitted an application for victims support, you can do this online at https://www.victimsservices.justice.nsw.gov.au/Pages/vss/VS_forms.aspx.

Government-funded organisation report

Use this template to collect information about the violent crime if you reported it to a government or government-funded organisation instead of the police. Ask the government or government-funded organisation to fill out this template. This template may be used to support victim claims made after 14 January 2019.

Miscellaneous

Service Complaints Online Form

https://vsconnect.force.com/vsapplications/s/victims-services-complaints

Charter Complaints Online Form

https://vsconnect.force.com/vsapplications/s/charter-complaints

Charter of Victims Rights downloadable 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

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

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.

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, 73Kb)
(1pp form)

Affidavit of financial circumstances (PDF, 209Kb)
(3pp form)

Restitution payment options
(PDF, 107Kb)

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.