You’ll need your insurance/compensation claim reference number if the violence was related to work or involved a vehicle.
Apply for financial assistance for victims of crime—part A
You can use this form to apply for financial assistance from Victim Assist Queensland if you are a primary or related victim of violence committed in Queensland.
There are different application forms if you are a:
- parent secondary victim—a parent who was injured by learning about acts of violence that were committed against their child (who was under 18)
- witness—a person who was injured by seeing or hearing acts of violence being committed against someone else
- person who has paid for or will be paying for the funeral of a homicide victim or for the funeral of an unborn child who was lost because of violence (but is not a related victim).
Learn more about the types of victim and the financial support available.
Violence that happened before 2009
You may only get financial assistance in some cases if the violence happened before 1 December 2009. Learn more about the different rules that apply.
Application support
We acknowledge that it may be hard for you to apply for financial assistance because you need to tell us about what has happened to you. You may want to fill in this form privately or ask a friend or victim services worker for support.
If you need support, please contact VictimConnect or Queensland Homicide Victim Support Group.
Before you start
You need to report the crime before you apply. Please follow our reporting requirements.
If you reported it to police, you’ll need your reference number (QP number, if known) or other information about who you spoke to.
At the end of the form, we’ll ask you to upload supporting documents—you need to photograph or scan:
- an approved ID card or document from our list.
- approved documents about your injuries (if you have any).
- a special primary victim report (if relevant).
If you scan your documents, we recommend scanning each one separately.
You’ll need your banking details (BSB and account number) or a safe postal address (if you prefer a cheque).
Applying for others
In most cases, the person making this application needs to be over 18.
Learn more about how to apply:
If you (or your parent or guardian) can’t submit this form and provide any identity documents, please contact us for advice.
Money from other sources
You will also need to tell us if you have received or are eligible to receive money from other sources because of the violence. If you are eligible, you need to submit any relevant claims and have your claim finalised before you complete this form.
Follow the work-related violence instructions.
Other documents you may need
You’ll need to upload a copy of a document that confirms you’re the child’s parent or guardian (e.g. the child’s birth certificate, family Medicare card or court order) if the application is for a child.
You’ll need to upload a copy of a document that confirms you’re the adult’s guardian, have enduring power of attorney or are their administrator if the application is for an adult with impaired capacity.
You’ll need to upload a copy of a document that confirms you have authority to act on behalf of the victim if you are their lawyer.
You’ll need to provide the date you were given permission by Victim Assist Queensland to apply on behalf of the applicant/victim.
Start your application
This application has 2 parts:
- Everyone must complete part A, financial assistance.
- Depending on your circumstances, you may also want to complete part B, recovery expenses.
Each part must be completed in 1 session. It will take about 20 minutes to complete part A.
How we protect your privacy
This application form asks for a lot of personal information.
To protect your privacy, we have disabled the save and return functions.
When you’re finished answering the questions, we will prompt you to upload your supporting documents and then click submit to securely email your application to Victim Assist Queensland.
The privacy notice (at the end of the form) explains how we protect your information and lists the specific agencies we may share it with.
Printable forms
You can complete this online form at any time. If you’d prefer to use a paper form, you can download the:
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