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Request information from Victim Assist

We help victims of crime to get back to normal after experiencing violent crime or domestic and family violence in Queensland.

Our information and referral service is available to help you:

  • connect with a free counselling service
  • complete your financial assistance application
  • understand how to write a victim impact statement
  • understand your rights as a victim of crime
  • arrange a referral for court support.

It takes about 5 minutes to complete this form.

  1. Your details
    1. Name
    2. How would you like us to contact you? *


    3. Postal address (If you chose 'Post' above)
  2. Details of the act of violence
    1. Did the violent crime or domestic and family violence occur in Queensland? *
    2. How were you involved in the violent crimes or domestic and family violence? * Select the category that best describes your situation
    3. What happened? * Select one
    4. When did the violent crime occur? * Select one
    5. When did the act of violence occur? * (If you chose 'As a single event' above)
      1. Example: mm/yyyy
      1. The violence began * (If you chose 'Multiple events over a period of time' above)
        1. Example: mm/yyyy
      2. The violence ended * (If you chose 'Multiple events over a period of time' above)
        1. If the violence is still happening, put the current month and year.Example: mm/yyyy
    6. What information do you need? * Select all that apply

      I want to:


  3. Submit your request and we will contact you within 3 business days.