One online application form can be used to apply for Compensation, Initial 2 Hour Approved Counselling and/or prescribed expenses under the Victims Assistance Scheme.Start your online application.(This form will open in a new window)

To use the online interactive form you will need to have Adobe Reader (8.01 or above) installed on your computer. The Adobe reader can be installed free at the Adobe website.

Features of the online application form:

• One form will provide options to apply for compensation, initial 2 hour counselling and/or prescribed expenses under the Victims Assistance Scheme
• You can complete the form online or offline and submit when you are ready to complete
• Information and help functions will assist you to complete the form
• Only those parts of the form that relate your personal circumstances need to be completed
• Intuitive ‘body’ makes it easier for you to select injury
• After you submit the form you will be given a receipt number and copy of the form in your browser window.

Family Member of Homicide Victim Online counselling form (secure)
Family member of Homicide Victim Online counselling form (non-encrypted for persons having difficulties with secure form)
Application for Counselling by a Family Member of a Homicide Victim – pdf (135Kb) version to download, complete and then send via email, mail or fax.
Application for Compensation by a Family Member of a Homicide Victim (pdf 135Kb)
Application for Funeral Expenses (pdf 67Kb). This form is to be used if you are applying for funeral expenses only. If you are applying for compensation and funeral expenses you only need to complete the Application for Compensation by a Family Member of a Homicide Victim

Application for 2 hours counselling - (pdf 71 Kb) version to download, complete and then send via email, mail or fax

Request for Further Hours of Approved Counselling - secure online form - can be completed and submitted online
Request for Further Hours of Approved Counselling - non-encrypted online form - for persons who have difficulties accessing the secure version above
Request for Further Hours of Approved Counselling - doc version (11Kb) - download, complete and then send via email, mail or fax

Application for Compensation and/or Expenses (pdf 196Kb) After downloading, you need to complete, then print, have signed, and then post or fax to Victims Services.
Injury Nomination Bridging form (PDF 62KB) - for nominating compensable injuries where no nomination was made in the original application for compensation

Consent Form (pdf 21Kb) – to be used for authorising a person to enquire or act on your behalf.

Defendants who need to pay monies to Victims Services because of a compensation award to a victim can find the forms they need in the Recovering Money section.