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 (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.

At the end of the form you are asked to press a SUBMIT button which will send the application to Victim Services. If the submission process has been successful you will see on your screen a copy of the form with an enquiry number near the top. See sample of a submitted form
This online form is only available for primary and secondary victims. Family members of homicide victims will need to select the appropriate form below.

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.