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Application Forms
To apply for approved counselling or compensation, you need to fill out an application form. All of the forms can be downloaded here, completed on-screen, then printed. You should forward the printed form to Victims Services. If you have any difficulty downloading the forms or would prefer to have a form sent to you, please contact Victims Services.
Click here to read other publications produced by Victims Services, including a range of pamphlets and booklets.
choosing the right form
In order to fill out the correct form, you need to know whether you are a primary or secondary victim, or a family member of a homicide victim:
- primary victim = a person who has sustained injury as a direct result of an act of violence
- secondary victim = a person who has sustained injury as a direct result of witnessing the act of violence that resulted in the injury or death of a primary victim, or a parent who sustained injury as a result of becoming aware of the act of violence of which their child (under 18 years at the time of the act of violence) was a primary victim.
- family member of a homicide victim = a member of the immediate family of a primary victim who has died as a direct result of an act of violence.
application forms - your options
- You can download a PDF* (Portable Document Format) form from the table below. The PDF forms can be completed on the computer screen, but once completed should be printed and signed, then sent to Victims Services.
- For 2 hour counselling applications you can also complete and submit the application form on-line.
- You can contact Victims Services and request that the forms be mailed to you.
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*Note
To view or print PDF forms, you need to install Adobe Acrobat Reader (a free program). In current browsers, Acrobat Reader will operate as a plugin within the browser whereas older browsers will ask you to download the file to your hard drive, after which you should open the pdf file with Acrobat Reader. If using the Internet Explorer browser, you can save the PDF file to your computer in a location of your choice by right-clicking on the link and choosing "save target as .."
further reading
Find out if you are eligible to apply for compensation
Read about the Approved Counselling Scheme
Click here to read other publications produced by Victims Services, including a range of pamphlets and booklets.
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