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Download your application form

Please note: The form will download to a PDF version of the application form and contain blank fields. It is ok to leave sections not relevant to your circumstances empty and submit as is.

Next steps

This form has not been submitted. To submit your application, you need to:

  1. Download and print the application form
  2. Check and sign the banking details section
  3. Complete and sign the consent section
  4. Visit a Justice of the Peace and sign the statutory declaration
  5. Visit a registered health practitioner and complete the medical certificate
  6. Submit your application by:
    • Email - victimslinkup@justice.qld.gov.au
    • Post - GPO Box 149, Brisbane QLD 4001
    • In person - Level 6, 154 Melbourne Street, South Brisbane 4101
    • Fax - (07) 3109 1901
Last updated
28 January 2015

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