Application for Crisis Payment - Prison/Hospital release

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A crisis payment is a one-off payment payable to assist people in severe financial hardship after release from confinement/custody, those who are forced to leave their home due to extreme circumstances, and those who choose to remain in their home after being subjected to domestic or family violence. This application form is specific to those persons who are released from prison or psychiatric confinement after having been in ‘lawful custody’.

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.

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