Communities & Justice

Corrective Services NSW


CSNSW Victims Registration Form

The information you provide on this form will be used to assist Corrective Services NSW to provide you with relevant information and will be treated in the strictest of confidence.

To complete this form you will need:

  • Photo Identification; and
  • The name of the offender and details of the offence.

If you do not have photo identification or need help completing the form please contact us on 02 8688 6833.

The information you provide on this form will be used to assist Corrective Services NSW to provide you with relevant information and will be treated in the strictest of confidence. If you have any questions please contact us on 02 8688 6833.

If you have any questions please contact us on 02 8688 6833.

1 Your details

Have you been known by any other name?

The Victims Register will try to speak with you first to provide information. We will then send you written information. If you live internationally information will be provided by email.

The following section is optional and providing this information is voluntary. The information in this section will be used for statistical purposes. Knowing this information will also help us to meet your needs.
2 Relationship to the victim

Representative

You must upload one of the following supporting documents showing your relationship to the victim. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


Guardian

You must upload one of the following supporting documents to show the victim does not have legal capacity. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


Representative

You must upload one of the following supporting documents showing your relationship to the victim. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


Guardian

You must upload one of the following supporting documents to show the victim does not have legal capacity. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf  *


Representative

FYou must upload one of the following supporting documents showing your relationship to the victim. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


Guardian

You must upload one of the following supporting documents to show the victim does not have legal capacity. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


Representative

You must upload one of the following supporting documents showing your relationship to the victim. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


Guardian

You must upload one of the following supporting documents to show the victim does not have legal capacity. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


Representative

You must upload one of the following supporting documents showing your relationship to the victim. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf  *


Guardian

You must upload one of the following supporting documents to show the victim does not have legal capacity. Please select what evidence you are providing before adding the file.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *


3 Details of offence

Other information that you may have that may help us verify your case:

4 Alternate contact

You can provide an alternate adult contact, who we may leave a message with if we cannot reach you. Detailed information will not be disclosed to this person.

5Proof of identity

The CSNSW Victims Register will be unable to process your application if you do not provide identification. As the applicant you are required to provide evidence to prove your identity.

Applicant's identification

You need to upload one current photographic proof of identity for yourself.

File can be uploaded up to 10MB of size.

Allowed types: jpg, jpeg, png and pdf *

6 Declaration
  • I understand that if my application is approved, my information will be recorded on the CSNSW Victims Register.
  • I have read and understood the information in this form.
  • I give permission for Corrective Services NSW to disclose my personal information to other Government agencies for the purpose of verifying my details and eligibility to register.
  • I understand that my details will be recorded on the CSNSW Victims Register for the duration of the offender’s sentence relating to me. If I am registered against an offender where the offence is eligible for proceedings under the Crimes (High Risk Offenders) Act 2006 and the Terrorism (High Risk Offenders) Act 2017, my details will be maintained after the offender’s sentence has been served.
  • I understand that I can notify the Register if I no longer wish to be registered.
  • I certify that all information that I have provided is true and correct.
  • I understand and accept that the information supplied to me through the Victims Register is confidential.
  • I will not release or disclose this information to any third parties or for the purpose of public dissemination without approval from Corrective Services NSW.
  • I will not use any information supplied to me through the Victims Register for any purposes other than those for which it has been supplied to me.
  • I will not use any information supplied to me for any purpose which would cause harm or detriment to any person or agency.
  • I understand that legislation restricts the type of information that may be provided.
  • I understand that I am providing my personal information voluntarily and will keep my contact details current so that the Victims Register can always contact me. I understand if I do not keep my contact details up to date, then the Victims Register may be unable to contact me to provide me a service.
  • By providing the details of an alternate contact I declare that that the alternate contact has consented for their details to be provided to the Victims Register for this purpose.
  • If I am applying as a primary caregiver of a direct victim, I understand that my registration may remain with the Victims Register when a direct victim turns 18. I understand that the child will also be able to register.

Your form has been successfully submitted. A copy of your responses will be sent to you by email.

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On 1 July 2019, the Department of Communities and Justice (DCJ) brought together the former departments of Family and Community Services (FACS) and Justice. While FACS no longer exists, our apology to the Stolen Generations stands. You can read our apology to the Stolen Generations here.

Informed by lessons of the past, DCJ is improving how we work with Aboriginal people and communities.

We listen and learn from the knowledge, strength and resilience of Stolen Generations Survivors, Aboriginal Elders and Aboriginal communities.

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