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Family Connect and Support

Initial Enquiry Form

If you are worried about us contacting you directly, please make contact using the details for your local Family Connect and Support provider. If you are in immediate danger, or this is an emergency please call 000.

Please note FCS is not a crisis service and it can take up to three business days for the FCS provider to receive this and respond to you.

This is an initial enquiry only, the FCS provider who receives this will contact you and discuss your eligibility to receive a service.

Click here to find a service provider !

Service Provider Selected

Are you submitting this form in relation to: *

Yourself

Someone else

Do they know that you are making an enquiry on their behalf? *

An FCS service provider can make initial contact with a client even if they haven’t provided prior consent for the enquiry. However it is always best practice to let the client know about the enquiry and to get their consent for the enquiry to be made on their behalf. It will be up to the client if they wish to continue receiving support from FCS , as FCS is a voluntary service.

Please enter your details

Who are you? *

Organisation, Department or Agency name and your position title *

Your Given Name *

Your Last Name *

Your Email address

Your Phone Number (Eg: 04xxxxxxxx no spaces)

Your Sex

Your postcode?

What is your preferred method of contact? *

When is the best time to phone you? *

Please include the contact details of the person you are making this enquiry on behalf of

Given Name *

Last Name *

Phone Number (Eg: 04xxxxxxxx no spaces)

Sex

Suburb

Postcode

Additional Information

Should we contact you or the person you have made this enquiry on behalf of? *

What is the preferred contact method for this form? *

When is the best time to phone them? *

Is there anything we need to know before we make contact? (Max 500 characters)

Do you identify as an Aboriginal and/or Torres Strait Islander?

Yes

Are you from a Culturally and Linguistically Diverse Background?

Yes

Do you require an interpreter?

Yes

In what Language? *

Do you have a disability and require additional supports?

Yes

What additional supports are required? (Max 500 characters)

What are the main reasons for contacting Family Connect and Support?

How did you hear about Family Connect and Support?

Note: * items are mandatory

*The personal information provided by you in this form is collected by DCJ for the purpose of facilitating your enquiry to an appropriate service provider. The information provided in this form, is provided voluntarily. If you do not wish to provide some of the information asked for in the form, this will not inhibit the process of an enquiry being submitted, but may result in having to provide more detailed information when you are contacted by a service provider. The information you provide in this form will be held by DCJ and will be made available to a service provider for the purpose of contacting you and determining if they can provide you with support. The information will be held by DCJ no longer than four weeks after your enquiry is sent to the service provider after you are contacted by a service provider, after which time it will be deleted. A request can be made after this time to access and amend your personal information through the relevant service provider. DCJ will collect personal information from service providers to evaluate the effectiveness of the services provided to you and the success of the Family Connect and Support Program. The information held by DCJ may also be used for research. A complete list of the service providers that may receive your personal information is available through https://www.familyconnectsupport.dcj.nsw.gov.au/family-connect-and-support-home/contact-us.html. You have the right to access the information DCJ holds about you and to correct it, if the information is inaccurate. Please contact the Family Connect and Support program team if you would like to access or correct your personal information.

Initial Enquiry Sent

Thank you. You have successfully submitted an initial enquiry to FCS. You will receive an email confirmation shortly from dcj.forms@justice.nsw.gov.au If you have not heard from your selected FCS provider within 3 business days, we encourage you to contact the FCS provider directly. To view contact details for all FCS providers, please visit FCS Contact Us Page.

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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.