Get D0568 Application For Crisis Payment - Extreme Circumstances And ... - Dva Gov

The D0568 Application For Crisis Payment is designed to assist individuals facing severe financial hardship due to extreme circumstances or domestic violence. This guide provides clear, step-by-step instructions to help users navigate the online form efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to access the form and open it in the designated editor.
2. Begin by filling out your personal details in block letters. This includes your surname, given names, date of birth, residential address, contact telephone number, and reference number if you have one.
3. Indicate the type of income support payment you are currently receiving or applying for, such as service pension or income support supplement.
4. Provide the date when the crisis occurred and confirm whether you were in Australia at the time of the event.
5. State whether you can provide proof of the event and, if applicable, attach documentation. If you cannot provide documentation, indicate if there is a third party who can be contacted regarding the event.
6. Answer questions concerning any crisis payments received in the previous 12 months and your current living situation in relation to the crisis.
7. If applicable, detail any extreme circumstances that forced you to leave your home, or if you are remaining in your home due to domestic or family violence.
8. Complete the financial circumstances section by including details about any disaster relief received, cash on hand, and balances in bank accounts.
9. If you are not the applicant, provide your details as the person completing the form on behalf of the applicant.
10. Review your entries for accuracy, then sign and date the declaration confirming that the information provided is complete and correct.
11. Finally, save your changes, and consider downloading, printing, or sharing the form as required.

Complete your application for crisis payment online today to receive the assistance you need.