Victims of Crime Registration form

The information requested on this form will be used to assist the Department to confirm your registration details. This information will be treated in the STRICTEST OF CONFIDENCE. Under no circumstances will your registration details he released to the offender:

Please complete as much of this form as you can but if you don't know all the information just leave it blank.

If applicant is under 18

Contact Numbers:

OFFENDER DETAILS

Please include copies of any documentation that may assist in confirming your application details (eg. Restraining Order/Affidavit) when submitting this form. If there are multiple offenders, please complete a separate application form for each, offender:

ALTERNATIVE CONTACT PERSON

You may nominate a person to be contacted and provided with information on your behalf if the Victim Services Unit cannot contact you in the event of an emergency. We suggest that you nominate a person who is aware of your situation as a victim of crime} who is supportive and with whom you do not mind the Victim Services Unit sharing information on your behalf - for example a close family member or other relative.

Contact Numbers:

SPECIAL NEEDS

If you have any special needs that you would like to discuss, please contact the Victim Services Unit.
PLEASE RETURN COMPLETED FORM TO:
Victim Services Unit
GPO Box 1747
ADELAIDE SA 5001
(08) 8226 9067 or 8226 9704

Please ensure that you advise the Victim Services Unit of any change of address or contact details for yourself or your nominated alternative contact person.

INFORMATION FOR VICTIMS OF CRIME

Are you eligible to register as a Victim of Crime?

In order to register as a victim of crime and be placed on the Department for Correctional Services Victim Register the following criteria must be met;

  • that you are a victim of a criminal offence
  • that the person you wish to register against is under the supervision of the Department for Correctional Services
  • that the person that you wish to register against is in prison in relation to the offence(s) for which you are a victim

What information can the Victim Services Unit provide to registered victims?

  • the name of the prison in which the prisoner is currently imprisoned
  • sentence details
  • security classifications
  • details of any transfer of the prisoner from one prison to another
  • date and circumstances under which the prisoner will be released (for example on bail, leave of absence, home detention or parole)
  • escape from custody

The Victim Services Unit will make every effort to provide this information to the registered victims in a timely manner: Howevec the Department also invites registered victims to contact the Victims Services Unit should they wish to receive an update at any stage.

How to Register

Please complete and sign the Application Form (additional application forms are available online at www.corrections.sa.gov.au/victims-info). If you cannot complete all the details, please leave blank or alternatively you can ring the Victim Services Unit in confirming your application' for example affidavits or restraining orders.

Alternative Contact Person

The Victim Services Unit makes every effort to contact victims to keep them updated. Howevel; there are occasions when we are unable to do so. To overcome this) you may nominate a person to be contacted and provided with information on your behalf if the Victim Services Unit cannot contact you. If you do this, please ensure that you sign the authorisation on page 2 of the Application Form. We suggest that you nominate a person who is aware of your situation as a victim of crime) who is supportive and with whom you do not mind the Victim Services Unit sharing information on your behalf· for example a close family member or relative.

Special Needs

If you have any special needs you would like to discuss please contact the Victim Services Unit.

Victims Under 18 years

If the applicant is under the age of 18 years, we require details of parent, guardian or representative who will receive any information from the Victim Services Unit on the child's behalf.

Registration

When the Victim Services Unit receives your application, your details will be checked with South Australian Police Victim Contact Officers to confirm that you are the victim of the offence(s). The Victim Services Unit will also advise the Parole Board of South Australia of your registration.

If there is any difficulty in confirming your registration, the Victim Services Unit will contact you and may ask for further information or clarification of information you have provided.

Once your registration is confirmed by SAPOL, the Victim Support Unit will write to you confirming your registration. Ifwe are unable to register you we will write to you to explain the reasons why you cannot be registered.

IMPORTANT

PLEASE ADVISE THE VICTIM SERVICES UNIT OF ANY CHANGE OF ADDRESS OR CONTACT DETAILS FOR THE REGISTERED VICTIM AND ALTERNATE CONTACT PERSON

PLEASE RETURN THE COMPLETED APPLICATION FORM TO:

Victim Services Unit
Department for Correctional Services
GPO Box 1747
ADELAIDE S.A. 5001
Telephone: 8226 9704 or 8226 9067