Online Referral

 Court Network Referral Form
*Court Date:
Please Note: If your referral is today or within 48 hours please call the Victorian or Queensland office.
VIC:1800 681 614
QLD:1800 267 671

*Service User Name:
Email (service user):
*Tel (service user):
Referred By:
Tel (Referred By):
Cultural Background:
Preferred Language:
Name of Victim/Witness:
*Name of Defendant/Accused:
*Name of Applicant:
Name of Respondent:
Name of support person:
Major Issues:
Action Required:



Court Network information and referral service
9:00am - 5:00pm Monday to Friday

1800 681 614 (toll free)
Email :
Call : 1800 267 671 (toll free)
Email :
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