Online Referral - Victim Support Unit

Online Safety Bar

This website has a “quick exit” button. This button will close the Court Network website and open a blank Google search page. The button may be helpful if you are worried that you are being monitored and you are concerned that someone is about to find you looking at this site.

However, the quick close button will not delete your browser history. This means that if the person checks your browser history they will be able to see that you have visited this website.

For information on deleting your internet history click here.

If someone is monitoring your online activity using spyware or monitoring devices, they will still be able to see that you have visited this website.

Remember: Deleting large parts of your internet history may alert your abuser.

To discuss your online safety call DVConnect 1800 811 811 (24-hour telephone advice line) or (1800 RESPECT 1800 737 732) (24-hour telephone counselling line).

Given Name/s*

Family Name*

Phone*

Cultural Background

Preferred Language

Gender: M/F *

ATSI* (Are you of Aboriginal and/or Torres Strait Island Origin?)

Name of Referrer

Email (of Referrer)

Phone (of Referrer)*

Court User Name*

Email (Court User)

Phone (Court User)*

Cultural Background

Preferred Language

Gender: M/F *

ATSI* (Is the court user of Aboriginal and/or Torres Strait Island Origin?)

Given Name/s*

Family Name*

Phone*

Cultural Background

Preferred Language

Gender: M/F*

ATSI* (Are you of Aboriginal and/or Torres Strait Island Origin?)

Name of Referrer

Email (of Referrer)

Phone (of Referrer)*

Court User Name*

Email (Court User)

Phone (Court User)*

Cultural Background

Preferred Language

Gender*

ATSI* (Is the court user of Aboriginal and/or Torres Strait Island Origin?)

Do you have any safety or contact concerns? Please let us know the best way to contact you

Please select the preferred gender of the Court Network employee who contacts the court user

Please note that this form authorises Court Network to send you correspondence by mail, electronically or by SMS. You can revoke this authority at any time by instructing us in writing.

If you do not wish to be contacted by phone, email or SMS, please let us know the best way to contact you

Court Network complies with the relevant State and Commonwealth Privacy legislation.

All details, unless otherwise authorised, will be kept confidential and are for internal purposes only.

By clicking on the Submit button below you acknowledge your understanding of the above terms.

Please Note

LinkedIn

Twitter