PACT Support Request for Adults

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This referral provides information to volunteer PACT Support Persons to enable PACT to adequately prepare and support adult complainants or witnesses for the criminal court process. Once we receive a referral, PACT will allocate it to one of our PACT Support Persons who will be in touch with the complainant/witness.

PACT Adult Witness Referral Form

PACT Adult Witness Referral Form

ADULT COMPLAINANT/WITNESS DETAILS
Complainant/witness last name
Complainant/witness first and middle names
DD/MM/YYYY
Gender of complainant/witness
Ethnicity:
Ethnicity of complainant/witness
Type of witness:
Address of complainant/witness
Phone # of complainant/witness
Email of complainant/witness
OFFENDER'S DETAILS
COURT DETAILS
Court details
DD/MM/YYYY
Are there any problems with this case that are not listed on this form?
SUBMITTED BY:
First name and surname of person submitting the form
Phone number of person submitting the form
Email address of the person submitting the form
The complainant/witness has given permission for the Office of the Director of Public Prosecutions, the Queensland Police Service, and Protect All Children Today to obtain, share and provide information between organisations for the complainant/witness listed in this referral form.

THANK YOU FOR YOUR REFERRAL TO PACT