Request PACT Support for a Child

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PACT is committed to impartially supporting child victims who have to give evidence. To request support for children or young people, fill in the online form below or call 1800 449 632.

Volunteer PACT Support Persons use the information provided to prepare and support child witnesses for the criminal court process. Where possible, please complete each section of the referral form and add any relevant supporting information (potential safety concerns, family dynamics, child living with the defendant etc.), in the ‘Further Information’ section towards the end. Once we receive a referral, PACT will allocate it to one of our PACT Support Persons who will be in touch with the family.

PLEASE COMPLETE A SEPARATE REFERRAL FORM FOR EACH CHILD:

PACT Child Witness Referral Form

PACT Child Witness Referral Form

CHILD'S DETAILS
Child's last name
Child's first and middle names
DD/MM/YYYY
Ethnicity:
Type of witness:
Child's address
CARER'S DETAILS
Relationship to child:
PARENT'S DETAILS
CHILD SAFETY OFFICER DETAILS (IF APPLICABLE)
POLICE OFFICER'S DETAILS
OFFENDER'S DETAILS
DD/MM/YYYY
DD/MM/YYYY
Relationship to child:
COURT DETAILS
Court details
DD/MM/YYYY
Are there any problems with this case that are not listed on this form?
ADDITIONAL INFORMATION
SUBMITTED BY:

THANK YOU FOR YOUR REFERRAL TO PACT