Hey there, how can we help? Use the form to the right to enquire about the escaping violence payment.If the person you are enquiring on behalf of is in immediate danger please call 000. Use the form to the below to enquire about the escaping violence payment.If the person you are enquiring on behalf of is in immediate danger please call 000. "*" indicates required fields Step 1 of 3 33% What would you like to do? Submit a fast track application form Submit an enquiry Fast track application form The Fast Track Agency Referral Application form has been developed to help speed up access to funds for clients who are already working with your agency, where your agency is able to stay involved as their key contact for 10 business days from the date of application. Download application form Name* Contact phone number Email address Organisation Which state do you work in?*VICNSWSAWAACTQLDNTTASWhat is your postcode?* MessageCommentsThis field is for validation purposes and should be left unchanged.