Hey there, how can we help? Use the form to the right to check your eligibility for the escaping violence payment.If you or someone else is in immediate danger, please call 000.See our Privacy Policy Use the form below to send an enquiry for the escaping violence payment.See our privacy policy "*" indicates required fields Use the checklist to see if you can access the payment. All of the requirements must be met in order to be eligible.I am over 18 years of age* Yes No I am an Australian citizen or permanent resident* Yes No I am experiencing or have experienced intimate partner violence* Yes No I have had a recent change to living arrangements due to intimate partner violence. I have left my home due to safety reasons OR remain in my home where the perpetrator is no longer living within the last 12 weeks OR have a safe plan to leave (including from a refuge or temporary accommodation).* Yes No I am experiencing financial stress. Currently experiencing financial stress, unable to meet financial commitments, unable to maintain financial independence.* Yes No Name* First Last Please use your name as it appears on your ID.Email Is it safe for EVP to contact you at the email address provided? Yes No Contact number Is it safe for EVP to contact you by phone? Yes and you may leave a voicemail Yes but don’t leave a voicemail No Is it safe for EVP to send you a text message? Yes No If it is not safe for us to contact you directly, please provide name and contact details of someone else we can speak with.* Is there anything else we need to know about communicating with you? (Best times, need for interpreters, any special needs or communication modes). Which state are you in?* ACT VIC TAS NT QLD SA NSW WA What is your postcode?* How did you hear about the Escaping Violence Payment? Media Social media From my case worker Via a hotline (eg 1800RESPECT) Word of mouth Google or other web search Other