Application for Fee Relief

Use this form if you want us to reduce or not charge (waive) fees for VCAT services relating to your case.

Some people are entitled to a full fee waiver if they file certain supporting documentation. You can also apply for fee relief if you can demonstrate that paying the fee would cause you financial hardship.

You only need to apply once. Our decision applies to all VCAT fees you are asked to pay in your current case.

If your application is not approved, you will need to pay the fee.

If there is more than one applicant seeking a fee waiver or reduction, each applicant must fill out a separate financial hardship form for your fee waiver application to be assessed.

YOUR CONTACT DETAILS

Family name

Given names

Address

Postcode

Telephone/Mobile

FULL FEE WAIVER IN CERTAIN CIRCUMSTANCES

You are entitled to a full fee waiver if you: *

are represented by Victoria Legal Aid or a community legal centre – you must provide a letter from the organisation representing you

are in a prison or other public institution – you must provide evidence of your status such as your Criminal Record Number

are under 18 years of age – you must provide a copy of your birth certificate, passport, learner’s permit or other proof of age

are a protected person or an affected family member who is the applicant in a residential tenancies case arising from family violence

none of the above

If any of the above statements apply to you, please tick the relevant box, sign the certification and submit this form with your online application.

If none apply, please tick 'none of the above' and fill out the next section - 'Apply due to financial hardship'

APPLY DUE TO FINANCIAL HARDSHIP

You can apply for fee relief if paying the fee would cause you financial hardship.

If we agree, we may waive the fee in full or reduce the amount you have to pay.

You will need to give us details and we may ask for documents that support your claims.

Please fill in the details we need to assess your application for fee relief.

Tell us how paying VCAT fees will cause you financial hardship:

FINANCIAL DETAILS

For the below fields, enter the cost in dollars. Do not include commas (,) nor the dollar sign ($).

DEPENDENTS

How many people rely on you for financial support?

FORTNIGHTLY INCOME
How much do you receive after tax every two weeks (fortnightly)?

($) Pay after tax

($) Pension

($) What financial support do you receive for your dependants

For example, from a former or current partner?

($) Other income

For example, workers compensation, interest, superannuation, income, rent or board paid to you

Total Income

FORTNIGHTLY EXPENSES
How much is your cost of living every two weeks (fortnightly?)

($) Rent or board

($) Mortgage repayments

($) Credit card and other loan repayments

($) Utilities

Water, gas, electricity, telephone, internet and data

($) Food

($) Travel and motor vehicle costs

($) Other expenses

For example, health care, child care, insurance

Total expenses

ASSETS
Assets are things that you own or partly own

($) House value - market value

($) Car or other motor vehicle - market value

($) Other assets

For example, money owed to you, shares, trust funds

Total assets

BANK ACCOUNT DETAILS

($) Current bank / credit union balances (total for all accounts)

Total balances

DEBTS

($) Amount owing on your mortgage

($) Amount owing on other loans

($) Total amount owing on credit cards

($) Other debts

For example, amount owed to businesses or individuals. Tell us about each debt. Attach information about each debt.

Total debts

CREDIT CARD LIMIT

($) Total limit on credit card

CERTIFICATION

I certify that:

I am the person making this application

the facts are true to the best of my knowledge, information and belief

I am aware that it is an offence under section 136 of the Victorian Civil and Administrative Tribunal Act 1998 to provide false or misleading information relating to this application and I am aware that the maximum penalty is 6 months imprisonment or a fine of 60 penalty units. You can find more about penalty units on the Department of Treasury and Finance website www.dtf.vic.gov.au.

Signature (Please enter your full name)

Date (dd/mm/yyyy)

SUPPORTING DOCUMENTATION

Please attach any documents in support of your application.

Please note that:

Individual attachments cannot exceed 128MB

Executable files are not supported, for example .exe .bat etc

Attach a file

Need Help?

If you have any questions about completing this form, contact our Customer Service team:

Email admin@vcat.vic.gov.au
Call 1300 01 8228 (1300 01 VCAT) between 9 am and 4.30 pm Monday to Friday
Go to the Victorian Civil and Administrative Tribunal, Ground Floor, 55 King Street, Melbourne VIC 3000. We are open Monday to Friday from 8.30 am to 4.30 pm.

Privacy Information

For a copy of VCAT’s privacy statement, go to www.vcat.vic.gov.au/privacy

YOUR CONTACT DETAILS

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Need Help?

Privacy Information

FULL FEE WAIVER IN CERTAIN CIRCUMSTANCES

You are entitled to a full fee waiver if you: *

SUPPORTING DOCUMENTATION

Please attach any documents in support of your application.