This form is designed to be used by women from migrant and refugee communities experiencing family violence.
If you would prefer to have a phone conversation please call us on 1800 755 988 9:00am- 5:00pm Monday- Friday.
If you feel unsafe, threatened or fearful for yourself, a child or family member, please call 000. If you are in a crisis, call Safe Steps, Victoria’s 24/7 family violence response line on 1800 015 188
Submitting this form will send the information you have provided to inTouch. An intake worker will contact you within 2 business days.