Apply for a Criminal Injuries Compensation report

You can obtain a Criminal Injuries Compensation (CIC) report which provides victims (or their representatives) with selected information held by WA Police Force about an incident in which they were a victim.
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The report includes an extract from the incident report and a copy of the victim statement provided to the WA Police Force.

Apply for a Criminal Injuries Compensation report

Alternatively, you can print and complete a hard copy form (select the form that best relates to your circumstance):

  1. Individual use (PDF, 624KB).
  2. Authorised representative (PDF, 676KB).
  3. Personal representative (PDF, 778KB).

This information is designed to assist you (or your representative) to assess the circumstances of the incident before completing an application for CIC.

The report is available for any incident investigated by the WA Police Force in which you suffered an injury (bodily harm, mental and nervous shock, or pregnancy).

Police investigations and court proceedings must be finalised before information will be released.

Application requirements

Requirements differ where the victim or witness is a juvenile at the time of applying for the report.

Adult victims and witnesses

Applicant

Definition

Requirements

Individual
  • Individual nominated on the incident report as the victim or a witness who intends on applying for compensation.
  1. Completed application form.
  2. A copy of photo identification (driver’s licence, passport).
  3. Payment.
Authorised representative
  • Legal Practitioner.
  1. Completed application form or written application on company letterhead.
  2. Letter of consent signed by victim/witness of the incident authorising the release of information to the legal practitioner.
  3. Payment
Personal representative
  • Parent / guardian (where victim / witness is incapable of applying).
  • Power of attorney.
     
  1. Completed application form or written application.
  2. Documentary proof of representation (e.g. court order).
  3. A copy of photo identification of representative (driver’s licence, passport).
  4. Payment.

Juvenile victims and witnesses

Applicant

Definition

Requirements

Individual
  • Juvenile (under the age of 18) at the time of application.
  1. Report not available. Application for CIC cannot be lodged by individuals under the age of 18.
Authorised representative
  • Legal practitioner acting on behalf of the juvenile’s parent (or person acting in place of a parent) or legal guardian.
  1. Completed application form or written application on company letterhead.
  2. Letter of consent signed by parent / guardian authorising the release of information about the victim / witness to the legal practitioner.
  3. Payment.
Personal representative
  • Parent (or person acting in place of a parent) or legal guardian.
  1. Completed application form or written application.
  2. Documentary proof of representation (e.g. birth certificate, court order).
  3. A copy of photo identification of representative and victim.
  4. Payment.

Note: Where documentary proof of representation cannot be provided due to cultural practices or family arrangements, a letter of consent may be accepted by the victim / witness (if aged 15 or older) authorising the release to the representative. 

Such applications must be supported by Photo ID or other proof of identity of the victim / witness. Alternatively, Public Access may attempt to verify the legitimacy of the application using the information holdings of the WA Police Force.  

Fees and additional information

View the WA Police Force information fees

For assistance with your application, please contact Public Access on 08 6229 5900 or publicaccess@police.wa.gov.au.

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