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Financial counselling referral form

This form is for community workers referring a renter to Tenants Victoria for financial counselling. It helps us understand the renter's situation so we can assess their needs and respond appropriately.

Please ensure you have the renter’s consent before submitting this referral.

We aim to review intake forms within 5 business days and prioritise urgent matters where possible.

Only include general information about the issue. Do not include identifying details about other people who may be involved.

All questions are mandatory unless otherwise stated.

Renter's situation
























Renter's details

Include any key events in the order they happened and any important upcoming dates or deadlines. Do not include any personally identifying information about other people. Keep your response to 200 words or less.

Your details - Community worker

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