The information you provide in this application is collected under the authority of the Department of Justice Act to determine your eligibility under the Victims Fund. Submitting this application is voluntary. However, if you do not fill out this form, the Department of Justice will be unable to process your application. By submitting this application, you authorize the Department of Justice Canada to share any information it contains within the Department and the Government of Canada or to outside entities in order to reach a decision about your eligibility to receive financial assistance. Your privacy is important to us. Personal information that is provided in this application is protected under the Privacy Act and will be used and/or disclosed only for the purpose of processing this application request. Our Commitment to Privacy.
