Apply for Assistance

The easiest way for you to get started with an application is by applying through the form below.

One of our team members will be in touch with you shortly to confirm and complete the application process.

As part of our assessment process, we may need copies of documents such as ID/Passport, visa status, and anything else that would assist in the process. Please have these ready.

If you are in an emergency situation and need immediate medical assistance or need authorities to attend, please contact 000.

Name

First Name

Last Name

Date of Birth

YYYY

Marital status

Phone

Country

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Explain your situation and what you need help with:

How many people in your household, and their age/ date of birth.

Do you currently have any income?

for example: part-time work, full-time work, which Centrelink payments, or other income.

Are you newly arrived to Australia? Yes / No

If yes, please provide details of when you arrived and which visa you are on.

Are you receiving assistance from other organisations? Yes / No

If yes, please provide details.

Where did you hear about El Rahman?

Apply for Assistance

El Rahman

Connect