Forms for the families of people who have died
You can contact a member of our Family Benefits team if you need help with any of these forms. You can contact them on 03 5225 6200 or by email at familybenefits@tac.vic.gov.au.
Funeral and dependency benefits claim form
Please use this form to claim funeral expenses and dependency benefits after a person has died in a transport accident.
Resource list
- Funeral and dependency benefits claim form (850.2 KB)
Travel and accommodation reimbursement
The immediate family members of a hospitalised TAC client can use this form to claim travel and accommodation expenses to visit their loved one/s.
Please note, to be eligible for reimbursement, immediate family members must live more than 100km away from the hospital.
Immediate family members are the partners, parents, children, siblings, grand parents and grand children.
Resource list
Travel and accommodation to go to a funeral
Immediate family members of a person who died in a transport accident can claim travel and accommodation expenses to attend their loved one's funeral.
Please note, to be eligible for reimbursement, immediate family members must live more than 100km away from the place where the funeral, burial or cremation service was held.
Immediate family members are the partners, parents, children, siblings, grand parents and grand children.
You can send the completed form to familybenefits@tac.vic.gov.au
Resource list
Dependants statutory declaration form
Please use this form to tell us who the deceased person's dependants are.
We will also need to know details about the weekly income for both the deceased person and their spouse or partner.
Resource list
- Dependants-statutory-declaration-form.pdf (250.7 KB)
- Dependants statutory declaration form - DEPF10 (414.0 KB)
Dependants acknowledgement form
Please use this form to let us know the school, university or tertiary institution enrolment of the deceased person's dependant children.
Resource list
- Dependants acknowledgement form - DEPF11 (245.0 KB)
- Dependants-acknowledgement-form.doc (222.9 KB)