Burial/Cremation and Dependency Benefits claim form


For families and representatives – complete this form to make a claim for funeral, burial and cremation expenses, and/or dependency benefits, for a person who has died as a result of a transport accident.

The form introduction explains what information and official documents need to be provided.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. Please email forms or other documents to info@tac.vic.gov.au and include the client's claim number in the subject line.