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Social worker assessment for Crisis Payment (CrP) Extreme Circumstances family and domestic violence 003-12060010




WLM Technical Assistance – Form and template

WLM Technical Assistance - Form

Include the following details in the form:

Tick the box: I have reviewed the Workload Management Technical Assistance SharePoint page and FAQ tile.

Your Name:

Your Site:

Your Role:

Programme: Non New Claim

Sub Programme: Crisis Payment

Escalation reason: Workload Management assistance to find workload solution

CRN:

Work Item Type:

Operational Blueprint/Workload Operational guide referenced: 003-12060010

Outline of the workload issues: customer has a Managed Service Plan (MSP) in place, manual allocation of CrP-EXV claim required to CPECPT.

Details of action required: allocation of CrP-EXV claim to CEPCT for claim finalisation

Submit

Managed Service Plan (MSP) - Customer serviced through a One Main Contact (OMC)

Table 1: this table contains the text templates for social workers to email the relevant One Main Contact team requesting assistance to contact the customer.

Item

Description

1

Social workers are to determine the contact arrangements for the customer recorded in the MSP and send an email using the template below.

Contact arrangements will determine if email is sent to either:

Face to Face customer management

or

Internal contact for Personalised Services

2

Email template:

Email subject: OMC contact required for CrP-EXV claim

Email body:

Contact with OMC and back up listed on customers record has been unsuccessful. Contact is required regarding pending CrP-EXV claim, please arrange for OMC or back up to contact <insert name/logon> as soon as possible.

Customer name:

Customer CRN:

Claim Date:

Attempted contact with the OMC and backup OMC: date/times


Rejection codes and reasons

Table 2

Rejection Code

Reason

Staff delegation

CRI - four Extreme circumstances Crisis Payments in last 12 months

You have already received 4 Crisis Payments due to an extreme circumstance in a 12 month period.

Crisis Payment Extreme Circumstances Processing Team (CPECPT)

NEH - Does not intend to establish new home

You are not establishing a new home.

Social work and CPECPT

NVE - Unable to verify circumstances by third party

We were unable to verify your circumstances.

Social work

NEC - No extreme circumstances that meet criteria

You have not suffered an extreme circumstance that meets the criteria.

Social work and CPECPT

CNC - Customer could not be contacted

We were unable to contact you to finalise the assessment of your claim.

Social work and CPECPT

NDE - Not in Australia on the day of extreme circumstances

You were not in Australia when your extreme circumstance occurred.

CPECPT

PNL - Alleged perpetrator has not left the home

We could not confirm that the alleged perpetrator left the home.

Social work and CPECPT

PNF - Alleged perpetrator not a family member

The alleged perpetrator does not meet the definition of a family member for this claim.

Social work and CPECPT

PNC - Alleged perpetrator not living with the customer

We could not confirm that the alleged perpetrator was living with you at the time of the extreme circumstance.

Social work and CPECPT

LPR - customer not legally prevented from returning home

You were not legally prevented from returning to the home.

Social work and CPECPT

LOD - lodgement date is invalid

You did not claim within the required timeframe.

Social work and CPECPT

NFH - customer is not experiencing financial hardship

You are not in severe financial hardship.

CPECPT

NIA - customer is not in Australia

You were not in Australia on the day you made a claim.

CPECPT

NQP - customer is not on a qualifying payment

You are not receiving a social security benefit, social security pension or ABSTUDY Living Allowance.

CPECPT

PEC - Already paid for this circumstance

You have already been paid a Crisis Payment for this extreme circumstance.

Social work and CPECPT


Fast Notes

Social workers need to use the following Fast Notes to document the claim determination:

  • CrP-EXV claims, select from the applicable options:
    • select Auto text, use Social Worker > Claims > Grant/Reject - Stay in Home Crisis Payment
    • select Auto text, use Social Worker > Claims > Grant/Reject - Leaving Home Crisis Payment
    • select Auto text, use Social Worker > Claims > Grant/Reject - CrP Perpetrator
  • CrP-EXO claims:
    • select Auto text, use Social Worker > Claims > SW - Crisis Payment EXO summary
  • Withdrawn claims:
    • select Auto text, use Social Worker > Claims >Crisis Payment Claim EXV/EXO Withdrawn
Alleged or actual perpetrator claims - incarcerated customers

Customers claiming under the alleged or actual perpetrator category must make a claim within 7 days after being legally prevented from returning to the home or living in the home with the protected person. If the customer is incarcerated during the claiming period, they may only meet the eligibility requirements in very limited circumstances.

Example - possibly eligible


Table 3

Day 0

Within 7 days

Day 8

Within 13 weeks

An incident of family and domestic violence occurs.

The customer is removed from their home by police.

The customer contacts the agency to enquire about a CrP-EXV and advises an intent to claim.

The customer is incarcerated because of the family and domestic violence incident.

During incarcerations or after release, the customer contacts the agency and lodged the claims within 13 weeks of the initial contact.

The customer may be eligible under the deemed claim provisions if the delegate is satisfied that special circumstances meant it was not reasonably practicable to lodge the claim earlier and all other eligibility requirements are met.


Financial Verification

If a service officer requests verification of financial hardship via the social work referral, DOC or verbally, check if the customer can upload financial verification to their agency record and support them to do so.

In limited circumstances, a social worker can take a verbal verification of financial hardship. To complete the financial hardship verification the social worker should consider:

  • funds available for other essential expenses such as utilities cannot be exempt from the assessment. If the customer has funds over the allowable limit, they must be deemed ineligible for CrP
  • joint bank accounts. These must be included in the assessment. However if the account is considered unrealisable these funds may be excluded. See Unrealisable assets under the Assets Test hardship provisions
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