Referral Agency Attestation Form: Survivors of Gender-based Violence Benefit
If you’re applying for the Survivors of Gender-based Violence Benefit, a referral agency needs to complete the Referral Agency Attestation Form.
You need to submit the Referral Agency Attestation Form as part of the Survivors of Gender-based Violence Benefit application process.
Review the Survivors of Gender-based Violence Benefit Referral Agencies for details on approved referral agencies.