Official form guide
Form 1455: Application for Status Resolution Support Services (SRSS)
Form 1455 is the application for the Status Resolution Support Services (SRSS) program, which provides support to asylum seekers in Australia. It is used to apply for assistance while their immigration status is being resolved, and must be completed with an SRSS Provider.
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Form Overview
Home Affairs Form 1455 - Application for Status Resolution Support Services (SRSS)
Form 1455 is the application for the Status Resolution Support Services (SRSS) program, which provides support to asylum seekers in Australia. It is used to apply for assistance while their immigration status is being resolved, and must be completed with an SRSS Provider.
Risk Radar
Scan points- 1The most common mistake is not attaching all required supporting documents, which can make your application invalid.
- 2Failing to attach all required supporting documents, leading to an invalid application.
- 3Providing incomplete or incorrect personal information, which may delay assessment.
- 4Not signing the declaration or having all adult applicants sign, causing rejection.
- 5Giving false or misleading information, which is a serious offence and may result in loss of support.
Plain English
This form is for people seeking asylum in Australia who need help with things like money, housing, or other support while their visa situation is sorted out. You fill it in together with an SRSS Provider, who will send it to the Department of Home Affairs for you.
Submission Date
- Filing date: Submit the form when you are applying for SRSS assistance, after your SRSS Provider has completed the preliminary assessment. There is no specific deadline mentioned in the form, but it should be done as part of your application process.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use Form 1455 to apply for SRSS assistance if you are an asylum seeker or have an unresolved immigration status.
- You must complete this form together with an SRSS Provider, who will submit it to the Department via the Service Provider Portal.
- You must also complete and attach Form 1450 (Privacy notice and consent) and Form 1448 (Debt agreement).
- Read Form 1442i (Privacy notice) before completing this application.
Form selector
Use this form or another form?
You need to provide consent for your personal information to be shared
This form is mandatory and must be attached to your application for it to be valid
✓ Check the latest version on the Home Affairs website before submitting
Form 1450 Status Resolution Support Services Programme Privacy notice and consent
You need to agree to repay any financial support you receive
This form is required if you receive financial assistance under SRSS and must be completed with your application
✓ Confirm with your SRSS Provider whether this applies to you
Form 1448 Status Resolution Support Services Programme Debt agreement
You need to understand how your personal information will be handled
This notice explains your privacy rights and must be read before completing the application
✓ Read the current version to ensure you understand your obligations
Deadline or filing window
There is no specific deadline mentioned in the form. Submit the completed form as part of your SRSS application process, ideally as soon as possible after your preliminary assessment.
Before you submit
- 1Complete all sections of Form 1455, including personal details, contact information, and consent for electronic communication.
- 2Attach all required supporting documentation as listed in the Document checklist (not fully shown in the source).
- 3Complete and attach Form 1450 (Privacy notice and consent).
- 4Complete and attach Form 1448 (Debt agreement).
- 5Read Form 1442i (Privacy notice) before signing.
- 6Sign the declaration in Section 46 (or equivalent) as the main applicant.
- 7Ensure any other person aged 18 or over included in the application also signs.
- 8Have the SRSS Provider review and submit the application via the Service Provider Portal.
How to file this form
- 1Read Form 1442i (Privacy notice) to understand how your information will be used.
- 2Meet with your SRSS Provider to complete Form 1455 together.
- 3Complete and attach Form 1450 (Privacy notice and consent) and Form 1448 (Debt agreement).
- 4Gather and attach all required supporting documentation (as per the Document checklist).
- 5Sign the declaration on the form (and ensure any other applicants over 18 also sign).
- 6Hand the completed application to your SRSS Provider, who will submit it to the Department via the Service Provider Portal.
Known limitations
- 1Electronic communication (fax, email, or other means) is only used if you give consent; it is not secure and may be intercepted.
- 2The Department accepts no responsibility for information sent electronically that is lost or accessed by others.
- 3If you do not provide all required forms and documents, your application may be invalid.
- 4The form must be completed with an SRSS Provider; you cannot submit it directly to the Department.
- 5Providing false or misleading information is a serious offence and may result in the Department ceasing support.
Field map
Compact field-by-field guide
Applicant
3 items
Your name exactly as shown in your passport.
Your date of birth (DD/MM/YYYY).
Passport number, country of issue, and expiry date.
Contact
1 items
Current residential address, postal address, email, and phone number.
Request
1 items
The visa, citizenship, or sponsorship request this form relates to.
Evidence
1 items
Certified copies of identity and other documents required for the request.
Declaration
1 items
Declare that the information is true and correct, then sign and date.
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Fillable formOpen in Editor->Form 1455 is the current application for the Status Resolution Support Services (SRSS) program. It has a design date of 01/19, so check the Department of Home Affairs website for any newer version before use.
What changed or needs a fresh check
- Check that you are using the most recent version of Form 1455 – the design date on the form should be 01/19 or later
- Verify that Forms 1450, 1448, and 1442i are also the current versions – outdated forms may be rejected
- Confirm with your SRSS Provider that the application process has not changed since this form was issued
- Review the eligibility criteria on the Department of Home Affairs website to ensure you still qualify before submitting
Quick Facts
Downloads & source
Sources
- SRCForm 1455 pages 1-2 (design date 01/19) - application process, required forms, electronic communication notice.
- SRCForm 1455 page 3 - personal details section (name, sex, date of birth, nationality, address, phone, consent, interpreter, work history).
- SRCForm 1455 page 8 - declaration, signature, and recommendations for services.
- SRCDepartment of Home Affairs website reference (www.homeaffairs.gov.au/allforms/) as cited in the form.
Common confusion points
People may confuse Form 1455 with Form 1450 or 1448; each has a different purpose and all are required.
Some may not realise that Form 1442i is a notice to read, not a form to submit.
The consent for electronic communication is optional; if you do not agree, the Department will use other methods, which may slow processing.
The declaration must be signed by every applicant aged 18 or over, not just the main applicant.
The SRSS Provider submits the form; applicants cannot lodge it themselves.
Supporting documentation must be attached; missing documents can make the application invalid.
Source transparency
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