Official form guide
Form 1455: Application for Status Resolution Support Services (SRSS)
Form 1455 – Application for Status Resolution Support Services (SRSS) is used by asylum seekers to request help from the SRSS program. Complete it after an SRSS Provider has done a preliminary eligibility check.
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Form Overview
Home Affairs Form 1455 - Application for Status Resolution Support Services (SRSS)
Form 1455 – Application for Status Resolution Support Services (SRSS) is used by asylum seekers to request help from the SRSS program. Complete it after an SRSS Provider has done a preliminary eligibility check.
Risk Radar
Scan points- 1Missing any required attachment often leads to an invalid application.
- 2Leaving out required supporting documents (e.g., rental lease, crisis evidence).
- 3Submitting the form without a completed preliminary assessment by an SRSS Provider.
- 4Failing to sign the declaration or include forms 1450 and 1448.
- 5Providing incomplete or inaccurate personal details.
Plain English
If you’re an asylum seeker and a support provider says you may qualify for SRSS, you’ll fill out this form together with them. It tells the Department about your situation and the support you need while you sort out your visa status.
Submission Date
- Filing date: Submit the form as soon as your SRSS Provider confirms you may be eligible and after you have gathered the required attachments.
- 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
- You have been told by an SRSS Provider that you may be eligible for SRSS assistance.
- You need to request support to resolve your immigration status or obtain employment.
- You have completed the provider's preliminary assessment and have the required supporting documents ready.
- You are applying as an asylum seeker or other visa holder who needs status resolution support.
Form selector
Use this form or another form?
Need privacy notice and consent
Required attachment for SRSS application
✓ Verify you have the latest version from www.homeaffairs.gov.au/allforms/
Need to agree to a debt repayment plan
Debt agreement must be attached with this application
✓ Confirm you understand the terms before signing
Need to read privacy notice before starting
Provides privacy details that must be read before completing Form 1455
✓ Download and review it first
Deadline or filing window
No fixed deadline is listed; the form should be submitted promptly after eligibility is confirmed to avoid gaps in support.
Before you submit
- 1SRSS Provider has done a preliminary eligibility assessment.
- 2All personal details (name, DOB, address, contact numbers) are filled in.
- 3Electronic communication consent is answered and contact details provided if yes.
- 4Interpreter requirement is indicated if needed, with language specified.
- 5Form 1450 (privacy notice) and Form 1448 (debt agreement) are attached.
- 6All supporting documentation listed in the document checklist is attached.
- 7Declaration is signed by the main applicant and each person 18+ on the form.
- 8A copy of the completed form and attachments is kept for your records.
- 9Provider has submitted the form through the Service Provider Portal.
How to file this form
- 1Contact an SRSS Provider and obtain a preliminary assessment.
- 2Download Form 1455, Form 1450, Form 1448 and Form 1442i from www.homeaffairs.gov.au/allforms/.
- 3Complete all sections of Form 1455, including consent and interpreter questions.
- 4Gather the supporting documents required in the checklist and attach them.
- 5Have the SRSS Provider review, sign and forward the package via the Service Provider Portal.
- 6Keep a complete copy of the application and all attachments for your records.
Known limitations
- 1The form can only be used after an SRSS Provider has indicated possible eligibility.
- 2Electronic communications are not fully secure; the Department only uses them for the purpose you consent to.
- 3Only the Service Provider Portal is accepted for submission; fax/email alone is not sufficient.
- 4If you do not attach Form 1450, Form 1448 or the required supporting documents, the application may be deemed invalid.
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 (Design date 01/19) is the current version for applying to the Status Resolution Support Services programme.
What changed or needs a fresh check
- Check the form shows design date 01/19 (2019 version).
- Confirm you have the latest Form 1450 and Form 1448 attachments from the Department website.
- Verify you have read Form 1442i privacy notice before filling any details.
- Ensure the electronic communication consent section is completed if you choose fax/email.
- Make sure the declaration on page 8 is signed by every adult applicant.
Quick Facts
Downloads & source
Sources
- SRCForm 1455 must be completed only after an SRSS Provider preliminary assessmentp.1.
- SRCForm 1450 and Form 1448 must be attachedp.1.
- SRCRead and understand Form 1442i before completingp.1 and p.2.
- SRCElectronic communication consent section and warning about securityp.1.
- SRCDeclaration requiring signatures of main applicant and each adultp.8.
- SRCSubmission is done by SRSS Provider via Service Provider Portalp.1.
- SRCContact details: www.homeaffairs.gov.au, phone 131 881p.2.
- SRCDesign date 01/19 and copyright 2019p.8.
Common confusion points
Mixing up Form 1455 (application) with Form 1450 (privacy notice) – both must be attached.
Skipping the reading of Form 1442i privacy notice before completing the application.
Leaving the electronic communication consent blank, which can delay processing.
Forgetting to sign the declaration for every adult applicant on the form.
Providing the same address for residential and correspondence without writing “AS ABOVE”.
Not indicating interpreter needs when required, leading to communication barriers.
Assuming you can submit the form directly to the Department rather than via the Service Provider Portal.
Source transparency
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