Family violence service data

Family violence service data - request form
If you’d like to request data about our family violence service, please fill out this form.

Email evidence@genwest.org.au if you have any questions or would like to access data not listed in this form.

Please note that we are not able to fulfil all requests. We will prioritise requests:
- from organisations that are committed to long-term family violence work
- that will have the greatest influence, e.g. using the data to advocate for family violence work
- that we can fulfil within our limited capacity
Contact name:*

First NameLast Name
Email:*
example@example.com
Phone Number:*
Your organisation:
Briefly tell us how your organisation contributes to addressing family violence?
There are two types of data available:
- Number of referrals to GenWest. Here we can show you the total referrals for the western region, which includes seven local government areas. We can't break it down into specific local government areas.
- Number of clients supported by GenWest. This data can be broken down into specific local government areas.
Would you like data on referrals to GenWest? (whole western region only)

YesNoOther
Please specify:
Would you like data on the number of clients supported by GenWest? (this can be broken down into specific local government areas)

YesNoOther
Please specify:
Which local government areas?

BrimbankHobsons BayMaribyrnongMelbourneMeltonMoonee ValleyWyndhamOther
Please specify:
What timeframes are you interested in?

Current calendar yearCurrent financial yearLast calendar yearLast financial yearLast 12 monthsLast two yearsLast three yearsOther
Please specify:
How would you like the information broken down?

MonthlyQuarterlyYearlyOther
Please specify:
Why do you need the data? What do you plan to use it for?
Will you share it further than your organisation? If so, who to? For what purpose?
Is this a one-off request or do you need this data in an ongoing way (if this is possible within GenWest’s capacity limitations)?
When do you need it by? We can normally get back to you within two weeks for basic requests.
Name of GenWest staff member you contacted (leave blank if you don't have a name):
Can you make a donation/payment to GenWest to cover our time and any other expenses?
Should be Empty:

Family violence service data - request form