681 (Design date 09/20) - Page 1© COMMONWEALTH OF AUSTRALIA, 2020
Refugee and special
Department of Home Affairs
Who should use this form?
This form should be used by persons wishing to propose
applicants under the Refugee and Special Humanitarian Program,
including those eligible under the ‘split family’ provisions that
apply to immediate family members.*
Proposals may be submitted by individuals or by organisations
operating in Australia. To be eligible to propose as an individual,
you must be:
• an Australian citizen; or
• a permanent resident of Australia; or
• an eligible New Zealand citizen.
You must not be an illegal maritime arrival who arrived on or after
13 August 2012. More information is available on the Department
of Home Affairs (the Department) website
If you are eligible to propose, you will also need form 842
Application for an Offshore Humanitarian visa to be completed
by the visa applicant and submitted together with this form.
This form must not be used for applications under the
Community Support Program.
About this form
Important – Please read this information carefully before you
complete your proposal. Once you have completed your
proposal we strongly advise that you keep a copy for your
What is required of proposers?
If you are proposing applicants who are granted a subclass 202
(Global Special Humanitarian) visa you and the applicants are
responsible for the applicants’ travel to Australia, including
If you are proposing applicants under the ‘split family’ provisions,
and any of the following visa subclasses are granted:
200 – Refugee
201 – In-country Special Humanitarian
203 – Emergency Rescue
204 – Woman at Risk
the Australian Government will arrange and pay for the
applicants’ travel to Australia.
An ‘applicant’ who is granted a visa and travels to Australia,
becomes an ‘entrant’ on arrival.
Your role as a proposer is to assist in the settlement of the
entrants you have proposed. This includes:
• meeting the entrants at the airport
• providing accommodation for the entrants on arrival
• assisting the entrants to find permanent accommodation; and
• introducing the entrants to relevant services.
The Department provides settlement services to humanitarian
entrants. A Humanitarian Settlement Program (HSP) service
provider will contact you to settle those you have proposed.
After a visa has been granted
If the people you are proposing are granted a humanitarian visa
before they leave for Australia, please encourage them to attend:
• the Australian Cultural Orientation Program (AUSCO).
AUSCO courses prepare participants for their life in Australia.
More information is available on the Department’s website
• a departure health check (DHC). Visa holders undergo
a health check within 72 hours of departure for Australia
to ensure they are ‘fit to fly’ and to identify any medical
conditions requiring treatment on arrival in Australia.
Integrity of application
The Department is committed to maintaining the integrity of the
visa and citizenship programs. Please be aware that if you or the
person you are proposing provide us with fraudulent documents
or information, this may result in processing delays and possibly
the application being refused.
Important information about privacy
The Privacy Act 1988 contains 13 Australian Privacy Principles
which regulate the way that the Department collects and handles
personal information. Information about how the Department
collects, uses and discloses personal information for its key
functions can be found in form 1442i Privacy notice. More
information about the Department’s general information
handling practices (including form 1442i) can be found in the
* Under the ‘split family’ provisions, holders of humanitarian (Class XB), or
permanent Protection (Class XA) or Resolution of Status (Class CD) visas
may support the applications of immediate family members to enter
Australia under the Humanitarian Program. ‘Immediate family’ means the
spouse or de facto partner (including same-sex partner), dependent child,
or parent (if the proposer is under 18 years of age).