Viability expansion component and homeless supplement assessment form (AC024)

Use this form to confirm eligibility of care recipients who meet the homelessness or Indigenous Australian additional special needs appraisal requirements.

Download and complete the Viability expansion component and homeless supplement assessment form.

You must complete both the assessment and confirmation sections of the form.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 1 October 2022