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.
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
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: 31 January 2020
This information was printed 27 October 2020 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/ac024. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.