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. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 28 January 2020