Assistance for Isolated Children (AIC) medical statement - Student special needs form (SY099)

Use this form to provide a medical statement if you are claiming Assistance for Isolated Children (AIC) under the Students with special needs criteria.

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

Download and complete the Assistance for Isolated Children (AIC) medical statement - Student special needs form.

Both of the following people need to complete sections of this form:

  • the Assistance for Isolated Children applicant - this could be a parent or guardian, or a third party such as an institution
  • a medical practitioner or specialist.
Page last updated: 4 July 2023.
QC 19296