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.

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