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.

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 use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 3 December 2022