Application forms
Listing of FACS Housing application forms.
Showing 21 - 30 of 39 items
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General consent to exchange information and authority to act on client’s behalf DCJ4001
This form is to be completed by social housing clients as follows: Part A when you give consent for a social housing provider to exchange personal information with a nominated third party, and/or Part B [...]
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Independent living skills assessment DH3039
This form is to be completed by the client’s health professional for an independent living skills assessment (open in IE browser)
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Medical assessment DH3008
This form is to be completed by the client and their health care professional to provide information about the client's medical condition
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Offer response DCJ0105
This form is to be completed by a client to confirm the acceptance or refusal of an offer of accommodation made by a social housing provider after viewing the property
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Part B - Tenancy Assistance Application - Property Information Form - DH3050B
This form is used by the Real Estate Agent / Property Owner to record details of the property client is to be assisted with
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Part C - Tenancy Assistance Application Income from Employment (To be completed by the employer) - DH3050C
This form is completed by the employer of a household member seeking assistance with maintaining a private rental tenancy
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Private Rental Brokerage Service referral DH0130
This form is to be completed by support providers and submitted with a Case Plan when referring a client for assistance through DCJ Private Rental Brokerage Service
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Recognition as a Tenant Application - DH3007
Use this form to apply for recognition as a tenant or a provisional lease for a public or Aboriginal Housing Office property
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Rent Choice Assist Application Form DH2035
This form is to be completed by a client applying for Rent Choice Assist to set up or retain a private rental tenancy.
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Rent Choice Brokerage Expenditure Plan DH2031
This form is to be completed by a delegated social housing provider staff member, or a Support Provider and submitted to an authorised provider for approval for proposed and actual brokerage purchases.