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  • Au Ph076 2019

Get Au Ph076 2019-2026

Housing Assistance Referral Form For use by referring agencies, domiciliary/community nurses, occupational therapists, physiotherapists, social workers, psychologists or other support workers. Completion.

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How to fill out the AU PH076 online

Completing the AU PH076 Housing Assistance Referral Form is an essential step for supporting individuals in need of social housing assistance. This guide provides clear and detailed instructions to ensure you can effectively fill out the form online.

Follow the steps to complete the AU PH076 form accurately.

  1. Press the ‘Get Form’ button to access the AU PH076 form and open it in your preferred online editor.
  2. Begin by entering the full name of the customer in the designated field. It is crucial to ensure that the name matches the customer's official identification.
  3. Next, input the customer's date of birth in the format DD/MM/YYYY. This information is vital for verifying the customer's identity and eligibility.
  4. Respond to the question regarding whether releasing any information from the report may be prejudicial to the customer's physical or mental health. If 'Yes', provide details of the information and reasons in the space provided.
  5. Indicate how long the customer has been under your care. This helps to establish the length of support provided.
  6. In the next section, describe the assistance or services you provide to the customer. Be specific and include any relevant details about the types of support offered.
  7. Provide the current living situation of the customer by indicating where they reside now. Specify the address if possible.
  8. Confirm if you have seen the property where the customer is currently living. If 'Yes', state when you last viewed the property.
  9. Detail how long the customer has been residing at their current location.
  10. Note any problems the customer might have with continuing to live in their current housing situation. If 'Yes', provide comprehensive details.
  11. Answer whether the housing features restrict the customer from performing essential daily living activities. If so, please elaborate.
  12. Describe any ongoing assistance or care the customer receives, including the type of assistance and the care provider's name.
  13. List any attempts the customer has made to find alternative housing and specify the types of housing and suburbs searched.
  14. Provide reasons as to why the applicant has been unable to secure suitable housing.
  15. Indicate whether the customer has experienced eviction twice or more in the past three years, and if 'Yes', include relevant details.
  16. Confirm if the customer has been homeless for two or more periods in the last three years and provide details if applicable.
  17. Add any additional comments regarding special requirements or considerations for the customer.
  18. Finally, complete the form by providing your name, signature, referring agency, profession, relationship to the applicant, phone number, and date.
  19. Once all fields are completed, ensure to save your changes. You can then download, print, or share the completed AU PH076 form as needed.

Take the next step in supporting housing needs by completing the AU PH076 form online today.

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