Get Au D9199 2016

The AU D9199 form is an essential document used to request the supply of a personal response system for individuals who may require assistance in emergencies. This guide provides detailed instructions on how to complete the form online successfully, ensuring that you have the necessary support and equipment.

Follow the steps to fill out the AU D9199 form online

1. Click ‘Get Form’ button to obtain the AU D9199 form and open it in your browser.
2. Enter the client name in the designated field. Ensure the name matches the official identification documents.
3. Provide the date of birth in the specified format. This should accurately reflect the client’s legal birth date.
4. Enter the DVA file number carefully. This number is critical for processing the request.
5. Select the card type from the options provided: Gold or White, based on the client’s eligibility with the DVA.
6. Fill in the client address, making sure to include the postcode to ensure accurate delivery and response.
7. Provide any access information that could assist with delivery, such as a one-way street or specific lot number.
8. Enter the phone number, including the area code, for any follow-up communication regarding the request.
9. Input the name and phone number of the Local Medical Officer, ensuring both are accurate for verification purposes.
10. Choose the recommended appliance from the provided options. If additional specifications are needed, use the Additional Information section.
11. Indicate if this is a new installation or a takeover of an existing alarm system by an eligible partner.
12. Select the type of residence the client lives in, such as house, unit, or rental. Make sure to choose the correct option that reflects their situation.
13. Complete the criteria section by answering if the client lives alone or requires assistance. This will help assess eligibility for the personal response system.
14. Fill in technical information about the type of phone service and broadband connection status. This is vital for the installation of equipment.
15. Provide details about the provider, including their name, contact number, and fax number.
16. Recommendation for supply should be marked appropriately, stating whether you recommend supply or not.
17. Gather emergency contact details for at least two individuals, entering their names, relationships to the client, and contact information.
18. Use the Additional Information section for any relevant notes, such as medical conditions or specific requests related to the client’s needs.
19. Once all sections are completed, save the form, and consider downloading or printing for your records. Share the form as needed to complete the submission.

Begin filling out the AU D9199 form online today to ensure you receive the necessary support.