Viability Expansion Component and Homeless Supplement Assessment Homelessness and Indigenous Australian care recipient Notification for permanent care Confirmation form (AC024)

Use this form to confirm eligibility of care recipients who meet the homelessness or Indigenous Australian additional special needs appraisal requirements.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 16 November 2016

This information was printed Saturday 10 December 2016 from humanservices.gov.au/health-professionals/forms/ac024 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.