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.

The Assistance for Isolated Children applicant (this could be a parent or guardian, or a third party such as an institution) and a medical practitioner or specialist both need to complete sections of this form.

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

If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 5 March 2018