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.

Both of the following people need to complete sections of this form:

  • the Assistance for Isolated Children applicant - this could be a parent or guardian, or a third party such as an institution
  • a medical practitioner or specialist.

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

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 14 March 2019

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