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Special Accommodation Requirements Form

This form is used to identify any special housing and/or location requirements as a result of the medical health needs of a household member.

Requests for special accommodation requirements will be
assessed in accordance with information contained in this
form (including any other relevant documentation supplied by
a medical practitioner/support worker), and in line with the
relevant Office of Housing policies. Clients will be advised of
the outcome of the assessment in writing.

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Last Updated 10/11/2011 © State Government of Victoria 2011 Authorised by: DHS,Divisions (DHS),Housing & Community Building,Client Services & Programs
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