Application forms
Applications forms for financial assistance, rebates and state concessions offered by the department.
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Bond Loan Application Form
This bond loan application is for private renters seeking an interest-free loan from the Department of Human Services to help cover the cost of a rental bond.
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Disabilities donations trust application form
This form may be used to submit an application for a charitable grant to the Psychiatric Illness and Intellectual Disabilities Donations Trust Fund (PIIDDTF).
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Emergency relief prepaid card disputed transaction form
Use this form to document emergency relief prepaid card disputed transaction to the Department of Human Services. You will need to provide your personal details and details of the dispute. You will need one form for each dispute.
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General Research Grants application form
The Disabilities Trust General Research grants application form
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Income Confirmation Service Withdrawal Form
Use this form to advise the Office of Housing that you wish to withdraw your authority for the Office of Housing to obtain your income and asset information from Centrelink through the Income Confirmation Service.
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Life Support Concession - application form
If you have a concession card, and a member of the household uses an eligible life support machine, you can use this form to apply for assistance with electricity costs.
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Medical Cooling Concession - application form
If you are a concession card holder, and a member of the household has a medical condition that affects the body's ability to regulate temperature, you can use this form to apply for assistance with summer electricity costs.
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Municipal Rates Concession - application form
If you are a concession card holder, and are not connected to mains water, this form may help you apply for up to three rebates for water usage per financial year.
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Municipal Rates Concession - application form
If you are a valid concession card holder, you may use this form to apply for a discount on council rates up to a yearly maximum.
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Municipal Rates Concession EDA and POW - application form
If you wish to claim a municipal rates concession with an Extreme Disablement Adjustment (EDA) or Prisoners of War (POW) concession card, this form allows DHS to verify that you are an eligible card holder.
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Non-Mains Energy Concession - application form
If you are a concession holder, and you rely on LPG, firewood, alternative fuel and/or non-mains metered electricity for domestic heating, cooking and hot water you can use this form to apply for assistance.
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Non-Mains Water Concession - application form
If you are a concession card holder, and are not connected to mains water, this form may help you apply for up to three rebates for water usage per financial year.
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Rebated Rent Application Form
This Application for rebated rent form is used to apply for a rebated rent and when the amount of rent we charge you is being reviewed.
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Water and Sewerage Concession - application form
If you are a concession card holder, you may use this form to apply for a concession to your water and sewerage charges up to a yearly maximum.
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