Application Form

Important Information

This form requires multiple supporting documents to be uploaded for lodgement.

Please ensure you have these forms available to upload before commencing:

  • Bank Statement/s
  • Medical Certificate
  • Centrelink
  • Letter from employer
  • Letter from a Provider who has deemed you to be experiencing financial hardship (e.g. bank, super fund, utilities)
  • Letter from an authorised financial counsellor or planner confirming financial hardship
  • Documentation such as a statutory declaration from a person familiar with your financial circumstances (e.g. family doctor, accountant).

Please visit our financial hardship page for more information on the application process, or to find out more about emergency assistance and support services.