This form was designed with the intent to ensure that all essential information is collected when the Leukaemia Foundation receives a request for accommodation support. The Leukaemia Foundation has finite resources with which to provide support to people living with blood cancer through its accommodation services. This assessment process allows us to assess all requests, so we can ensure our resources are being utilised to assist those most in need. Please ensure all fields are completed and should you have any questions please contact us at email@example.com or call 1800 620 420. Please note we have a 48 hours notice period for accommodation requests, if your request is required to commence within the next 48 hours please contact us on 1800 620 420 within business hours.