• ALLOCATION OF FUNDS FOR SPENDING (Form-1077)

    To be completed in conjunction with Financial and Clerical Assistance Form-1068

  • Participant's Details

  • Date
     - -
    2 digit day, 2 digit month, 4 digit year

  • $ is deposited into your Resident Spending Account every    . You have choice and control to decide how you would like to spend your money. 

    f you have requested financial and clerical services and have completed the Financial and Clerical Assistance Request Form-1068, please indicate below how much money you would like to allocate for tobacco, and how much you would like to allocate for general spending.

  • TOBACCO SPENDING MONEY

  • How much tobacco/cigarettes would you like allocated for each day of the week:
    Rows

  • GENERAL SPENDING MONEY

  • How much general spending money would you like to allocate for each day of the week?
    Rows

  • It is important to remember that Public Trust may change the amount of funding allocated to you each week, depending on your circumstances. Australian Quality Care is not responsible for any increase or decrease in your Public Trust funds.

    The cost of tobacco and tobacco products may also increase over time.

    Where there is a change to the amount of your funding, or the cost of tobacco and tobacco products, we will work with you to make any necessary changes to your chosen allocation.

    You can amend or terminate this request at any time if you wish.

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