Education and Development Fund Application

Applicant first or given name:

Applicant last or family name:

Are you the primary carer?

Street Address:

Town or suburb:

Postcode:

Phone number:

Email address:

Have you applied to any other supporting or charitable organisation for any of these claims?

Do you receive a carers payment from either the Department of Human Services or Department for Child Protection for a child included in this claim?

Declaration: By completing and submitting this form, I declare that none of the items or activities claimed in this application are supported by any other funding source, and that I have not received funds for these items or activities from any other source. I understand that if this is found not to be the case, I will repay the funds, and Grandcarers SA may not process future claims through the EDF on my behalf.

Please complete additional application forms if you are applying on behalf of more than two children.

Child 1 First Name

Child 2 First Name

Child 1 Last Name

Child 2 Last Name

Child 1 DOB

Child 2 DOB

Item/activity

Rows	Cost
Computer / laptop
School stationary
School uniform
Shoes
School camp / excursion
Further education equipment
Organisation membership fees
Organisation uniforms / equipment / tuition
Swimming lessons
Other (specify below)
TOTAL FOR CHILD 1

Item/activity

Rows	Cost
Computer / laptop
School stationary
School uniform
Shoes
School camp / excursion
Further education equipment
Organisation membership fees
Organisation uniforms / equipment / tuition
Swimming lessons
Other (specify below)
TOTAL FOR CHILD 2

Details of 'Other'

TOTAL AMOUNT CLAIMED

For direct deposit of funds into your bank account, please provide your account details:

BSB

Account number

Account name

Signature

Please upload supporting documents (receipts, invoices, consent forms). Applications without supporting documents will not be processed.

File Upload