SDA Participant Housing Application Form

SDA Participant Housing Application Form
This is a multipage application form. To complete this application, you will require the following documentation:
- A copy of the participants identification such as a birth certificate, passport, drivers' license, proof of age card or other photo ID
- A copy of the participants NDIS Plan or, at a minimum the Home Modifications section of the NDIS plan
If completing this form as a paper version, please submit it with the required documents to stephanie@gr8corp.com.au

Personal information is protected by law (including the Privacy Act 1988) and is collected by GR8 Disability Housing in order to assess and administer Specialist Disability Accommodation (SDA Information provided in this application may be used by GR8 Disability Housing, or given to other parties where you have consented, or where it is required or authorised by law. More information about how we manage your privacy is contained in our Privacy Policy available at: https://www.gr8corp.com.au/privacy-policy/
Person Complating Form
Name

First NameLast Name
Phone Number
Email
example@example.com
I have consent to act on behalf of the NDIS participant and submit this application*

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Property Details
Address of property you are applying for
Suburb
State
Post Code
SDA Design Category
Todays Date

DayMonthYear
Date
Estimated Move in Date

DayMonthYear
Date

NDIS Participant Details
Name

First NameLast Name
Date of Birth

DayMonthYear
Date
NDIS Number
Phone Number
Email
example@example.com
Preferred Language
Interpreter Required
Indigenous Status
Cultural Background
Please upload a copy of the participants identification such as a birth certificate, passport, drivers’ license, proof of age card or other photo ID*

Cancelof
NDIS Plan Details
Do you have an NDIS Plan
Is SDA Included in the plan
Please upload a copy of the participants NDIS plan, or at a minimum the Home Modifications section of the NDIS plan*

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Decision Makers/Representatives
Do you have one or more of the following assisting you with decision making?*

Family MemberKey Worker (receiving ECA)Legal GuardianNomineeAdvocate or independent AdvocateCourt-Appointed Decision MakerI Make My Own Decisions
Representative 1

First NameLast Name
Phone Number
Email
example@example.com
Relationship to Participant
Position
Organisation
Address
Suburb
State
Post Code
Representative 2

First NameLast Name
Phone Number
Email
example@example.com
Relationship to Participant
Position
Organisation
Address
Suburb
State
Post Code
Do you have a Support Coordinator
Name

First NameLast Name
Phone
Email
example@example.com
Position
Organisation
Address
Suburb
State
Post Code
Do you have a Supported Independent Living (SIL) Provider?
Name

First NameLast Name
Phone Number
Email
example@example.com
Position
Organisation
Address
Suburb
State
Post Code

Processing Your Application
Your application will be processed with the information provided and submitted. If you are offered a vacancy and accept, an initial assessment will be undertaken to ensure your preferences and needs are documented and taken into account.

An SDA Service Agreement will then be prepared and will require acceptance and signature from all parties before your SDA residency commences.

Where a decision regarding whether a vacancy cannot be offered, the Property Manager will contact you or your representative within 2 working days of the interview to advise the outcome.

If you are offered a vacancy, an SDA Service Agreement will be provided to you for completion.

Should you be offered a vacancy but choose not to accept it, we will respect this choice.

Where a vacancy cannot be provided, you will be provided with a clear reason based on GR8 Disability Housing’s eligibility criteria, Priority of Access requirements or waiting list processes.

GR8 Disability Housing may be unable to offer a vacancy where:
- you do not meet GR8 Property’s SDA eligibility requirements
- other applicants are assessed as a higher priority based on GR8 Property’s Priority of Access criteria
- GR8 Property’s SDA does not have the capacity or features to cater to your specific needs; or
- It is likely that the mix of residents in the available SDA home will be incompatible.
If you meet GR8 Disability Housing’s eligibility requirements but cannot be offered a service due to lack of capacity, you can be placed on GR8 Disability Housing’s Waiting List. You will be advised of the possible waiting time before a vacancy might become available.

If you are refused a vacancy you have the right to appeal. Appeals should be directed in writing to GR8 Disability Housing’s Managing Director and a final decision will be made by the team.

Appeals can be submitted electronically to: rentals@gr8corp.com.au or they can be posted to: GR8 Disability Housing Unit 4/7 Gympie Way, Willetton WA 6155
Should be Empty:

SDA Participant Housing Application Form

Person Complating Form

Property Details

NDIS Participant Details

NDIS Plan Details

Decision Makers/Representatives

Processing Your Application