SDA Participant Housing Application Form SDA Participant Housing Application FormThis 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 info@360sda.com.au Personal information is protected by law (including the Privacy Act 1988) and is collected by 360SDA Disability Housing in order to assess and administer Specialist Disability Accommodation (SDA Information provided in this application may be used by 360SDA Disability Housing, or given to other parties where you have consented, or where it is required or authorised by law. Person Complating FormFirst Name *Last Name *Phone Number *Email Address *Upload Signature *Choose FileNo file chosenDelete uploaded file Property Details Address of property you are applying for *Suburb *State *Post Code *Select *SDA Design CategoryImprove LiveabilityFully AccessibleHigh Physical SupportRobustToday Date *Estimated Move in Date * NDIS Participant 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 *Drag and Drop (or) Choose Files Decision Makers/Representatives Do you have one or more of the following assisting you with decision making ? *Family MemberKey Worker (receiving ECA)Legal GurdianNomineeAdvocate or Independent AdvocateCourt Appointed Decision MakerI Make my Own DecisionRepresentative 1First Name *Last Name *Phone Number *Email Address *Relationship to Participant *Position *Organization *Address *Suburb *State *Post Code *Representative 2First Name *Last Name *Phone Number *Email Address *Relationship to Participant *Position *Organization *Address *Suburb *State *Post Code *Select *Do you have a Support CoordinatorYesNoSelect *Do you have a Supported Independent Living (SIL) Provider?YesNo 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 6155Send Message
