SDA Registration of Interest Form

Believe Housing Australia is a registered SDA Provider. Please complete this form to register your interest in Specialist Disability Accommodation.

 

Date submitted

 

Name of applicant registering interest for Specialist Disability Accommodation

 

Enter a current address for the applicant

 

Enter applicant's date of birth

 
dd/mm/yyyy
 

Enter a contact number for the applicant

 

Enter the email address of the applicant

 

Provide information on the type of accommodation that you are currently residing in

 

Use the dropdown box to select your primary source of income

 

Use the dropdown box to select if you are currently registered for public or community housing. If you answer yes, please select the category that applies to registration

 

Enter the name of your NDIS support coordinator

 

Enter the best contact phone number for your NDIS support coordinator

 

Enter the email address of your NDIS support coordinator

 

Select if you have SDA funding approved in your current NDIS plan

 

Select the design category that you have approved in your NDIS plan

 

Select the building type that you have approved in your NDIS plan

 

Enter the location approval for SDA in your NDIS plan

 

Enter name of your SIL provider

 

Enter the preferred contact phone number for your SIL provider

 

Enter email address of your SIL provider

 

Select whether you have a guardian

 

Select whether you have a finance manager i.e. Public Trustee

 

Enter the name of the person completing this registration of interest form on behalf of the applicant

 

Enter the contact number of the person completing this registration of interest from on behalf of the applicant

 

Please enter any further relevant details

 

Proof of Capital Supports funding (SDA Accommodation) in your NDIS Plan can be attached

Drop your files here
 

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