Indigenous Services Boarding House
of person needing accommodation
Reasons for needing Boarding House accommodation
Please explain in detail.
Date of Birth
Name/Age of others staying
How long do you think you'll need to stay?
Agree to provide own linen
No pets permitted at property
Agree to ensure clean house on departure
Yes (if not charges for cleaning may be issued)
Terms and Conditions
When I submit this form, I am agreeing to the conditions as described above.
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.