3.4 Home Renovations for Elderly or Disabled form

Community Programs

Program 3: Health and Wellbeing

3.4 Home Renovations for Elderly or Disabled

This program provides one-off assistance of up to $15,000 to IBN members with a physical disability or Elders (55 years and/or over) for home improvements and accessibility modifications.

Applicant details

Full Name(Required)

Date of Birth(Required)

Gender(Required)

Male

Female

Language Group(Required)

Yinhawangka

Banyjima

Nyiyaparli

Current home address(Required)

Postcode

Phone

Email address

My address or other personal details have changed.

Please complete an ‘Update personal details’ form and attach it to your application.

What is the reason for the request?(Required)

Have you applied to NDIS or government Aged Care for assistance?

Yes

If yes – what amount was approved?

Items for purchase (NO CASH PAYMENTS)

For details on what expenses IBN will cover, please see the IBN 2022-23 Community Programs Handbook, or the IBN website www.ibngroup.com.au (Required)

List(Required)

Description of item

Supplier

Amount

Comments

Required Documents (please attach)

IBN Update Personal Details form
Proof of home ownership
Supplier quotes or invoices including payment details

Where applicable:

NDIS document
Commonwealth Aged Care documents

Upload Documents

Drop files here or

Max. file size: 50 MB.

Declaration (Required)

I declare that the information I have provided in this form is true and correct, the benefits requested are for my own use.

Agreement(Required)

I agree that IBN may share my information with other organisations for application assessment purposes.

Community Programs

Program 3: Health and Wellbeing

3.4 Home Renovations for Elderly or Disabled

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