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2014 AGED CARE APPROVALS ROUND - ESSENTIAL GUIDE

SECTION 5 – CAPITAL GRANT ONLY

IMPORTANT INFORMATION ABOUT APPLYING FOR A CAPITAL GRANT

A. Purpose of this Section

This section of the 2014 ACAR Essential Guide provides instructions on how to complete your application(s) for a Capital Grant under the Rural, Regional and Other Special Needs Building Fund. If you are applying for residential aged care places only or both residential aged care places and a capital grant for a service, please refer to Section 3 or Section 4 of this 2014 ACAR Essential Guide.

The information in this section should be read in conjunction with: Section 1 ‘Introduction’ and Section 6 ‘Capital Grant Program Guidelines’ of this Essential Guide; and the ‘Questions and Answers’, available on the Department’s website at www.dss.gov.au/2014ACAR.

B. Important considerations for the 2014 ACAR

The Rural, Regional and Other Special Needs Building FundAll capital grants are funded from the Rural, Regional and Other Special Needs Building Fund. All applicants must refer to the program guidelines for this fund at Section 6 of this 2014 ACAR Essential Guide.

New arrangements relating to fees and payments From 1 July 2014 there will be changes to: the fees paid by care recipients; the subsidy able to be claimed by approved providers; and accommodation payments made by care recipients.

In the 2014 ACAR you will need to demonstrate that: you understand these changes; you will have systems in place to ensure that appropriate information is provided to care recipients about

these new arrangements; and these new arrangements have been considered in your financial forecasts.

Higher accommodation supplementAs part of the changes to aged care, the Government will increase its contribution towards the accommodation costs of care recipients with limited resources, by increasing the accommodation supplement payable for care recipients of residential aged care services that are newly built or significantly refurbished on or after 20 April 2012. The higher accommodation supplement is designed to encourage the development of additional capacity in the residential aged care sector and enhanced quality and amenity of accommodation for care recipients.

Transitional Business Advisory Services Existing approved providers of residential aged care may seek the assistance of the Government’s Transitional Business Advisory Services (TBAS). This service assists providers to transition to the new accommodation payment arrangements that start from 1 July 2014. The Department has engaged KPMG to provide this service. The TBAS hotline can be contacted on 1800 122 092 or email [email protected]. Further information, including the application form, is available at www.kpmg.com/au/tbas.

Use of information held by the Department and others In addition to the information provided in your application, as part of the overall assessment process, the Department will consider any other relevant information available to it, including but not limited to: information obtained from the Aged Care Complaints Scheme and the Australian Aged Care Quality

Agency; information you have provided to the Department in relation to other assessment processes; for example,

any application to transfer, vary or exchange existing places; and information about your compliance history as a provider of aged care.

C. Preparing your application

You should consider the following when preparing your applications:

2014 ACAR Essential Guide: Section 5 – Capital Grant Only of 17

http://www.kpmg.com/au/tbas

mailto:[email protected]

http://www.dss.gov.au/2014ACAR

applications may be made by existing approved providers of residential aged care places who hold an allocation of residential aged care places or expect to hold an allocation of residential aged care places prior to the completion of the 2014 ACAR.

complete one application form for EACH SERVICE for which you are seeking a capital grant only.

D. Lodging your application

You are required to submit ONE original and ONE copy of your application. Applications are to be submitted to the Department of Social Services. Address details can be found in Section 1 of the 2014 ACAR Essential Guide.

Applications and associated attachments can also be submitted via email at [email protected]. For further details please refer to Section 1 of the 2014 ACAR Essential Guide.

Please note: applications will not be accepted by facsimile; late or incomplete applications may not be accepted; attach documents only where required or requested, other documents will not be considered; and ensure your application is received within the Department by no later than:

2.00pm on 4 July 2014.


mailto:[email protected]

COMPLETING YOUR ‘CAPITAL GRANT ONLY’ APPLICATION FORM

Cover page of application form

Name of applicant organisationProvide either your approved provider name, or the full legal name of your organisation if you are seeking approved provider status. Do not use abbreviated approved provider or legal names of your organisation.

Name of aged care serviceProvide the full name of the existing, or proposed, aged care service.

PART 1: APPLICANT DETAILS

1.1 ApplicantProvide your Australian Business Number (ABN) (applies to both existing approved providers and those that are not yet approved providers).

1.2 Applicant postal addressThe postal address provided will be recorded as the address for all notices related to the 2014 ACAR.

1.3 Contact detailsProvide the email and telephone contact details for two contacts. The primary contact is the person responsible for your organisation’s application, and an alternate contact should have a detailed understanding of your application, and will be contacted should the primary contact be unavailable.

PART 2: SERVICE DETAILS

2.1 Service detailsProvide the RAC Service ID number (existing service only).

2.2 Physical address of the serviceProvide the physical address of the service including the street number and name, suburb or town, state or territory and postcode (if known).

PART 3: CAPITAL WORKS

3.1 Capital grant project details – Provide a description of the proposed capital works.All applicants should detail the proposed capital works in response to this question.

Your response should include details of the quality of accommodation proposed.

The word limit for this question is 300 words.

3.2 Describe the issues the proposed capital works will address.All applicants should detail what existing issues your service has identified that will be rectified through the provision of a capital grant and the proposed capital works proposed.


3.3 If the proposed capital works are regarded as urgent, explain the reasons for this urgency.All applicants should detail what existing issues your service has identified that will be rectified through the provision of a capital grant and the proposed capital works proposed.



3.4 Describe why you are unable to fund the proposed capital works project.This is self-explanatory.


3.5 Provide the configuration of your service, both BEFORE and AFTER the proposal for this service is implemented. Please provide the number of each type of resident rooms, the number of residents in the particular type of room and the number and size of other areas, such as lounges or dining areas, you propose to have within the service after your proposal has been implemented. For the purposes of this question: an ‘en-suite’ is defined as a room with toilet and bathroom facilities accessed/adjoined to a bedroom, for the exclusive use of the occupant of that room; and a ‘shared bathroom’ is defined as one that can be accessed directly from more than one resident’s room.

Where two or more services are co-located on a single site or adjacent sites, the information you are providing in your response to question 3.5 should be a consolidated response for all the services located on a single site or adjacent site. The consolidation should include all occupied rooms in the service, including unfunded places which do not attract Australian Government residential aged care subsidies.

For an existing service, the table should be completed to show details of the current configuration of the service, and the configuration of your service after the completion of the capital works.

For a new service, complete Column E only.

3.6 Provide details of any temporary accommodation and/or care arrangements you will need to put in place during the construction or redevelopment work.If you have current occupancy or tenancy arrangements in place, describe:

any temporary accommodation and/or care arrangements you will need to put in place to ensure current occupants have suitable, appropriate and acceptable alternative accommodation, including the number of residents, their care levels and the nature of the temporary accommodation arrangements;

the period in which the temporary accommodation arrangements will be required; the location of the temporary accommodation; the name of the organisation that will manage the delivery of care (if required), in the temporary

accommodation; and the communication strategy and consultative process you have or will put in place to inform

residents of the temporary accommodation arrangements.



3.7 Provide the key milestones in the development of the capital works project.The table in this question lists the key milestones that you have met, or will meet, in planning the development of your service.

If you experience any change in circumstances that will significantly affect your ability to meet the key milestones you have provided in response to Question 3.7, you should notify the Department, in writing, of the changes at the earliest opportunity.

3.8 Identify any known risks that may affect your ability to meet the above key milestones.Detail any risks that may affect your ability to meet key milestones, describe the actions you have taken and/or propose to take to manage identified risks.


3.9 Concessional, supported, assisted & low-means care recipients.Provide the numbers of existing and expected numbers of new concessional, supported, assisted & low-means care recipients at your service as at 1 June 2014 and at the completion of this proposal.

3.10 If you have identified as part of your overall proposal, a significant increase in the numbers of concessional, supported, assisted or low-means care recipients, describe the steps you will take to achieve this outcome.This is self-explanatory.


3.11 Is the primary purpose of this capital works project to facilitate the provision of care to people from one or more of the special needs group?One eligibility criterion for a capital grant is that a majority of care recipients are, or will be, people from a Special Needs group.

Special Needs Groups are: people from Aboriginal and Torres Strait

Islander communities (ATSI) people from culturally and linguistically diverse

backgrounds (CALD) people who live in rural or remote areas (R-R) people who are financially or socially

disadvantaged (FSD)

veterans (VET) homeless (HOM) care leavers (CLV) parents separated from their children by forced

adoption or removal (PSC) lesbian, gay, bisexual, transgender and

intersex people (LGBTI)

Approximately $11.6 million of Capital Grant funds have been earmarked to support access to residential aged care for older people from culturally and linguistically diverse backgrounds.

Homelessness/risk of homelessness continues to be an issue for older people and, provided application(s) of sufficient quality are received, priority may be given to providing at least one capital grant for a new, or a significant extension to an existing, specialist residential aged care facility for people who are homeless or at risk of homelessness in the 2014 ACAR.

While it is recognised that a care recipient may be a member of more than one special needs group, for the purposes of Questions 3.12 - 3.16 a care recipient should only be included in one special needs group.


3.12 Specify the special needs group, as defined in the Aged Care Act 1997.This is self-explanatory.

3.13 How many people from this group do you provide care to at the service now?You may identify more than one special needs group which will benefit from this capital works project.

3.14 How many people from this group will you provide care to at this service at the conclusion of this project?This is self explanatory.

3.15 If you have forecast a significant increase in the numbers of people from the special needs group, describe the steps you will take to achieve this outcome.Describe how you propose to ensure the projected significantly increased number of care recipients who are people from the special needs group(s) is reached and maintained.


3.16 Outline the evidence that demonstrates that there is a need in the area for residential aged care for the identified special needs group.Provide a detailed description of:

how you have identified the need for residential aged care for the special needs group; your understanding of the demographics of the special needs group; and evidence of relationships you have established, or steps you intend to take to establish linkages with

relevant communities and/or key organisations:o the evidence you provide must be related to the linkages you have established or intend to

establish with relevant communities and/or key organisations in relation to the provision of care for people with special needs, rather than general letters of support or testimonials.


3.17 Describe your organisation’s experience and/or expertise in the provision of appropriate care to the identified special needs group, or how your organisation intends to develop such expertise and any other approaches you plan to take to meet the particular care needs of the identified special needs group.Provide a detailed description of:

how you have identified the particular care needs of people from the special needs group; your understanding of the particular physical, social, spiritual and environmental care needs that may

need to be addressed; practical examples of how you have, or will, provide care that has regard to the particular physical,

social, spiritual and environmental care needs of individual care recipients; how you have tailored, or will tailor, your service delivery to address the particular care needs of

individual care recipients.



3.18 Describe how the building design and external environment will meet the particular care needs of the identified special needs group.Provide a detailed description of:

any design features that will be incorporated into your building design and external environment that will facilitate the provision of care which addresses the particular physical, social, spiritual and environmental needs of the identified special needs group.


3.19 Is a significant purpose of the capital grant to address the particular care needs of people with dementia?This is self explanatory.

3.20 Identify how the building design and external environment will meet the particular care needs of people with dementia.Provide a detailed description of:

any particular changes, improvements or innovations you propose to make that will facilitate the provision of the particular physical, social, spiritual and environmental needs of the people living with dementia.


3.21 Cost CertificateYou should detail all the cost components of your capital works here. Applicants must provide the cost certificate information as provided to them based on the proposal as described in Question 3.1 and the configuration of services described in Question 3.5.

This cost certificate must be signed and dated by the architect/construction professional who prepared the estimate for your proposal.


PART 4: FINANCIAL INFORMATION

The financial information you provide will contribute to an assessment of your organisation’s ability to complete the capital works in a timely manner while maintaining viability into the future.

Financial information underpins a number of legislative provisions (assessment criteria) including continuity of care for current and future care recipients, measures to protect the rights of care recipients (particularly in relation to lump sum accommodation payments) and, for services where new construction is required, making places operational in a timely manner.

Any allocation of a capital grant does not imply that the Australian Government guarantees the viability of your service or of your organisation. Applicants MUST make their own assessment as to the viability of their operations and of the adequacy of capital funding arrangements. At the earliest opportunity you should notify the Department of any change in your circumstances that will significantly affect your capacity to finance your proposal.

The Department may use financial information for an independent analysis to assist in determining your: financial viability; ability to deliver care in the long term; ability to complete any capital works relevant to the application; and organisational viability and sustainability.

If the independent analyst wishes to clarify any financial information, your authorised contact person(s) will be contacted by an officer of the Department. Any request for clarification is to allow consideration of your application and should not be taken as an indication of the likely outcome of your application.

There is no requirement for the Department to clarify any information and seeking clarification does not mean that further information will be sought. The onus is on you to provide sufficient information in your application, and supporting documentation, to allow the Department to determine the robustness of your financial situation.


APPROVED PROVIDER/APPLICANT ORGANISATION

4.1 Statement of Organisational Financial Position and Projections

AssetsImportant points to note: the projections are for the whole of your organisation, not just for your residential aged care activities or for

the service(s) that is/are the subject of this application; assets should be stated at their “book” or accounting value which is consistent with how they are stated in

the audited financial statements; use the ‘Residents’ row to show receivables from residents or residents’ debts; Current Assets are assets that can be realised into cash within the twelve months following the balance

date. Assets that are unlikely to be realised as cash in 12 months should be shown as Non-Current Assets; and

some assets may have both current and non-current elements; for example, receivables may be split into an amount expected within 12 months of the balance date (current) and an amount expected more than 12 months after the balance date (non-current).

In your response you should detail your organisation’s projected assets at the following points in time: Column A - the forecast situation as at 30 June 2014; Column B – the forecast situation immediately before the planned commencement of capital works; Column C - the forecast situation immediately after the capital works are completed; and Column D - the forecast situation when maximum occupancy is achieved.

Your response should: include asset values normally reflected in your audited financial statements for items such as goodwill,

value of places etc; where intangible assets include an amount relating to places, please provide details of the number of

places and the estimated value per place; detail any restrictions or covenants relating to the use of any of the assets included in the projections for

residential aged care activities; for example, if the Statement of Financial Position (Balance Sheet) projections include assets for land

and investments which, by virtue of the conditions of a bequest must be dedicated to the future building of independent living units or are held by a financial institution as security for borrowings, they are not available for residential aged care activities;

details, including the value included in the projections for each of these assets and the expiry date of any restrictions or covenants, should be noted.

If you have answered ‘Other’, you will need to provide an explanation. You may also provide any other explanatory information that you wish.

The word limit for this part of the question is 150 words.


LiabilitiesRefer to the instructions given in relation to ‘Assets’ above.

Current liabilities should include all liabilities that are likely to fall due or be repaid within the 12 months following the balance date. Liabilities that are likely to fall due after 12 months should be shown as Non-Current Liabilities; for example, the portion of accommodation bonds, refundable accommodation deposits and refundable accommodation contributions and other resident liabilities that are likely to be paid out in the 12 months following the balance date should be shown as a Current Liability. The portion of these liabilities that is unlikely to be repaid within the 12 months should be shown as a Non-Current Liability.When determining the Current versus Non-Current portions of accommodation bonds, refundable accommodation deposits and refundable accommodation contributions and similar liabilities you should have regard to the anticipated turnover of residents. For example, if you expect that 25% of your residents are likely to leave in the next 12 months and will require their lump sum accommodation payments to be repaid then 25% of the total liability should be shown as a Current Liability:

Important points to note: use the ‘Other’ row to show debts to residents other than accommodation bonds, refundable

accommodation deposits and refundable accommodation contributions; the proposed capital works should be included in Land and Buildings in the Statement of Financial Position

(Balance Sheet) projection AFTER completion of the capital works (the final column); the projections for cash and bank accounts and investments should be determined from the approved

provider/applicant organisation’s forward cash flow projections; and the projections for receivables, land and buildings and plant and equipment should be determined from the

expected movement in these items and their effect on the forward cash flow projections.

If relevant, the projections for a bank overdraft should be determined from your organisation’s forward cash flow projections and the projections for creditors and accruals, employee entitlements and debt/loans should be determined from the expected movement in these items and their effect on the forward cash flow projections.

If you have answered ‘Other’, in this section, you will need to provide an explanation. You may also provide any other explanatory information that you wish.


Changes in EquityIf you have answered ‘Other’, in relation to changes in equity, describe the nature of the transaction(s) and why it is not included in the operating surplus (deficit), contributed capital or dividend payments.



FINANCIAL INFORMATION - SERVICE LEVEL

4.2 Operating surplus (deficit) – projections for the residential aged care service.Provide the relevant figures against each year in respect of your organisation.

D o not include information relating to non-residential aged care activities, such as, community and/or flexible aged care places, acute care, independent living units or include any debt payments in row A.

The calculation of your organisation's operating surplus or deficit before depreciation and interest payments should take account of the following items but may include other items that are normally included in the accounts for your organisation.

Income Department of Social Services subsidies; resident charges (total annual resident fees charged, including accommodation charges); earnings from accommodation bonds, refundable accommodation deposits and refundable accommodation

contributions (total annual interest earned from accommodation bonds and any retention amounts); state/territory government subsidies; and other income/subsidies (annual income from all other sources including donations and bequests either from

external sources or related entities). Include any income generated through investments of donations/bequests.

Expenditure wages; workers’ compensation; catering, cleaning and laundry; utilities (for example: electricity, fuel, water, sewerage and waste removal, including rates); rent (annual rental cost for the service); property and maintenance; and other expenses.

B – Less depreciation on buildings

C – Less depreciation on plant and equipment

D – Zero Real Interest Loan interest payments (equal to CPI)—if applicable: Detail any interest payments (equal to CPI) expected as the result of the allocation of a zero real interest loan.

E – Less other debt interest payments: Detail all other payments of interest relating to debt.

F - Operating surplus (deficit) AFTER depreciation and debt interest payments: Row F should equal the total of row A, minus row B, minus row C, minus row D, minus row E. Do not include debt principal repayments.

G – Less Zero Real Interest Loan principal repayments: Detail any principal repayments expected as the result of the allocation of a zero real interest loan.

H – Less other debt principal repayments: Detail any other annual debt principal repayments.

I – Add back: Depreciation on buildings

J – Add back: Depreciation on plant and equipment

K – Less: New capital expenditure: Detail any additional capital expenditure, asset additions that will not be financed through new leases, hire purchases or loans.


L – NET Accommodation bonds, refundable accommodation deposits and refundable accommodation contributions: Include the net cash inflow (outflow) only – gross accommodation bond cash inflows less accommodation bond payouts, for the relevant periods.

M – Cash surplus (deficit): Row M should equal the total of row F, minus row G, minus row H, plus row I, plus row J, minus row K, plus or minus row L.

N – Total number of operational places: The number of places includes those being sought in the 2014 ACAR. Detail the total number of places expected to be operational against each year, including any new places you are seeking in the 2014 ACAR.

O – Total number of provisional places: Detail the total number of places that have already been provisionally allocated (that is, not yet operational) against each year.

P – Total number of places: Row P should equal the total number of row N, plus row O.

4.3 Advise of any significant changes in your operating results.If you are projecting significant changes in operating results per resident, describe the detailed assumptions underpinning this changed result.


4.4 Advise how your organisation will fund any operating deficit.If the projections for your organisation show an operating deficit in any year, describe how your organisation intends to fund this deficit.



Capital works financial details

4.5 Capital works costs associated with this application.Note that these are capital works for which a capital grant is being sought in this 2014 ACAR.

Complete the table in respect of the total capital works cost required to complete the project related to your application.

If you have indicated ‘Other’ in response to question 4.5, provide a brief description.

4.6 Sources of funds for the capital works.Detail the sources of funds for the capital works related to your proposal.

Do not include information in respect of any other capital works your approved provider/applicant organisation may have commenced or be planning.

Internal sources: Detail the amount to be drawn from reserves (excluding any amounts from accommodation bonds, refundable accommodation deposits and refundable accommodation contributions) and the amount being provided from internal borrowings and contributions that are not re-payable and describe any sale of assets and the amount from the sale(s).

Resident sources: If you intend to fund construction costs from accommodation bonds, refundable accommodation deposits and refundable accommodation contributions, identify the relevant amounts as either from provisionally allocated and existing places.

If you are planning to source some funding from bridging finance secured by future refundable resident sources, you must provide details of the bridging finance at question 4.8.

External sources: Detail any borrowings from any external organisation, including loans from financial institutions.

Other Sources: Detail the amount expected to be raised through fund raising, such as the amount already raised, the amount expected to be raised and details of the fund raising activities. Indicate any other sources of funding such as, but not limited to, sale of any assets.

Total applicant contribution: Insert the total of all the above-mentioned components.

Additional sources of funding

Capital funding - state/territory government: If a state or territory government has allocated funding to this proposal, detail the total amount of this capital funding.

Capital grant(s) allocated in previous ACAR(s): If your organisation has been allocated any capital grant(s) in a previous ACAR(s), detail the amount(s) of the grant(s).

Zero real interest loan allocated in previous ACAR(s): If you have received a zero real interest loan from the Department as a result of the conduct of Stage One, Two or Three of the zero real interest loan initiative, detail the total amount(s) of the zero real interest loan(s).

Describe any other additional sources of funding: Self-explanatory.

Total funds: The amount you enter for “Total funds” should be the same as the amount you have entered as “Total capital works costs” in question 4.5.


4.7 Where do “Funds to be drawn from reserves” appear in the Statement of Financial Position (Balance Sheet)?Detail where the reserve funds are to be drawn from and show where these funds appear in the Statement of Financial Position (Balance Sheet).

4.8 Bridging finance to be used for the capital works identified in this application.Detail any bridging or transitional borrowings required in the construction of these capital works. Identify the amount involved and the terms of the loan, including when full repayment is required/anticipated, and include any bridging finance in respect of accommodation bonds projected to be received in the future.

4.9 Current status of funds negotiations.If borrowings are planned, indicate, by ticking one box only, the stage your negotiations have reached with the proposed lender.

You must provide evidence that supports the status of your funds negotiations and indicate in the relevant box(es) where you have attached evidence.

4.10 Service overview.This question relates to the residential aged care service in which you are seeking residential aged care places. Do not include information relating to any non-residential care activities of the service, such as, the provision of home and/or flexible aged care packages, acute care, or independent living units.

Provide full year actual or estimated results for each of the four years but leave 2013-14 information blank if there is no existing service. The first of the four years should be the financial year in which any proposed capital works are completed; indicate the relevant year at the top of each column.

A - Number of allocated places: Record the total number of places, including operational places, off-line places and provisionally allocated places.

B - Number of unfunded places: Record the number of places available for which Australian Government residential aged care subsidies are not received.

C - Total places (C = A + B)

D - Total residents

E - Occupancy rate (%): Record the average occupancy rate, that is, the total number of occupied bed days per year/total number of possible bed days per year, expressed as a percentage.

F - Number of residents paying accommodation bonds, refundable accommodation deposits or refundable accommodation contributions

G – Total collected from accommodation bonds, refundable accommodation deposits and refundable accommodation contributions ($)

H - Liability for accommodation bonds, refundable accommodation deposits and refundable accommodation contributions ($): Record the total amount owing to residents at the end of the year after deducting allowable deductions and repayments.

I - Reserve funds for the service ($): Record all funds held in reserve to meet, for example known liabilities, unexpected expenditure requirements or to support future service or capital improvements. Do not include accommodation bonds, refundable accommodation deposits and refundable accommodation contributions. Write “none allocated to service” if there are no reserves allocated specifically to this service, for example, if organisational reserves are held by your organisation but applied to a range of services or activities.


4.11 Assumptions underlying the projections.Provide information on the assumptions underlying your projections. You should outline assumptions about number of residents paying refundable accommodation payments or refundable accommodation contributions, the value of accommodation payments and contributions, and resident turnover.


4.12 Required attachments.Failure to provide the required attachments may adversely impact on an assessment of your financial viability; your ability to deliver care in the long-term; your ability to complete any capital works relevant to your proposal; and/or your organisational viability and sustainability and may, overall, make your application less competitive.

Your response must provide audited 2012-13 financial reports, including any notes and/or auditor’s opinions.


PART 5: ENDORSEMENT OF APPLICATION

This application can be signed only by those persons who are legally empowered to give assurances and enter into contracts and commitments on behalf of the applicant.

In signing this endorsement, you are affirming that this proposal has the full consent and support of your organisation’s Board of Directors, or other relevant authority.

Giving false or misleading information is a serious offence.

There are offences established by the Aged Care Act 1997 and the Criminal Code Act 1995 relating to providing false and misleading information. Approvals based on false or misleading information may be revoked.

In endorsing the application you are confirming that you: have included all relevant evidence; are aware of your responsibilities as prescribed in the Aged Care Act 1997 and the Aged Care Principles; have read the 2014 ACAR Essential Guide; declare that all information provided in the application and associated attachments is true and complete; declare that all the key personnel in the applicant organisation are, and will continue to be, suitable to

provide aged care and are not disqualified individuals; consent to the Secretary of the Department of Social Services providing relevant information to other

persons or organisations, in order to obtain their advice, as necessary, to assist in assessing this application or in assessing other applications submitted by the applicant in the 2014 ACAR; and

consent to any persons or organisations that are contacted releasing information to the Department of Social Services.

Your organisation’s company seal and citation is required only if your organisation is an incorporated company and the company is required by its constitution to seal such documents.

Receipt of applicationA receipt will be sent to the email address provided in Part 1, Question 1.3, after the specified closing date for the lodgement of applications. If you do not complete this section a receipt will not be issued.


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