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Application for a determination that an Approved Provider is in a position to provide care

Application forms for Residential, Community, and Flexible Care.

Application forms for Residential, Community, and Flexible Care.

These forms are available in PDF and RTF format:

Application for a Determination that an Approved Provider is in a Position to Provide Care - Residential Care

Residential Care (PDF 111 KB)
Residential Care 'Electronic Form' (RTF 9182 KB)

Application for a Determination that an Approved Provider is in a Position to Provide Care - Community Care

Community Care (PDF 65 KB)
Community Care 'Electronic Form' (RTF 165 KB)

Application for a Determination that an Approved Provider is in a Position to Provide Care - Flexible Care

Flexible Care (PDF 95 KB)
Flexible Care 'Electronic Form' (RTF 2950 KB)

Application for a Determination that an Approved Provider is in a Position to Provide Care - Transition Care

Transition Care (PDF 76 KB)
Transition Care 'Electronic Form' (RTF 2133 KB)

If more than one facility, please provide additional copies of the section by downloading the additional section from the forms below:

• Transition Care Additional Pages (PDF 51 KB)
• Transition Care Additional Pages 'Electronic Form' (RTF 1962 KB)

Sections 15-1 and 15-3 of the Aged Care Act 1997.

Important information for applicants

Under section 15-1 of the Aged Care Act 1997 (the Act), an allocation of places to an approved provider under section 14-1 of the Act 'takes effect' when the Secretary determines that the approved provider is in a position to provide care in respect of those places.

If a determination under section 15-1 is not made at the same time that the allocation is made, the allocation is taken to be a provisional allocation. The approved provider must then lodge an application under section 15-3 for such a determination to be made in respect of provisionally allocated places.

An application under section 15-3 of the Act should be lodged when you, the approved provider, are in a position to provide care in respect of provisionally allocated places. If the provisional allocation was made subject to conditions under section 14-5 of the Act that must be met before a determination can be made, you must be able to demonstrate that you have met the conditions.

There are four application forms relevant to the following types of care: residential care; community care; flexible care in respect of Transition Care places and flexible care in respect of Extended Aged Care at Home (EACH) places, EACH Dementia places, Multi-Purpose Service (MPS) places and Innovative Care places.

The correct application must be lodged before the end of the provisional allocation period, which is the period of 2 years after the day on which the allocation is made, unless an extension to the provisional allocation period is approved or an application is pending.

Signatories to the application form must be legally authorised to sign for and on behalf of you the approved provider.

If you are unclear about any of the questions in the application form, please phone 1800 020 103 and ask to be connected to a Departmental Officer in the Aged Care Branch in your relevant State or Territory Office.

Please forward the completed application form to the address below:
Aged Care Branch
Department of Health and Ageing
GPO Box 9848
In the capital city of the State or Territory in which the aged care services is located
(For ACT services, please send this form to NSW for assessment)
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