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Domiciliary Equipment Service

Domiciliary Equipment Service

Submitting a request for Equipment or Home Modification

Details of the requirements of the equipment or home modification need to be recorded on a request form.

All Category 2 items must be submitted with:

An additional specification form may be needed if measurements or adjustments to the item need to be detailed. Any customised equipment item must also have an Equipment Selection Agreement Form (DOCX 144.4 KB) completed with the client.

Please ensure that individuals and their carers read the following document prior to planning and commencing major home modifications:

Further information can be found on the  Assistive Technology Services - Ordering page.

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Last updated:29 May 2017 4:24pm
Provided by:
Department of Human Services
Last Updated:
27 Mar 2018
Printed on:
24 Aug 2019
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