Referral for Assessment of Complex or Novel Legal Issues Before a matter is referred to the Central Assessment Provider an application for review must be lodged with the AAT. Please read the Guide to applying for a Referral for Assessment of Complex or Novel Legal Issues and Central Assessment Provider Guidelines for Assessment of Complex or Novel Matters before completing this form. You must complete all fields and answer all questions. The prompting questions below are to help you fill out the form. Abbreviations: AAT Administrative Appeals Tribunal NDIA National Disability Insurance Agency – – CAP Central Assessment Provider NDIS National Disability Insurance Scheme – – DSS Department of Social Services – SECTION 1 APPLICANT DETAILS – Surname: Given name: Female Male Unspecified Date of Address: State: Email: Telephone: Preferred method of correspondence: Post Date application for review lodged with AAT: AAT File Number (if known): Any set by the AAT (e.g. conference dates): Client Identifier (where a record has been created by the Support Person): NDIS Appeals Support Person details (if applicable) Name: Organisation: Telephone:
Referral for Assessment of Complex or Novel Legal Issues Before a matter is referred to the Central Assessment Provider an application for review must be lodged with the AAT. Please read the Guide to applying for a Referral for Assessment of Complex or Novel Legal Issues and Central Assessment Provider Guidelines for Assessment of Complex or Novel Matters before completing this form. You must complete all fields and answer all questions. The prompting questions below are to help you fill out the form. Abbreviations: AAT – Administrative Appeals Tribunal CAP – Central Assessment Provider DSS – Department of Social Services NDIA – National Disability Insurance Agency NDIS – National Disability Insurance Scheme SECTION 1 – APPLICANT DETAILS Surname: Given name: Female Male Unspecified Date of Address: State: Email: Telephone: Preferred method of correspondence: Post Date application for review lodged with AAT: AAT File Number (if known): Any set by the AAT (e.g. conference dates): Client Identifier (where a record has been created by the Support Person): NDIS Appeals Support Person details (if applicable) Name: Organisation: Telephone: