(reasons why customer is unable to access/maintain private housing) ACCESS BARRIERS Long term health issues Lack of financial skills/resources Long term disability issues Cultural or social issues Discrimination in private rental Lack of social skills Exiting institutional care If you ticked any of the above, please provide details and attach documentation to verify Enter details as per issues described above OTHER ISSUES Disability Support Pension recipient Refugees in Aust less than 2 years Totally & Permanently Incapacitated Pension recipient People exiting Direct Lease Housing If you ticked any of the above, please attach documentation to verify. If there are any EXCEPTIONAL CIRCUMSTANCES not listed above, please provide details and attach documentation to verify Enter details as per issues described above or others not listed TENANCY ISSUES (reasons why customer is unable to access/maintain private housing) Irresolvable neighbor dispute Health reasons Overcrowding Disability reasons Needs to be closer to supports If you ticked any of the above, please provide details and attach documentation to verify Enter details as per tenancy issues described above
ACCESS BARRIERS (reasons why customer is unable to access/maintain private housing) Long term health issues Lack of financial skills/resources Long term disability issues Cultural or social issues Discrimination in private rental Lack of social skills Exiting institutional care If you ticked any of the above, please provide details and attach documentation to verify Enter details as per issues described above OTHER ISSUES Disability Support Pension recipient Refugees in Aust less than 2 years Totally & Permanently Incapacitated Pension recipient People exiting Direct Lease Housing If you ticked any of the above, please attach documentation to verify. If there are any EXCEPTIONAL CIRCUMSTANCES not listed above, please provide details and attach documentation to verify Enter details as per issues described above or others not listed TENANCY ISSUES (reasons why customer is unable to access/maintain private housing) Irresolvable neighbor dispute Health reasons Overcrowding Disability reasons Needs to be closer to supports If you ticked any of the above, please provide details and attach documentation to verify Enter details as per tenancy issues described above
Housing-needs-report-form-community-housing-3.docx