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Ph076 2026
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- Click ‘Get Form’ to open the Housing Assistance Referral Form in the editor.
- Begin by entering the customer's details, including their full name and date of birth in the designated fields.
- Proceed to question Q1, where you will indicate if any information could be prejudicial to the customer’s health. Select 'Yes' or 'No' and provide details if applicable.
- In Q2, specify how long the customer has been under your care and describe the assistance you provide.
- For Q3 and Q4, input the current living situation of the customer and whether you have seen their property recently.
- Continue through questions Q5 to Q14, providing detailed responses regarding housing issues, assistance received, and any other relevant comments.
- Finally, complete the form by signing it and adding your contact information before submitting it back to your nearest Housing Service Centre.
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