Support Statement. PH076 - Support Statement 2026

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The document is a Support Statement designed to gather detailed information about the housing needs of individuals with medical conditions or disabilities. It requires input from both the customer and their support workers or health professionals to assess barriers and ongoing requirements related to housing. The form aims to identify appropriate housing responses by documenting current living situations, difficulties in obtaining suitable housing, and specific features needed for accessibility and safety.

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Click ‘Get Form’ to open the Support Statement PH076 in the editor.
Begin by filling in the customer/advocate's details, including their full name and date of birth. This information is crucial for identifying the individual’s specific housing needs.
Next, provide details about the support worker or health professional. Include their name, qualifications, and organization to establish credibility.
Address questions regarding the customer's current living situation, such as how long they have been receiving support services and any difficulties faced in obtaining suitable housing.
Detail any medical conditions or disabilities that impact housing needs. Be specific about unsafe features in current accommodation that affect daily living activities.
Complete sections on assistance provided by organizations and attempts made to find alternative housing. This helps create a comprehensive picture of the customer’s situation.
Finally, ensure all signatures are collected from both the customer/advocate and support worker/health professional before submitting the form.

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