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Companion Card Application Form Companion Card Application Form 2026

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The Companion Card Application Form outlines the Companion Card Program in Western Australia, which aims to support individuals with significant disabilities by allowing their companions free entry to participating venues and events. The document details eligibility criteria, application steps, assessment processes, privacy statements, and terms and conditions for cardholders. It emphasizes the importance of providing necessary assistance for participation in community activities and includes sections for personal and disability information.

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Click ‘Get Form’ to open the Companion Card Application Form in the editor.
Begin by completing SECTION 1, which includes your personal details such as name, date of birth, and contact information. Ensure all fields are filled accurately.
Prepare two identical high-quality color passport-sized photographs as specified on page 2. These will be required for verification.
Take your completed form and photographs to a health professional or service provider for verification. They will complete SECTION 2 of the form.
Attach your verified photographs to the top of page 10 using a paper clip, ensuring they are securely fastened.
Return the completed application form along with the verified photographs to the designated address provided in the instructions.

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Versions	Form popularity	Fillable & printable
2021	4.4 Satisfied (51 Votes)
2018	4.4 Satisfied (37 Votes)
2014	4 Satisfied (24 Votes)

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