Here is a list of Lifetime Support Authority (LSA) Forms grouped together in alphabetical order by the Application Process, Lifetime Support Scheme (LSS) participant or Service Provider categories.
If you have problems accessing or reading these documents you can ask for a copy to be made available to you in an alternative format.
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APPLICATION PROCESS FORMS
SERVICE PROVIDER FORMS
- Home Modification Prescription Form
- Incident Reporting Form
- Medical Information Form: Assessment of Fitness to Drive a Powered Mobility Aid (to be completed prior to all powered mobility aids assessments)
- Prescription form for Standard Equipment
- Prescription form for Customised Equipment
- Repair Contingency Plan for Equipment
- Terms and Conditions of Equipment