Application for grant deed variation

Before you begin:

Before filling in this form, read the Contracting variations – Head Lease information on the Homes Tasmania website.
Applicants are encouraged to speak to us prior to lodging an application to ensure all details have been successfully completed.
Assessment of applications may result in additional documentation or information being required. You will be advised if this is the case.

Housing support provider name *(Required)

Contact Full-name *(Required)

Contact position *(Required)

Contact phone *

Contact Email *

Is your organisation a registered NDIS provider?

YesNo

Is your organisation registered with the Australian Charities and Not-for-Profits Commission?

YesNo

Date of application

Program

Service

EGMS Ref

Contract variations being proposed

The reasoning for the proposed variation(s)

Details of the proposed variations

Is a variation to current funding required?

YesNo

If ‘yes’, enter the amount and details of the funding variation(s)

Expected outcomes and benefits from the variation(s)

Detail your planning, budget, and your timeframes.

You can also upload a document to support your argument

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Upload another document

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Captcha *

If you have issues submitting this form, please contact the Homes Tasmania team at commissioning@homes.tas.gov.au

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