Application to retain unexpended funds

Before you begin:

Please read the information about unexpended funds on the Homes Tasmania website.
Before submitting this form, you must speak to a contract manager or other Homes Tasmania representative.
Assessment of applications may result in additional documentation or information being required. You will be advised if this is the case.

Housing support provider organisation name *(Required)

Date of application *

Contact Full-name *(Required)

Contact position *(Required)

Contact phone *

Contact Email *

EGMS Reference

Service

Commencement date

Expiry date

Amount of unexpended funds

Note: The above information can be found on the cover page of the Grant Deed.

Total amount of unexpended funds

Amount of unexpended funds requested to retain

The reason the funds were unexpended

Proposed use of the unexpended funds

Expected outcomes and benefits to the housing program

Detailed plan, budget and timeframes for the use of the unexpended funds

Please upload any relevant documents

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

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