Application for an extension to the timeframe for entering into an accommodation agreement

For providers seeking an extension to the timeframe in which an accommodation agreement may be signed. The law allows for the 28 day period to be extended where a legal process is underway to appoint a legal representative for the care recipient. Generally, the timeframe is extended for seven days until after the legal process has concluded. However, the provider can apply to have the process extended further using this form.

When to use this form

An approved provider may use this form to request an extension to the timeframe for entering into an accommodation agreement where a process to appoint a representative under Commonwealth, State or Territory law to act on the care recipient’s behalf has begun.

About you

Please provide one or more of the following:

About the care recipient
Details about the request for extension