Service Request

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Service Request Form

Request support through a cleaner intake page built around clarity, urgency, and the right next step.

Use this form to tell us what support is needed, who the request is for, and how quickly you need a response. The layout is designed to keep the form readable while still giving families, coordinators, and participants enough guidance.

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Fast Intake

A structured request helps the team understand urgency, support type, and the best first response.

Clear Details

Participants, family members, and coordinators can all provide the practical information needed to move faster.

Next Steps

Once submitted, the request can be reviewed and matched to the right support pathway or follow-up call.

Tell us the basics

Start with who the request is for, the best contact person, and what type of support you are looking for.

Explain urgency

If the request is time-sensitive, note what is happening now and when support is needed so the team can prioritise correctly.

Submit and follow up

Once submitted, the request can move into review, clarification, and the next conversation with the most relevant team member.

Before You Submit

A better request usually includes the support type, preferred location, and the main reason help is needed.

If you are completing the request for someone else, include your relationship to the participant and the best way for the team to respond. Clear details reduce delays and back-and-forth.

Helpful Details

Participant name, contact person, location, support type, availability, and urgency.

Good Context

Short practical notes about current needs, barriers, or why the request matters right now.

Need Help First?

Call 0435 330 666 if you need help completing the request.

Submit Request

Complete the service request form below.

This layout is designed as a clean intake form so users can share the most important support details in one place.

Support Pathway

Not ready to submit the form yet?

If you need help understanding services before sending a request, speak with the team first and they can guide you to the right support option.