Home modifications assessment form (for Provider use only)

Summary:

For occupational therapists – complete this comprehensive form when providing assessment services for our clients when they are applying to us for home modifications to ensure safety and accessibility.

Important:
Approval from TAC/WorkSafe agent must be obtained prior to completing a home assessment.

Coronavirus update

The TAC is unable to send or receive hard copy documents at this time. Please email forms or other documents to info@tac.vic.gov.au and include the client's claim number in the subject line.