Assistance for Isolated Children (AIC) medical statement - Student special needs form (SY099)

Use this form to provide a medical statement if you are claiming Assistance for Isolated Children (AIC) under the Students with special needs criteria.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

Download and complete the Assistance for Isolated Children (AIC) medical statement - Student special needs form.

Both of the following people need to complete sections of this form:

  • the Assistance for Isolated Children applicant - this could be a parent or guardian, or a third party such as an institution
  • a medical practitioner or specialist.
Page last updated: 4 July 2023.
QC 19296