Make an Appeal Online Form Please fill in the form below with your details if you want to lodge an Appeal. Please enable JavaScript in your browser to complete this form.First Name *Last Name *Email *Phone Number *Address *Suburb *State *Postcode *Please indicate what decision you want to Appeal: *Assessment of eligibility for housingModification to a property for disability/medical reasons onlyTransfer RequestPermission to keep a petRent calculation, water, or other chargesAdditional occupant applicationsProperty maintenance or refurbishmentsOtherIf Other selected, please specify below *Please tell us why you want to Appeal this decision and anything we should be aware of so we can review our decision based on all the facts: *File Upload (.pdf): You can also upload copies of any relevant documents, letters, etc that supports your application Click or drag files to this area to upload. You can upload up to 5 files. Have you already discussed this with a YourPlace Housing staff member? *YesNoIf Yes, please tell us when this occurred and who you dealt with *Would you like another person to act as a representative on your behalf, or someone else to know the details of your review (for example a support worker)? *YesNoFull Name of Advocate *Relationship to you or Agency Name *Advocate's Email *Advocate's Phone Number *CommentSubmit Form
