Forms

Complaint forms

Download our Complaint Form. This form can be downloaded and filled in manually.

Download our Interactive Complaint Form. This form can be downloaded and filled in on your computer.

Our Complaints Procedures are available on our website and should be read before completing this form. 

Request for internal review (complaints) form

Download our Request for Internal Review (Complaints) Form. This form can be downloaded and filled in manually.

Download our interactive Request for Internal Review (Complaints) Form. This form can be downloaded and filled in on your computer.

This form should be used when requesting (by email or post) a review of a decision relating to a complaint. This request should be made within 10 working days of receiving notification of the decision. Further information on who can request an Internal Review and how it is conducted is available on our website in the Complaints section.

Forms for legal practitioners

• Letter of Authority Template – Donor
• Letter of Authority Template – Attorney (note: section 60(4)(a)(iii) of the Act)
• Manual Identity Verification form

Sample forms

The below sample forms are provided for your information only and are for demonstration purposes. The sample forms are not to be used in making an application, adapted for any purpose or submitted to the Decision Support Service as they will not be accepted. The sample forms should not be accepted by any third party as evidence of an application or registered arrangement. If you wish to make an application, you will be provided with forms that are unique to you as part of that application. The unique forms are the only forms that will be accepted by the Decision Support Service.

Sample online forms for Enduring Power of Attorney – demonstration purposes only

• Enduring Power of Attorney Statement of Capacity 
• Enduring Power Attorney arrangement template
• Enduring Power Attorney certified copy
• Enduring Power Attorney legal practitioner statement
• Enduring Power Attorney notice form
• Enduring Power Attorney attorney declaration
• Enduring Power Attorney donor declaration

Sample online forms for a Co-decision-making agreement – demonstration purposes only

• Co-decision-making Agreement arrangement template
• Co-decision-making Agreement appointer declaration
• Co-decision-making Agreement co-decision-maker declaration
• Co-decision-making Agreement character reference
• Co-decision-making Agreement statement of capacity
• Co-decision-making Agreement notice form
• Co-decision-making Agreement certified copy

Sample online forms for a Decision-making assistance agreement – demonstration purposes only

• Decision-making Assistance Agreement arrangement template
• Decision-making Assistance Agreement appointer declaration
• Decision-making Assistance Agreement decision-making assistant declaration
• Decision-making Assistance Agreement notice form
• Decision-making Assistance Agreement certified copy

Please visit our MyDSS “how to” videos for step-by-step guidance on how to make an arrangement application.

Sample paper application forms – demonstration purposes only

• Co-decisions-making Agreement sample paper form 
• Decision-making Assistance Agreement sample paper form
• Enduring Power of Attorney sample paper form 
• Enduring Power of Attorney additional attorney sample paper form 

Sample reporting forms

Sample online reporting forms for co-decision-making representatives – demonstration purposes only:

• Annual report for Co-decision-making Representatives – coming soon

Sample online reporting forms for decision-making representatives – demonstration purposes only:

• Initial report for Decision-making Representatives (3 month schedule of the assets and liabilities and a projected statement of income and expenditure)
• Annual report for Decision-making Representatives – coming soon
• Annual report for Decision-making Representatives (acting jointly) – coming soon

Sample online reporting forms for attorneys – demonstration purposes only:

• Initial report for Attorneys (3 month schedule of the assets and liabilities and a projected statement of income and expenditure) – coming soon
• Annual report for Attorneys – coming soon
• Annual report for Attorneys (acting jointly) – coming soon