GR8 SDA Quotation Form
Quotation Date
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Participant Full Name
Participant NDIS Number
SDA Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
SDA Property Information (From PACE)
Pre or Post 2023 New Build
Please Select
Post 2023 New Build
Pre 2023 New Build
Existing Stock
Legacy Stock
Design Category
Please Select
Improved Liveability
Fully Accesible
Robust
High Physical Support
Build Type
Please Select
House
Villa/Duplex/Townhouse
Apartment
Number of Residents
Please Select
1
2
3
OOA
Please Select
With OOA
Without OOA
Location
Please Select
WA - Perth - North West
WA - Perth - North East
WA - Perth - Inner
WA - Perth - South West
WA - Perth - South East
WA - Mandurah
WA - Bunbury
Input Tax Credits Claimed
Please Select
Were claimed
Were not claimed
Fire Sprinklers
Please Select
Yes
No
Participant Funding Information
Design Category
Please Select
Improved Liveability
Fully Accesible
Robust
High Physical Support
Build Type
Please Select
House
Villa/Duplex/Townhouse
Apartment
Number of Residents
Please Select
1
2
3
OOA
Please Select
With OOA
Without OOA
Location
Please Select
WA - Perth - North West
WA - Perth - North East
WA - Perth - Inner
WA - Perth - South West
WA - Perth - South East
WA - Mandurah
WA - Bunbury
WA - Outback - North
WA - Outback - South
Input Tax Credits Claimed
Please Select
Were claimed
Were not claimed
Fire Sprinklers
Please Select
Yes
No
Appendix H
Please Select
Applied
Not Applied
Year and Month of Plan
CPI Increase or different funding applied by GR8 to the Plan Funding
Please Select
Applied
Not Applied
Finalising Quote
Participant funding or property enrolment lower:
Please Select
Participant Funding Lower
Property Enrolment Lower
Participant Funding and Property Enrolment Match
The SDA funding claim amount per annum is
The participant moved into the property or is estimated to move into the property on:
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Additional Notes For Quote (ie Appendix H need to be applied, NDIS calculations is wrong etc)
Form Completed By
Full Name
Email of person completing (so you recieved the pdf)
example@example.com
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