Factsheets and Forms
We have prepared a range of factsheets and forms about the Hearing Services Program (the program) to assist you.
Forms for clients
Client application form
You can apply for the program online, through a service provider or on a paper application form.
Apply online today - this is the quickest way, you will be told in a few minutes if you are eligible. Once you complete your application online you will be sent a welcome pack to the program.
A service provider can also help you apply for the program.
Or you can download the paper application form below, to print out and complete, and send it to the hearing services program to process your application.
Client application form (PDF)
Client application form (Word)
Reconsideration and appeals form
People who are affected by and dissatisfied with certain decisions made by the program are able to request a reconsideration. A request for reconsideration can only be made in very specific circumstances. You can find more information about reconsideration requests on our website.
Reconsideration and Appeals Form (PDF)
Reconsideration and Appeals Form (Word)
Factsheets about the program
Factsheets regarding eligibility for the program, accessing and providing feedback about services received the program, and more general information can be found in this section.
Factsheets about services available to me through the program
You can read more about the hearing services available through the program in these factsheets.
Factsheets about the hearing devices available through the program
Factsheets relating to the hearing devices available through the program can be found in this section.