2024-2025 Age Friendly Melville Assistance Fund

This is a preview of the Application form - Age Friendly Melville Assistance Fund 2024-25 form. When you’re ready to apply, click Fill Out Now to begin.
 

Confirmation of eligibility

Applicants: please note

Before completing this application form, you should have read the Age Friendly Melville Assistance Fund (AFMAF) Guidelines. If you need assistance with this, or require an alternative format please contact us on the details below.

Incomplete applications will not be considered.

This section of the application form is designed to help you, and us, understand if you are eligible to receive an AFMAF reimbursement. It is important that you confirm your eligibility before completing the application.

If you have any questions in regards to these eligibility criteria, please contact age.friendly@melville.wa.gov.au or telephone 08 9364 0666

Applications can take up to thirty working days to be processed once received.  We will contact you as soon as possible with an outcome.  If successful, you will be reimbursed into your nominated bank account within 15 working days of approval.

Please note that the City receives many applications and funding is limited.  Eligibility for funding does not guarantee that application will be successful.

Confirmation of Eligibility

I confirm that:

  • I have read and understood the AFMAF guidelines 
  • I am a City of Melville resident.
  • I am over the age of 60, or 50 for Aboriginal or Torres Strait Islander people and able to provide proof of age (driver's licence, seniors card or passport).
  • I am able to provide proof of low income (Pensioner Concession Card, Health Care Concession Card or Department of Vertans' Affairs Card)
  • Other avenues of funding were considered prior to lodging my application.
  • My application is for a service or product essential to my wellbeing, rehabilitation, and safety and to help me maintain my independence.
  • I am aware that purchases/services can only be made from an Australian registered business
  • I have not already received an AFMAF reimbursement this financial year.
  • I have a tax invoice/receipt dated with three months of this application.
 
You must confirm that all statements above are true and correct.. If you are completing this form on behalf of someone else, please confirm the applicant's eligibility and that all statements above are true and correct.