Understanding Safety In and Around the Home

What it is for

This form records a person's acknowledgement that their Status Resolution Support Services (SRSS) provider has given them an orientation on emergency and fire safety procedures and advice on safe gardening practices.

Who completes it

The individual (and their family where applicable) receiving SRSS support, with the SRSS provider signing as witness.

Information it collects (in general terms)

The individual's identifying details and signed acknowledgement that the safety orientation was provided, together with witness and, where used, interpreter details.

When it is used

Used within the SRSS Programme after a provider has delivered home safety and gardening safety orientation, to document that the information was received and understood.

This site is not affiliated with the Australian Government. Forms are completed and lodged in your own ImmiAccount; this platform never submits anything to the department.