Disability Act 2006

DP - 6

Notice to vacate

/ Accessibility
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Published by the Victorian Government Department of Human Services, Disability Services Division, Melbourne, Australia. January 2009
© Copyright State of Victoria, Department of Human Services, 2009.
This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968.
Authorised by the State Government of Victoria,
50 Lonsdale Street, Melbourne.

To: Your name

/ X …………………………………………………...

Of: Address of the house you live in


/ X …………………………………………………...
……………………………………………………

What is this notice to vacate about?


/ There is a problem at your house.
/ The problem can not be fixed so you need to move out of your house.

When do you need to move out of your house?


120 / Your residential service needs to give you at least 120 days to move out of your house.

/ You need to move out on or before:
Date _ _ / _ _ / _ _

Who else needs to know that you must move out of your house?

Your residential service must tell:

/
  • Secretary, Department of Human Services

/
  • Office of the Public Advocate


/ Your residential service must do this in 1 day.

What can you do if you need the help of an advocate?

/
  • Call the Office of the Public Advocate

Contact details for the Office of the Public Advocate:

/ Phone: 1300 309 337
/ TTY: 03 9603 9529
for people who are deaf or have a hearing, speech or communication impairment
/ Fax: 03 9603 9501
/

What can you do if you are not happy about moving?

You may feel unhappy about moving house because:


/
  • This form was filled out wrong

/
  • You do not think moving house is fair

If you are not happy about moving house you can:

/
  • Ask the Victorian Civil and Administrative Tribunal for help


28 /
  • You must do this within 28 days of getting this letter

Contact details for the Victorian Civil and Administrative Tribunal:

/ Phone: 03 9628 9900
/ Fax: 03 9628 9988
/
/

Who gave you this notice to vacate?

/ Signature
X ………………………………………………
/ Name of person
X ………………………………………………
/ What work does this person do?
X ………………………………………………
/ Who does this person work for?
X ………………………………………………

/ Address of the disability service provider
X ………………………………………………
………………………………………………
/ Telephone number
X ………………………………………………
/ Date
X ………………………………………………

Who will get a copy of this notice to vacate?

A copy will be sent to your guardian or administrator:

/ Name of person
X ………………………………………………..
/ Address
X ………………………………………………..
………………………………………………….

What these words and pictures mean?

/ advocate
A person who helps you say what you think. You can choose who you want to speak on your behalf.
/ Secretary
A person who is in charge of the Department of Human Services.
/ Office of the Public Advocate
Protects the rights of people with a disability. The Office of the Public Advocate can help you in many ways. For example, when you are asked to leave your house.

/ residency rights
The rights you have when living in a rented house.
/ Victorian Civil and Administrative Tribunal
This is like a small court that makes decisions.
/ guardian / administrator
A person who makes decisions for you when you need help. This person may be a family member, friend or an advocate.

Acknowledgements

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Photos courtesy of the Victorian Department of Human Services, Image Bank.