SPECIALISED DISABILITY SUPPORT FOR SCHOOLS PROGRAM REQUEST TO REALLOCATE

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JARI KOLEHMAINEN SPECIALISED DEVELOPMENT ORGANISATIONS SENTE •UNIVERSITY OF TAMPERE
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Service agreement variation request form

Specialised Disability Support for Schools Program

Request to Reallocate Funding

Use this Form when the proposed changes to funding are above the limits detailed in the Reallocation of Funding or Variation to Service Agreement - Limits Table and the changes are for a single funding year only. The Approved Funding Tables in Your Service Agreement will stay the same for the remainder of the Service Agreement period.

Section 1 – Service Agreement Details
Service Agreement Date
Organisation Name
Funding Category	School Support Services Resource Centre Services Specialised Equipment
Funding Year the reallocation applies to	2019 2020 2021

Section 2 – Reallocation Details
Remove funding from (Funding Type and Line Item Description) E.g. Professional Staff – Senior Occupational Therapist	Service Agreement Line Item Number	Reallocate funding to (Funding Type and Line Item Description)	Service Agreement Line Item Number	Reallocation $ amount	Reason/s for Change
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Section 3 – Impact of Proposed Reallocation

Are the proposed changes consistent with the SDSS Program Guidelines?

Yes

If yes, please provide a brief summary of the link between the proposed changes and the SDSS Program Guidelines.

________________________________________________________________

If no, please provide reasons why this request should still be considered.

________________________________________________________________

Will the proposed reallocation have an impact on your services?

Yes No

If Yes, please provide details of the impact.

________________________________________________________________

Will the proposed reallocation have an impact on forecast school numbers, student numbers or performance measures, either positively or negatively?

Yes No

If Yes, please provide existing details and proposed change.

________________________________________________________________

Details of any previous reallocations

No.	Date approved	Brief Details
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Section 4 – Assessment Process

The following process will be undertaken by the Department:

review and verify sufficient information provided for assessment of the reallocation request;
contact you if required to discuss any areas of uncertainty or to seek additional information;
evaluate against application, Service Agreement and SDSS Program Guidelines;
recommendation made and determined by the relevant Department delegate;
if approved, contact will be made advising the outcome; and
if not approved, contact will be made advising the reasons for the request not being supported.

Request to Reallocate Funding Form Page 1 of 4

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Tags: disability support, program, disability, support, request, specialised, schools, reallocate