Please complete this form to express your interest in participating in Yarra Council's
Climate Safe Rooms pilot program.
Program participants will receive free energy upgrades up to $10,000 to upgrade a room in their home so it stays a comfortable temperature on hot and cold days.
To be eligible for this program, you must meet the eligibility criteria listed below. You must be a holder of an eligible concession or health care card living in the City of Yarra, and receive support services for a health condition that puts you at risk from extreme heat or cold, as confirmed by a health professional.
Rental property owners and community housing providers can also complete the expression of interest on behalf of an eligible tenant.
If you are a rental provider, please seek your tenant's permission to share their contact details with us for the purpose of this project before beginning the expression of interest.
If you need assistance filling out this form, please call Yarra Council on 03 9205 5555.
For interpreter services, call 03 9280 1940.
The next section asks about you and/or your organisation, as the rental housing provider.
Please answer these questions with your own contact details.
This question requires a valid number format.
This question requires a valid email address.
The next section asks about the property to be upgraded and the resident living at that property.
Please complete this section with the tenant's details.
Please enter the tenant's details here.
Please enter the tenant's details here.
This question requires a valid number format.
Please enter the tenant's details here.
This question requires a valid email address.
Please enter the details of the property to be upgraded here.
This question requires a valid number format.
This question asks about the tenant.
The following questions ask about the tenant's eligibility.
This program is only open to concession card holders living in the City of Yarra.
If you do not have an eligible concession card, you can contact Solar Savers at
www.solarsavers.org.au for free advice and a no-obligation quote for solar, or efficient electric heating and cooling or hot water systems.
Please upload a photo of your eligible concession card here. *This question is required.
Please send a photo of your eligible concession card to:
By email
info@yarracity.vic.gov.au
By mail
Attn: Sustainability team
Yarra City Council
PO Box 168
Richmond VIC 3121
In person
Richmond: Richmond Town Hall customer service, 333 Bridge Road
Abbotsford: Collingwood Town Hall, 140 Hoddle Street
If you need help, please call 03 9205 5555.
For interpreter services, please call 03 9280 1940.
To be eligible for the Climate Safe Rooms pilot program, you or someone in your home must receive support services for a health condition that puts them at risk from extreme heat or cold.
You need to provide confirmation from a medical or health professional that you meet the health condition eligibility criteria.
You do not need to disclose your health condition to us.
Examples of eligible health conditions include:
- severe persistent asthma
- cardiovascular disease
- cerebral palsy
- chronic obstructive pulmonary disease (COPD)
- diabetes
- fibromyalgia
- motor neuron disease (MND)
- kidney disease
- lupus
- lymphedema
- multiple sclerosis (MS)
- Parkinson’s disease
- polio / post-polio syndrome
- quadriplegia / paraplegia
- severe respiratory disease
- rheumatoid arthritis or other severe musculoskeletal condition
- scleroderma
or another medical or mental health condition that puts you at risk from extreme heat or cold, as confirmed a medical professional or community health professional.
Based on your answers, you are not eligible for the Climate Safe Rooms program.
If you have an eligible concession cards, you may be eligible for the Yarra Home Energy Upgrades pilot program.
Find out more about Yarra Home Energy Upgrades.
To participate in this program, the resident will need to provide evidence of meeting the health condition eligibility criteria, confirmed by a medical or health professional.
To assist the resident with this,
download the health condition eligibility confirmation letter template here.
Ask them to speak to their medical or community health professional who can sign this letter to confirm they meet the health condition eligibility criteria.
Health professionals able to confirm eligibility include:
- General Practitioners or Community Health Professionals with knowledge of the applicant’s health condition.
Community Health Professionals include:
- community nurses
- case managers
- allied health staff
- social workers
- service facilitators.
If your tenant has already completed the form, you can help them upload it below.
You will need to provide evidence that you meet the health condition eligibility criteria, confirmed by a medical or health professional.
1.
Download the health condition eligibility confirmation letter template here. Or call us on 03 9205 5555 to request a paper form.
2. Ask your medical or community health professional to sign this letter to confirm you meet the health condition eligibility criteria.
3. Return the completed form: upload it in the next question, or send by mail, email, or in person.
Health professionals able to confirm eligibility include:
- General Practitioners or Community Health Professionals with knowledge of your health condition.
Community Health Professionals include:
- community nurses
- case managers
- allied health staff
- social workers
- service facilitators.
Please send your health condition eligibility confirmation letter to:
By email
info@yarracity.vic.gov.au
By mail
Attn: Sustainability team
Yarra City Council
PO Box 168
Richmond VIC 3121
In person
Richmond: Richmond Town Hall customer service, 333 Bridge Road
Abbotsford: Collingwood Town Hall, 140 Hoddle Street
If you need help to send your form, please call 03 9205 5555.
For interpreter services, please call 03 9280 1940.
Please upload your health condition eligibility confirmation letter here.