Name of person completing form
*
Contact Number
*
Contact Email
*
Your position/role in relation to this request
*
General private request
SF, SC, SW or other on behalf of a participant
NDIS Participant
Name of participant
*
Contact number for participant
*
Advise details if contact is via any other method
Address of lawn
*
General Comments
Lawn and gardening details can be filled on the next page
Lawn Care Requirements
Details of areas to be mowed
*
Front lawn
Back lawn
Side lawn (left, facing the property from the street)
Side lawn (right, facing the property from the street)
Other
Additional work requested
Hedge trimming
Bush pruning
Weeding
Edging
Other
Other (please specify)
*
Other areas and/or work requested
Add size of the above areas if possible
*
Put a rough estimate. If unsure, put "unsure" or "don't know"
How long does it take you, or the person who currently mows, to complete the lawn as requested above?
*
Other comments, anything to be noted, warnings or advised
Relevant photos
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