Emergency Medical Policy

You can either complete the online form below or PDF and email it to perthadmin@mutualtrust.com.au

The policy can provide assistance to a beneficiary for emergency / critical / urgent medical expenses. The treatment required can be of an ongoing nature.

  • Medical support letter MUST be provided outlining the situation and the treatment required is critical/urgent. The medical support letter must explain who the patient is, details of any family member(s) who are supporting the patient & date(s) of the treatment.
  • Mutual Trust may provide accommodation – to be booked through Everywhere Travel.
  • Financial assistance for food / incidental costs will be paid to one family member at the Australian Taxation Office (ATO) rates, as published on the ATO website payable for an individual. This is capped at $500 for a two (2) week period. If the length of treatment goes beyond two (2) weeks, the trust can continue to provide support capped at $500 per fortnight, or part thereof.
  • It is assumed that any assistance with flights will be provided from Queensland Health & are not funded by the Trust.
  • Any assistance required over these amounts must be considered by the DMC.

Assistance is capped at $5,000 per beneficiary per financial year (total allocation of funding for whole trust $125,000)

BENEFICIARY INFORMATION:
Application Date
Date of Birth
Full Name(Required)
Suffix
ADDRESS:
Address(Required)
APPLICATION DETAILS:
DD slash MM slash YYYY
Travel Type(Required)
To be booked through Everywhere Travel Carnarvon
Up to $5,000 per beneficiary per financial year.
  • I am not eligible for benefits from any other funding source in relation to this account (e.g., another Trust, insurance company, government agency or employer).
  • I understand that my application will be processed by the Trustee (Mutual Trust) within FIVE (5) business days once all required supporting documentation has been received.
Clear Signature
NOTE: Please keep a record of your receipts as you may be asked to account for how these funds were spent as per the Ankamuthi Charitable Trust Deed.