The Social Service Intake Form is a foundational document used across Austrian social service providers to initiate the process of social assistance application and assessment. This standardized form ensures compliance with Austrian federal and state regulations while collecting necessary information about applicants' circumstances, needs, and eligibility for various social services. The document is designed to meet requirements under the Federal Social Assistance Act, data protection laws, and administrative procedures specific to Austrian social service provision. It serves as the primary tool for gathering personal, financial, and household information, enabling social service providers to make informed decisions about service allocation and support levels. The form is typically used at the first point of contact when an individual seeks social services and forms part of the official documentation required for social assistance in Austria.
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1. Personal Information (Persönliche Daten): Basic identification details including full name, date of birth, nationality, social security number, and contact information
2. Residential Status (Wohnsitzdaten): Current address, type of residence, duration of stay at current address, and residency status in Austria
3. Household Composition (Haushaltzusammensetzung): Details of all persons living in the household, including relationships and dependencies
4. Income Information (Einkommensinformation): Current income sources, employment status, and financial situation of all household members
5. Existing Benefits (Bestehende Leistungen): Information about any current social benefits or services being received
6. Service Request (Leistungsantrag): Specific social services being requested and reason for the request
7. Privacy Notice (Datenschutzerklärung): GDPR-compliant privacy notice explaining how personal data will be processed
8. Declaration and Consent (Erklärung und Einwilligung): Client's declaration of accuracy and consent for data processing
1. Health Information (Gesundheitsinformation): Optional section for health-related information, required only when applying for health-related social services
2. Disability Status (Behinderungsstatus): Details about any disabilities, required only when applying for disability-related services
3. Emergency Contact (Notfallkontakt): Optional emergency contact information
4. Language Assistance (Sprachunterstützung): Section for indicating need for translation or interpretation services
5. Previous Social Services (Frühere Sozialleistungen): Optional history of previously received social services
6. Special Circumstances (Besondere Umstände): Optional section for describing any special circumstances affecting the application
1. Document Checklist (Dokumentencheckliste): List of required supporting documents to be submitted with the application
2. Income Verification Form (Einkommensnachweis): Standardized form for detailed income verification
3. Authorization for Information Exchange (Informationsaustausch-Authorization): Form for authorizing information exchange between different social service providers
4. Rights and Obligations (Rechte und Pflichten): Detailed information about the applicant's rights and obligations
5. Privacy Policy Appendix (Datenschutzrichtlinien-Anhang): Detailed privacy policy and data protection information
6. Service Description Schedule (Leistungsbeschreibung): Detailed description of available services and eligibility criteria
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