Full Name

LHA Assessor Number

Dwelling Address

Client Name

Client Email

Design Assessment

Final-as-Built Assessment

LHA Silver Level

LHA Gold Level

LHA Platinum Level

Upload the Livable Housing Assessment Form either as a single pdf or zip file

I of confirm I have undertaken the Design assessment for the Designs identified in this Design Assessment Form. I acknowledge that by completing this form for verification, I am personally responsible for the accuracy of the contents of this form and that if it is determined that erroneous or misleading information is contained in this form, that my LHA Design Guideline Assessor registration may be cancelled.

I agree to the terms stated above