Cystic Fibrosis Queensland
Subsidy Claim Form
Each calendar year Cystic Fibrosis Queensland offers reimbursement of expenses for medication support, physical activities and parking.  We may also be successful in applications for grant monies to help fund cleaning, events, or home-use respiratory equipment.
•    Applicants must be a current Queensland member of Cystic Fibrosis Queensland and have a diagnosis of Cystic Fibrosis
•    A complete application form must be provided along with evidence of the expense being claimed

Member details

Child Details

Claim details

Physical Activity Subsidy

Medical Expense Subsidy

Parking Subsidy

Other Grant (when available e.g. cleaning, nebuliser, Little Day Out)

Reimbursement Details

Supporting Evidence

Upload Documents (.doc or .pdf)
Upload supporting Documents (Max 15MB)
Upload Images (.jpg or .png)
Upload supporting Images (Max 15MB)

Your Signature

Cystic Fibrosis Queensland

Lives unaffected by cystic fibrosis.

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ABN: 97010549667

T: (07) 3359 8000


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