Community AED Fund – 2024 Application Form

Community AED Fund – 2024 Application Form
Early access to an Automated External Defibrillator (AED) is a lifesaving opportunity. Every publicly accessible AED is a chance to assist someone in cardiac arrest before ambulance arrival, potentially saving a life.

The Community AED Fund is not just about increasing the number of AEDs; it's about increasing the chances of survival in our communities. By supporting community groups and not-for-profit organisations, as well as individuals, we aim to make AEDs more accessible—especially in rural and remote locations across Tasmania.

Community AED Fund applications are assessed based on the location and accessibility of the AED, your willingness to maintain your AED (including the cost of replacing the battery and pads), and your willingness to register your AED with the Ambulance Tasmania - GoodSAM Program.
Applicant Details

Please provide contact details for the person/organisation making this application:
Name*
Organisation (if applicable)
Applicant Address*
Phone*
Email Address*
example@example.com
AED Location and Accessibility
For an AED to be truly effective in saving lives during community cardiac arrests, it should be strategically located in an area that is easily accessible 24 hours a day, seven days a week.

Please detail where the AED will be located, as well as when it can be accessed:
AED Address*
Additional information about the proposed location of the AED and the Business or Building Name (if applicable).*
e.g.outside the main entrance, on the wall to the right, Business Name.
Is the proposed location of the AED accessible 24 hours, seven days a week?*

YesNo - the AED will be accessible on specific days
Please detail which days and times the AED will be available e.g. Monday from 9AM to 5PM*
Would access require someone onsite or with specific access (e.g. fob or security code)?*

YesNo
AED Benefits and Impacts
Access to an AED can make a lifesaving difference in emergencies. In this section, we invite you to share insights on the unique needs of your community and how an AED would enhance safety and preparedness. Please provide details about your community, how you plan to ensure easy access to the AED, and the potential impact it could have on residents. Your responses will help us understand the specific benefits an AED could bring to your area.
Describe the community that will benefit from the AED. *
Describe how you will maximise accessibility of the AED in your community. *
Why do you believe there is a need for an AED in your community? *
How many people in your community could benefit from an AED? *
Applicant Declaration
By submitting this application, I confirm the following (read and tick each box):
I understand that, if awarded an AED, I will be responsible for its upkeep, which includes:·
- buying and replacing the battery every four years or once depleted (approx. cost $500)
- buying and replacing the pads every two years or following each use (approx. cost $150)
I and/or representatives of my organisation/community are willing to complete the required e-training to learn how to use the AED.
I will register the AED with the Ambulance Tasmania – GoodSAM Program if my application is approved. This will make the AED available to GoodSAM responders and the public during a nearby suspected cardiac arrest.
Should be Empty:

Community AED Fund – 2024 Application Form

Applicant Details

AED Location and Accessibility

AED Benefits and Impacts

Applicant Declaration