Special Benefit Review form (BC048m)

Use this form to confirm your details if you are receiving a special benefit so we can check that you are receiving the right amount.

Please fill in your name, address, Customer Reference Number, the date of issue and the return date on the first page of the form. If you do not know the return date, please contact us so that you can return the review by the due date.

Page last updated: 11 February 2016

This information was printed Saturday 1 October 2016 from humanservices.gov.au/customer/forms/bc048m It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.