Re-claim for a Commonwealth Seniors Health Card form (SA296A)

Use this form to reclaim a Commonwealth Seniors Health Card (CSHC) within 26 weeks of your CSHC having been cancelled.

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Page last updated: 19 July 2016

This information was printed Monday 20 February 2017 from humanservices.gov.au/customer/forms/sa296a 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.