Carer Payment or Carer Allowance - Care Needs Assessment for a child under 16 years form (SA394)

Use this form to identify care needs as part of the assessment of eligibility for Carer Payment and Carer Allowance.

This form must be completed by the person caring for the child.

This assessment alone is not a claim for Carer Payment or Carer Allowance.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
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Page last updated: 10 May 2017

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