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

This information was printed Thursday 25 May 2017 from humanservices.gov.au/customer/forms/sa394 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.