Carer Payment and/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, Carer Allowance or both.

The carer of the child must complete this form.

This assessment alone is not a claim for Carer Payment or Carer Allowance.

The easiest way to claim Carer Payment, Carer Allowance or both is online. Read more about claiming 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: 15 August 2017

This information was printed Tuesday 22 August 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.