Medical Certificate for Carer Payment (For a child under 16 years) Extension and Reclaim of Episodic Care/Extension of Short Term Care form (SA395)

Use this form to extend short term or episodic care for a child under 16 years you receive Carer Payment for or to reclaim Episodic Carer Payment

You must reclaim Episodic Carer Payment for a child under 16 within 24 months from the date of both a previous assessment of care requirements and a previous treating health professional report.
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Page last updated: 8 February 2016

This information was printed Sunday 4 December 2016 from humanservices.gov.au/customer/forms/sa395 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.