Claim for Special Benefit form (SU004)

Use this form to claim Special Benefit if you are in severe financial hardship due to circumstances beyond your control.

 
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Page last updated: 8 September 2016

This information was printed Wednesday 7 December 2016 from humanservices.gov.au/customer/forms/su004 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.