Information you need to know about your claim for concession and health care cards form (CI010)

Information about claiming a Commonwealth Seniors Health Card, Low Income Health Care Card, Foster Child Health Care Card, Ex-Carer Allowance (Child) Health Care Card.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 9 January 2019

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