Income and Assets form (MOD IA)

Use this forms to provide information about any additional income and assets you have.

If you are claiming an Australian Pension while overseas, select your agreement country below to get the form you need for your claim:

This form accompanies the Claim for Australian Pension from an agreement country form.

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.

This information was printed Tuesday 21 May 2019 from https://www.humanservices.gov.au/individuals/forms/mod-ia It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 13 February 2019