Residence in Australia and other countries form (MOD O)

Use this form to give details to establish your Australian residence status when claiming Centrelink payments or to help you get a payment from another country.

 
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-o 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