Carer Payment and/or Carer Allowance - Care Needs Assessment (for a child under 16 years) form (SA394)

Use this form to identify care needs as part of the assessment of eligibility for Carer Payment, Carer Allowance or both.

The carer of the child must complete this form.

This assessment alone is not a claim for Carer Payment or Carer Allowance.

The easiest way to claim Carer Payment, Carer Allowance or both is online. Read more about claiming Carer Payment or Carer Allowance.

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 April 2018