Medical Certificate for Carer Payment for a child under 16 years form (SA395)

Use this form to extend short term or episodic care for a child under 16 years you receive Carer Payment for or to reclaim Episodic Carer Payment.

You must reclaim Episodic Carer Payment for a child under 16 within 24 months from the date of both a previous assessment of care requirements and a previous treating health professional report.

This medical certificate 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.

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Page last updated: 27 August 2017