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.

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 Saturday 25 May 2019 from It may not include all of the relevant information on this topic. Please consider any relevant site notices at when using this material.

Page last updated: 13 February 2019