Aged Care Calculation of your cost of care form (SA486)

Use this form to give us your income and assets details. We’ll use these details to tell you how much you need to pay for aged care.

To access this form, download and open it with a PDF reader.

This form is dynamic and will present different questions based on the answers you give. It will tailor to your circumstances. Using this form is the easiest way to complete your assessment for aged care.

Once you have answered all the questions you need to:

  • print and sign the form
  • send the form and your supporting documents to us.

Because this form tailors to your circumstances, you need to complete it online. You can’t print it until you’ve answered all the questions.

To give us your details on a paper form use one of the following forms:

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: 11 July 2019

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