Claim for a Health Care Card form (SS050)
Use this form to claim a Low Income Health Care Card or a Health Care Card for a foster child.
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: 26 June 2019