Forms by code for individuals

Code	Title
A2115	Parents(s)/Guardian(s) additional details for Youth Allowance, Special Benefit or ABSTUDY customers
AC019	Aged Care Request for a nominee for Department of Veterans' Affairs customers
AC022	Continuing Care Recipient opting into the New Aged Care Arrangements from 1 July 2014
AUS027	Verification of working life residence in Australia
AUS109	Treating Doctor’s Report - outside Australia
AUS140	Claim for Australian Pension from an agreement country
AUS142	Work Capacity - Customer information
AUS156	Assessment for Carer Payment
AUS156A	Health Professional Assessment for Carer Payment
AUS172	Certification of location in a country with which Australia has a social security agreement
AUS174	Partner details
AUS178	International bank account
AUS184	Separation details outside Australia
AUS221	Authorising a person or organisation to enquire or act on your behalf (outside Australia)
AV079	October 7, 2023 Hamas terrorist attacks - Australian Victim of Terrorism Overseas Payment - Primary Victim for a person 16 years or older
AV080	October 7, 2023 Hamas terrorist attacks - Australian Victim of Terrorism Overseas Payment - Primary Victim for a child younger than 16 years
AV081	October 7, 2023 Hamas terrorist attacks - Australian Victim of Terrorism Overseas Payment -Secondary Victim for a person 16 years or older
AV082	October 7, 2023 Hamas terrorist attacks - Australian Victim of Terrorism Overseas Payment - Secondary Victim for a child younger than 16 years
AV083	October 7, 2023 Hamas terrorist attacks - Australian Victim of Terrorism Overseas Payment Health Professional or Allied Health Professional Report
AV085	May 2024 Bamyan, Afghanistan shooting - Australian Victim of Terrorism Overseas Payment - Primary Victim for a person 16 years or older
AV086	May 2024 Bamyan, Afghanistan shooting - Australian Victim of Terrorism Overseas Payment - Primary Victim for a child younger than 16 years
AV087	May 2024 Bamyan, Afghanistan shooting - Australian Victim of Terrorism Overseas Payment - Secondary Victim for a person 16 years or older
AV088	May 2024 Bamyan, Afghanistan shooting - Australian Victim of Terrorism Overseas Payment - Secondary Victim for a child younger than 16 years
AV089	May 2024 Bamyan, Afghanistan shooting - Australian Victim of Terrorism Overseas Payment Health Professional or Allied Health Professional Report
BC048m	Special Benefit Review
CI002	Information you need to know about your claim for Carer Payment and Carer Allowance
CI006	Information you need to know about your claim for Age Pension and Pension Bonus
CI010	Information you need to know about your claim for concession and health care cards
CI015	Information you need to know about your claim for Carer Allowance
CS065	Application to add a child to an existing child support assessment
CS1650	Non-agency payment details
CS1652	Application to stop deductions from salary or wages
CS1665	International application for an Australian child support assessment
CS1666	Child support agreement
CS1668	Income declaration
CS1669	Notice of withdrawal of application for a child support assessment
CS1670	Estimate of income for use in Child Support Assessment
CS1671	Ending a child support assessment
CS1893	Objecting to a Child Support decision
CS1970	Application to change your assessment - special circumstances
CS1971	Response to application to change your assessment - Special circumstances
CS1979	Request to change payment collection method
CS2716	Child over 18 in full time secondary education
CS2840	Application to reduce minimum assessment to nil
CS2898	We are considering changing your Child Support Assessment
CS2899	Joint election to stop a change to your Child Support Assessment being initiated
CS3042	Representative authority
CS4119	Application for fixed annual rate not to be used
CS4120	Application for Post Separation Income to be Excluded
CS4145	Income Declaration - Income earned outside Australia
CS4243	Responding to an Objection
CS4597	Request for medical information
CS4644	Statement of financial details - reviewing your assessment
CS4645	Statement of financial details for debt repayment
CS4647	Commonwealth of Australia Statutory Declaration - non-parent carer
CS4648	Commonwealth of Australia Statutory Declaration - the persons named in the form are named on the birth certificate for the child(ren)
CS4649	Commonwealth of Australia Statutory Declaration - you are a parent of the children named
FA008M	Bereavement Declaration
FA012	Details of your child’s care arrangements
FA048	Claim for an annual lump sum payment of Family Tax Benefit - A payment to help families with the cost of raising children for the 2023-24 financial year
HW051	Review of a Medicare Decision
MA001	Claim for Mobility Allowance
MA002	Medical Report - Mobility Allowance
MA003m	Review of Mobility Allowance
MO021	Medicare Compensation Recovery Third party authority
MO023	Medicare Compensation Recovery Section 23A statement
MO024	Medicare Compensation Recovery Bank account details collection
MO026	Medicare Compensation Recovery Notice of past benefits request
MO029	Reporting suspected fraud
MO050	Authorisation to act on an incapacitated person's behalf for Medicare purposes
MO063	COVID-19 Vaccine Claims Scheme medical report
MO064	Authorising a person or organisation to act on your behalf - COVID-19 Vaccine Claims Scheme
MO066	COVID-19 Vaccine Claims Scheme – Third Party Payment Statement
MOD AR	Assurance of Support
MOD C	Compensation and damages
MOD DP	Partner details - if you live in Australia
MOD F	Business details
MOD IA	Income and assets
MOD JY	Parent or Guardian details - for the BASE tax year and CURRENT tax year for dependent Youth Allowance or ABSTUDY customers
MOD O	Residence in Australia and other countries
MOD P	Partner details - if you live in Australia
MOD PC	Private Company
MOD PT	Private Trust
MOD R	Real estate details
MOD S	Separation details
MOD SDT	Special Disability Trust
MOD ST	Study details
MOD Y	Unreasonable to live at home
MS001	Medicare Two-way claim
MS003	Request an Individual Healthcare Identifier
MS004	Medicare enrolment
MS005	Request or merge a pseudonym Individual Healthcare Identifier record
MS006	Application to receive the Australian Government Rebate on Private Health Insurance as a reduced premium
MS010	Request for a Medicare benefit tax statement
MS011	Application to copy or transfer from one Medicare card to another
MS014	Medicare Claim
MS015	Application for a Medicare Entitlement Statement
MS016	Medicare Safety Net Registration and Amendment for Couples and Families
MS018	Aboriginal and Torres Strait Islander Medicare enrolment and amendment
MS021	Balimed registration
MS023	Bali 2005 registration
MS026	Dahab Egypt registration
MS027	London Assist registration
MS029	Tsunami 2004 registration
MS031	Request for Medicare claims information
MS035	Disaster Health Care Assistance Scheme claim
MS042	Disaster Health Care Assistance Scheme Motor Vehicle and/or Accommodation Out-of-Pocket Travel Application
MS044	Request for information about Medicare card details accessed
NH005	Claim for External Breast Prostheses Reimbursement Program
NH007DF	Australian Organ Donor Register
PB018	PBS Safety Net replacement or supplementary card application
PB132	Patient claim for refund Pharmaceutical Benefits Scheme (PBS)
PB240	PBS/RPBS Safety Net prescription record form and application for a Safety Net card
PB299	Australian Thalidomide Survivors Support Program Extraordinary Assistance Fund
PB300	Australian Thalidomide Survivors Support Program Health Care Assistance Fund
RA010	Confirmation of Identity - Verification for Aboriginal and Torres Strait Islander people
RS017	Random Sample Surveys Partner details
SA002	Claim for Age Pension and Pension Bonus
SA010	Carer Payment and Carer Allowance review of care provided - Caring for a person 16 years or over
SA013	Request for ophthalmologist/optometrist report
SA116	Advice of death
SA296	Claim for a Commonwealth Seniors Health Card
SA296A	Re-claim for a Commonwealth Seniors Health Card
SA304(A)	Carer Payment - Income and assets details of the person being cared for - 16 years or over
SA304(C)	Carer Payment - Income and assets details - child or children being cared for - under 16 years
SA310	Home Equity Access Scheme partnered application
SA330	Details of income stream product
SA332A	Carer Payment and/or Carer Allowance Medical Report for a person 16 years or over
SA369	Income and assets
SA379	Customer in Psychiatric Confinement
SA381	Carer Allowance Questionnaire - Carer not living with the person for whom care is being provided
SA388	Claim for Pension Bonus Bereavement Payment
SA394	Carer Payment and/or Carer Allowance - Care Needs Assessment (for a child under 16 years)
SA395	Medical Certificate for Carer Payment (for a child under 16 years of age) - Extension and Reclaim of Episodic Care/Extension of Short Term Care
SA426	Carer Allowance - Medical Report for a child under 16 years
SA427	Carer Payment - Medical Report including functional assessment for a child under 16 years
SA428	Carer Payment - Medical Report for a child under 16 years
SA431	Carer Payment and Carer Allowance - Medical Report for a child under 16 years
SA432	Child to adult transfer for Carer Payment and/or Carer Allowance
SA440	Claim for Essential Medical Equipment Payment
SA449	Medical Practitioners - Essential Medical Equipment Payment (EMEP) - Medical confirmation
SA450	Essential Medical Equipment Payment - Equipment User Declaration
SA451	Claim for Essential Medical Equipment Payment - Multiple Claim
SA456	Home Care Package - Calculation of your cost of home care
SA457	Residential Aged Care Calculation of your cost of care
SA462	Aged Care Claim for financial hardship assistance
SA466	Claim for Disability Support Pension
SA472	Consent to disclose medical information
SA473	Disability Support Pension Medical Evidence Checklist
SA483	Aged Care Carer or close relative assessment
SA485	Residential Aged Care Property details for Services Australia and DVA customers
SA486	Aged Care Calculation of your cost of care
SA489	Carer Allowance adjusted taxable income details
SA494	Claim for Disability Support Pension for a Terminal Illness
SA496	Home Equity Access Scheme single application
SA497	Home Equity Access Scheme variation
SA498	Home Equity Access Scheme review
SC003	Claim for Double Orphan Pension
SI031	Freedom of Information - Request to access or change documents
SI039	Authority to release personal information - Personal injury, insurance, superannuation or other matter
SS050	Claim for a Health Care Card
SS231	Confirming your identity
SS245	Financial information
SS270	Send my payment to an institution - Group Payment
SS284	Relationship details
SS293	Relationship details - Separated under one roof
SS313	Authorising a person or organisation to enquire or act on your behalf
SS351	Explanation or formal review of a decision
SS415	Claim for persons granted a Refugee, Humanitarian or Protection Visa
SS454	Carer Adjustment Payment claim
SS456	Claim for Ex-Carer Allowance (Child) - Health Care Card
SS459	Notification of refugee arrival
SS484	Compensation Recovery Statement of Financial Circumstances
SS485	Compensation Personal Sickness and Accident Claim
SS509	Compensation Application
SS524	Executor/Administrator Request for information
SS532	Cancel Nominee Arrangement
SU001	Employment Separation Certificate
SU004	Claim for Special Benefit
SU057	Assurance of Support - Review for Assuree
SU058	Assurance of Support - Review for Assurer
SU066	Tax Deduction Authority
SU462	Verification of voluntary work
SU496	Seasonal, Contract and Intermittent Work Details
SU505	Earnings Worksheet
SU505(i)	Information you need to know about reporting employment and using the Earnings Worksheet
SU508	Claim for Crisis Payment - Release from Prison or Psychiatric Confinement
SU514	Claim for Special Employment Advance
SU580	Profit and Loss Statement
SU594	Application to provide an Assurance of Support
SU619	Crisis Payment - Prison release and anticipated payment receipt
SU631	Assurance of Support Bank Guarantee Release
SU674	Prison Pre-release Claim
SU684	Verification of medical conditions
SU694	Claim for Farm Household Allowance
SU695	Request for restoration of Disability Support Pension or Age Pension Claim for Crisis Payment and Anticipated Payment
SU698	Status Resolution Support Services Payment - authorising a person or organisation to enquire on your behalf
SU709	Confirmation of imprisonment and application for payment
SU714	Application to provide an Assurance of support for Community Support Program
SU721	Claim for Special Benefit for a child
SY004	Claim for Pensioner Education Supplement
SY005	Claim for Fares Allowance - tertiary students only - Austudy, Youth Allowance or Pensioner Education Supplement
SY015	Unreasonable to live at home statement by young person
SY016	Unreasonable to live at home statement by parents or guardians
SY017	Unreasonable to live at home statement by independent third party
SY018	Claim for ABSTUDY Schooling A
SY019	Claim for ABSTUDY
SY020	Claim for ABSTUDY Pensioner Education Supplement
SY021	Claim for ABSTUDY Allowances and Part time Award
SY022	Claim for ABSTUDY Student or Australian Apprentice in lawful custody
SY023	ABSTUDY - Additional information
SY031	ABSTUDY Additional Incidentals Allowance Claim
SY032	ABSTUDY Fares Allowance Claim
SY040	Claim for Assistance for Isolated Children (AIC)
SY042	Assistance for Isolated Children (AIC) - Current Tax Year Assessment
SY053	ABSTUDY Change of circumstances or enquiries
SY054	ABSTUDY and Assistance for Isolated Children (AIC) - Explanation or formal review of decision
SY067	Assistance for Isolated Children (AIC) - Organisation details
SY068	Assistance for Isolated Children (AIC) - Application for Short Term Boarding Allowance
SY069	Assistance for Isolated Children (AIC) - Marginal Distance Confirmation
SY092	Claim for ABSTUDY Remote Areas
SY099	Assistance for Isolated Children (AIC) medical statement - Student special needs
SY101	Verification of Campus
SY106	First or last day of attendance for ABSTUDY Away from home students
SY107	Change to attendance information for ABSTUDY students
SY108	ABSTUDY Lawful Custody Allowance claim for reimbursement form - to support SY022
SY109	ABSTUDY course approval
SY115	ABSTUDY request for private board providers details
SY116	Education or board providers bank details - ABSTUDY/Assistance for Isolated Children

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