Aged care request for a nominee for Department of Veterans’ Affairs customers form (AC019)

Use this form to choose another person or organisation to deal with us on your behalf for aged care costs if you’re a Department of Veterans’ Affairs customer.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

You can do this if both the following apply:

  • you get a Department of Veterans’ Affairs payment
  • you live in an aged care home or get a Home Care Package.

The person you authorise is known as a nominee.

Download and complete the Aged Care Request for a nominee for Department of Veterans’ Affairs customers form.

Page last updated: 9 December 2024.
QC 19911