Claim for Disability Support Pension for a Terminal Illness form (SA494)

Use this form to claim Disability Support Pension for a terminal illness where your life expectancy is less than 2 years. You must be 16 to Age Pension age at the time of claiming.

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.

Download and complete the Claim for Disability Support Pension for a Terminal Illness form.

You must provide current medical evidence with your claim. The medical evidence must show your diagnosis and prognosis. If you don’t have current medical evidence your treating health professional can complete the Verification of Terminal Illness section of the claim form.

Don’t use this form if your medical condition is not terminal. Instead read about claiming Disability Support Pension.

You may need to complete and submit the Income and Assets form with your claim.

Page last updated: 13 May 2023.
QC 52666