Claim for Special Benefit form (SU004)

Use this form to claim Special Benefit if you’re in financial hardship and you aren’t eligible for any other income support.

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 Special Benefit form.

When to use this form

Only use this form if you cannot claim online. If you claim online, you will be able to track the progress of your claim.

If your Centrelink online account is linked to myGov, sign in now to claim Special Benefit.

Sign in to myGov

Read more about how to claim Special Benefit.

When not to use this form

Do not use this form if you are a non-resident parent or guardian claiming for a child who is either of the following:

  • an Australian citizen
  • a permanent resident of Australia.

Instead, use the Claim for Special Benefit for a child form.

Page last updated: 13 June 2023.
QC 19431