Application for Child Support Assessment - Non-parent carer form (CS4121)

Use this form to apply for a new child support assessment for children you are caring for or if you are restarting a previously ended assessment.

Download and complete the Application for Child Support Assessment - Non-parent carer form.

Also complete this form if you want to add another child to an existing assessment.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 17 November 2022.