Request for information form (AUS168)
Use this form to give us information about your Australian residence. We’ll use this information to verify the period you resided in Australia during your working life.
Download and complete the Request for information form.
You can use the translated version of the form if you’re claiming a pension from:
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
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: 31 January 2020
This information was printed 25 February 2021 from https://www.servicesaustralia.gov.au/individuals/forms/aus168. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.