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.

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