Income and assets form (MOD IA)

Use this form if you’re claiming a payment and need to provide information about your income and assets.

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

Download and complete the Income and assets form.

If you are claiming an Australian Pension while overseas, select your agreement country below to get the form you need for your claim:

This form accompanies the Claim for Australian Pension from an agreement country form.

If you already get a payment from us, you can tell us about changes to your income and assets by either:

Page last updated: 17 November 2025.
QC 20121