Income and Assets form (SA369)

Use this form to tell us about your income and assets. We’ll use this information to work out your payment as well as your partners.

Download and complete the Income and Assets form.

Complete this form and the relevant claim form if you want to claim any of the following payments:

It may be quicker and easier for you to make your claim online. You can claim online using your Centrelink online account through myGov.

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, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 20 March 2020