Carer Payment and/or Carer Allowance - Care Needs Assessment (for a child under 16 years) form (SA394)
Use this form to identify care needs as part of the assessment of eligibility for Carer Payment, Carer Allowance or both.
Download and complete the Carer Payment and/or Carer Allowance - Care Needs Assessment (for a child under 16 years) form.
The carer of the child must complete this form.
This assessment alone is not a claim for Carer Payment or Carer Allowance.
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: 1 September 2020
This information was printed 22 September 2020 from https://www.servicesaustralia.gov.au/individuals/forms/sa394. 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.