Medical Certificate for Carer Payment for a child under 16 years form (SA395)

Use this form to extend short term or episodic care for a child younger than 16 you get Carer Payment for or to reclaim Episodic Carer Payment.

Download and complete the Medical Certificate for Carer Payment for a child under 16 years form.

You must reclaim Episodic Carer Payment for a child younger than 16 within 24 months from the date of both a previous assessment of care requirements and a previous treating health professional report.

This medical certificate alone is not a claim for Carer Payment or Carer Allowance.

The easiest way to claim Carer Payment, Carer Allowance or both is online. Read about claiming Carer Payment or Carer Allowance.

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 August 2020