Medical Certificate for Carer Payment (for a child under 16 years of age) - Extension and Reclaim of Episodic Care/Extension of Short Term Care 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.
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.
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Page last updated: 24 February 2021
This information was printed 8 May 2021 from https://www.servicesaustralia.gov.au/individuals/forms/sa395. 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.