Home Care Package Calculation of your cost of care form (SA456)
Use this form to give us your income details. Only complete this form if you don’t get a means tested income support payment from us.
Download and complete the Home Care Package Calculation of your cost of care form.
We’ll use these details to assess how much you need to pay for a Home Care Package.
If you get a means tested income support payment from us, we’ll already have your income details. You don’t need to give them to us again. Please make sure your details are up to date.
You can also give us your details using our simple and easy digital Aged Care Calculation of your cost of care form (SA486).
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: 7 December 2020
This information was printed 15 April 2021 from https://www.servicesaustralia.gov.au/individuals/forms/sa456. 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.