Financial hardship assistance for Home Care and Residential Respite Care form (SA462)

Use this form and guide to test your eligibility to receive financial hardship assistance with your fees and charges in Home Care or Residential Respite Care.

Download and complete the Financial hardship assistance for Home Care and Residential Respite Care form.

Residential Respite Care is assistance for the basic daily fee.

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: 10 February 2020