Aged Care Calculation of your cost of care form (SA486)

Use this form to give us your income and assets details. We’ll use these details to tell you how much you need to pay for aged care.

Download and complete the Aged Care Calculation of your cost of care form.

To access this form, download and open it with Adobe Acrobat Reader. You may see a Please wait message. If you do, select Enable All Features. The form will then open.

This form is dynamic and will present different questions based on the answers you give. It will tailor to your circumstances. Using this form is the easiest way to complete your assessment for aged care.

If you are unable to use Adobe Acrobat Reader or want to give us your details on a paper form, use one of the following forms:

Because this form tailors to your circumstances, you need to complete it online. You can’t print it until you’ve answered all the questions.

Once you have answered all the questions you need to:

  1. print and sign the form
  2. send the form and your supporting documents to us.

To update your existing income and assets details use either:

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: 21 September 2021