Relationship details - Separated under one roof form (SS293)
Use this form if you are separated but live under the same roof so we can assess whether you should be paid as a single person or as a member of a couple.
Download and complete the Relationship details - Separated under one roof form.
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: 3 June 2020
This information was printed 25 February 2021 from https://www.servicesaustralia.gov.au/individuals/forms/ss293. 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.