Compensation Application form (SS509)

Use this form to claim compensation for financial loss or personal injury suffered as a result of our negligence or defective administration.

Don’t use this form if you’re wanting to apply for a Centrelink payment. There's information if you're affected by coronavirus (COVID-19).

Download and complete the Compensation Application.

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, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 21 April 2020