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.

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, 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: 19 February 2021