Income and Assets form (SA369)

Use this form to tell us about your income and assets. We’ll use this information to work out your payment as well as your partner's.

Download and complete the Income and Assets form.

Complete this form and the relevant claim form if you want to claim any of the following payments:

It may be quicker and easier for you to make your claim online. You can claim online using your Centrelink online account through myGov.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the 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 March 2022