Download and complete the Carer Payment and/or Carer Allowance - Care Needs Assessment (for a child under 16 years) form.
The carer of the child must complete this form.
This assessment alone is not a claim for Carer Payment or Carer Allowance.
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.