Claim for Essential Medical Equipment Payment - Multiple Claim form (SA451)

Use this form if you’re claiming the Essential Medical Equipment Payment (EMEP) for more than one person living at the same address.

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

Download and complete the Essential Medical Equipment Payment - Multiple Claim form.

You can only claim for these items once:

  • essential medical equipment
  • medically required heating or cooling.

Each person living with you can’t claim EMEP for the same equipment or heating or cooling.

Your doctor will need to fill in the Medical practitioners confirmation section in the form before you submit it.

Page last updated: 30 September 2023.
QC 54904