Home Care Package Calculation of your cost of care form (SA456)

Use this form to give us your financial details. Only complete this form if you don’t get a relevant income support payment.

Download and complete the Home Care Package Calculation of your cost of care form.

We’ll use these details to work out how much you’ll pay towards your Home Care Package.

If we already have your financial details, you don’t need to tell us again. We already have them if you get a relevant income support payment. Please make sure your details are up to date.

You can also apply using our digital Aged Care Calculation of your cost of care form (SA486).

If you’re not sure which form to use, check if you should apply.

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: 1 January 2022