Residential Aged Care Calculation of your cost of care form (SA457)

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 Residential Aged Care Calculation of your cost of care form.

We’ll use these details to work out how much you’ll pay towards your aged care home.

If we already have your income details, you only need to tell us about the home you own. You can do this by filling in the Residential Aged Care Property details for Centrelink and DVA customers (SA485).

We already have your income details if you get a relevant income support payment. Please make sure your details are up to date.

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: 16 October 2023.
QC 19681