Aged Care Calculation of your cost of care form (SA486)

Use this form to give us your financial details. We’ll use these details to work out how much you’ll pay towards your aged care costs.

You can complete this form in either of these ways:

  • fill in this form digitally, using Adobe Acrobat Reader on your computer
  • print a paper version of the form and fill this in by hand.

If you’re not sure if you should complete this form, check if you should apply.

Completing the form digitally

The electronic version of the form is dynamic. This means the questions it asks may change depending on the answers you enter on the form.

You need to download the form and save it to your computer first, before you start filling it in.

You need Adobe Acrobat reader to complete this form digitally. If you don’t already have this on your computer, Adobe Acrobat Reader is free to download.

To complete this form digitally, download and save the Aged Care Calculation of your cost of care form.

Completing the form as a paper form

If you’re unable to use Adobe Acrobat Reader, you can use a paper version of the form. There are different paper forms, depending on what kind of aged care you’re looking for. Read more about using paper versions of the forms.

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 December 2022.
QC 51272

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