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.

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

To access this form, download and open it with Adobe Acrobat Reader.

When completing this form, different questions will appear based on your answers. It’s important you answer each question correctly.

Because of this, you need to complete the form on your device. Don’t print it until you’ve answered all the questions.

Once you have answered all the questions you need to:

  1. Print and sign the form.
  2. Send the form and your supporting documents to us.

If you’re unable to use Adobe Acrobat Reader, you can apply by paper form.

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

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.

Page last updated: 10 December 2021