Download and complete the Claim for Disability Support Pension for a Terminal Illness form.
You must provide current medical evidence with your claim. The medical evidence must show your diagnosis and prognosis. If you don’t have current medical evidence your treating health professional can complete the Verification of Terminal Illness section of the claim form.
Don’t use this form if your medical condition is not terminal. Instead read about claiming Disability Support Pension.
You may need to complete and submit the Income and Assets form with your claim.
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.