Home Equity Access Scheme single application form (SA496)

Use this form if you’re single and are applying for loan payments under the Home Equity Access Scheme.

Before 1 January 2022, the scheme was called the Pension Loans Scheme.

Download and complete the Home Equity Access Scheme single application form.

Remember to sign the form before you submit it with any supporting documents.

The easiest way to submit is to upload them online using your Centrelink online account through myGov.

Read about how to submit your documents online.

If you can’t upload your form and supporting documents you can submit them at a service centre or by post.

Before you start, read about the Home Equity Access Scheme.

If you have a partner, you’ll need to use the Home Equity Access Scheme partnered application form instead.

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: 24 February 2023.
QC 55451

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