Claim for Special Benefit form (SU004)

Use this form to claim Special Benefit if you’re in severe financial hardship and you aren’t eligible for any other income support.

Download and complete the Claim for Special Benefit form. You must use this form if you’re a non-resident parent or guardian claiming on behalf of an Australian citizen or a permanent resident child.

We recommend making your claim online through your Centrelink online account through myGov. If you claim online, you’ll be able to track the progress of 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.

Page last updated: 10 December 2021