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.

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: 10 December 2021