Request for restoration of Disability Support Pension or Age Pension Claim for Crisis Payment and Anticipated Payment form (SU695)

This form is to be used for people whose Disability Support Pension or Age Pension is currently suspended due to imprisonment and are seeking restoration of payment.

It can also be used to claim Crisis Payment or an Anticipated Payment for release.

Download and complete the Request for restoration of Disability Support Pension or Age Pension Claim for Crisis Payment and Anticipated Payment form.

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