This form contains 54 fields organized into 22 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
ABSTUDY Payment Direction
Parent, guardian or student Checkbox
Check this box if ABSTUDY payments should be directed to the parent, guardian, or student.
DummyCalcQ9 Text
Private board provider Checkbox
Check this box if ABSTUDY payments should be directed to the private board provider.
Amount of ABSTUDY Payment for Private Board Provider
Fortnightly Payment Amount Number
Please enter the amount of your ABSTUDY payment that you want paid fortnightly to the private board provider. Fill only if 'Private board provider' is 'Yes'.
Max length: 10 characters
Depends on: Private board provider
Board Provider's Full Name
Board Provider Full Name Text
Please enter the full name of the person who is providing board.
Boarding Address
Boarding Address Line 1 Text
Enter the primary street address or first line of the student's boarding location.
Boarding Address Line 2 Text
Enter the second line of the student's boarding address, such as the suburb or city.
Boarding Postcode Text
Enter the postcode for the student's boarding address.
Max length: 4 characters
Boarding Phone Numbers
Daytime Phone Number Text
Please enter the daytime phone number, including the area code.
Max length: 10 characters
Alternative Phone Number Text
Please enter an alternative phone number, including the area code.
Max length: 10 characters
Date student started living away from home
Day Date
Enter the day the student started or will start living away from home.
Max length: 2 characters
Month Date
Enter the month the student started or will start living away from home.
Max length: 2 characters
Year Date
Enter the year the student started or will start living away from home.
Max length: 4 characters
Fortnightly Accommodation Cost Details
Lodgings only Checkbox
Check this box if the amount being paid fortnightly is only for lodgings (accommodation).
DummyCalcQ8 Text
Fortnightly Lodgings Cost Number
Provide the total amount paid fortnightly for lodgings only. Fill only if 'Lodgings only' is 'Yes'.
Max length: 10 characters
Depends on: Lodgings only
Board and lodgings Checkbox
Check this box if the amount being paid fortnightly is for both board (meals) and lodgings (accommodation).
Fortnightly Board and Lodgings Cost Number
Provide the total amount paid fortnightly for both board and lodgings. Fill only if 'Board and lodgings' is 'Yes'.
Max length: 10 characters
Depends on: Board and lodgings
General
Instructions button Button
Q5.Address1 Text
Q5.Address2 Text
Q9GoToQ15 Button
Q15 Text
Max length: 1 characters
Clear button Button
Holiday Payment Direction
Parent, guardian or student Checkbox
Check this box if payments during the school holidays should be directed to the parent, guardian, or student.
Private board provider Checkbox
Check this box if payments during the school holidays should be directed to the private board provider.
Number of Students in Accommodation
Number of Students Text
Please provide the total number of students, excluding your own children, who will be living at this accommodation.
Max length: 2 characters
Parent/Guardian/Student Agreement
I have read, understood and agree to the above. Checkbox
Check this box to declare that you have read the 'Privacy notice', confirm the information on this form is correct, agree to notify Services Australia of any changes, and understand the conditions regarding ABSTUDY payments.
Parent/Guardian/Student Declaration Date
Declaration Day Text
Enter the day of the declaration date. Fill only if 'I have read, understood and agree to the above.' is 'Yes'.
Max length: 2 characters
Depends on: I have read, understood and agree to the above.
Declaration Month Text
Enter the month of the declaration date. Fill only if 'I have read, understood and agree to the above.' is 'Yes'.
Max length: 2 characters
Depends on: I have read, understood and agree to the above.
Declaration Year Text
Enter the year of the declaration date. Fill only if 'I have read, understood and agree to the above.' is 'Yes'.
Max length: 4 characters
Depends on: I have read, understood and agree to the above.
Parent/Guardian/Student Name
Parent/Guardian/Student Full Name Text
Enter the full name of the parent, guardian, or student making this declaration.
Parent/Guardian/Student Signature
Sign Text
Signature Text
Please provide your signature. Fill only if 'Who should we direct your ABSTUDY payments to?' is 'Private board provider'.
Depends on: Private board provider
Payment Start Date to Private Board Provider
Start Payment Day Text
Provide the day of the month when you want to start paying the private board provider. Fill only if 'Private board provider' is 'Yes'.
Max length: 2 characters
Depends on: Private board provider
Start Payment Month Text
Provide the month when you want to start paying the private board provider. Fill only if 'Private board provider' is 'Yes'.
Max length: 2 characters
Depends on: Private board provider
Start Payment Year Text
Provide the year when you want to start paying the private board provider. Fill only if 'Private board provider' is 'Yes'.
Max length: 4 characters
Depends on: Private board provider
Private Board Provider Agreement
I have read, understood and agree to the above. Checkbox
Check this box to confirm that you, as the private board provider, have read, understood, and agree to all the declarations and statements in section 17. Fill only if 'Who should we direct your ABSTUDY payments to?' is 'Private board provider'.
Depends on: Private board provider
Private Board Provider Bank Account Details
Bank Name Text
Enter the full name of the bank, building society, or credit union. Fill only if 'Private board provider' is 'Yes'.
Depends on: Private board provider
BSB Number Text
Enter the Branch Number (BSB) of the bank account. Fill only if 'Private board provider' is 'Yes'.
Max length: 6 characters
Depends on: Private board provider
Account Number Text
Enter the bank account number. Fill only if 'Private board provider' is 'Yes'.
Depends on: Private board provider
Account Holder Name Text
Enter the full name(s) of the individual(s) or entity in which the account is held. Fill only if 'Private board provider' is 'Yes'.
Depends on: Private board provider
Private Board Provider Declaration Date
Declaration Day Text
Please enter the day of the declaration date. Fill only if 'I have read, understood and agree to the above.' is 'Yes'.
Max length: 2 characters
Depends on: I have read, understood and agree to the above.
Declaration Month Text
Please enter the month of the declaration date. Fill only if 'I have read, understood and agree to the above.' is 'Yes'.
Max length: 2 characters
Depends on: I have read, understood and agree to the above.
Declaration Year Number
Please enter the year of the declaration date. Fill only if 'I have read, understood and agree to the above.' is 'Yes'.
Max length: 4 characters
Depends on: I have read, understood and agree to the above.
Private Board Provider Name
Private Board Provider Name Text
Please provide the full name of the private board provider. Fill only if 'Who should we direct your ABSTUDY payments to?' is 'Private board provider'.
Depends on: Private board provider
Student's Customer Reference Number
Customer Reference Number - Part 1 Text
Enter the first segment of the student's Customer Reference Number.
Max length: 3 characters
Customer Reference Number - Part 2 Text
Enter the second segment of the student's Customer Reference Number.
Max length: 3 characters
Customer Reference Number - Part 3 Text
Enter the third segment of the student's Customer Reference Number.
Max length: 3 characters
Customer Reference Number - Part 4 Text
Enter the fourth and final segment of the student's Customer Reference Number.
Max length: 1 characters
Student's Date of Birth
Date of Birth Day Text
Please enter the day of the student's birth.
Max length: 2 characters
Date of Birth Month Text
Please enter the month of the student's birth.
Max length: 2 characters
Date of Birth Year Text
Please enter the year of the student's birth.
Max length: 4 characters
Student's Full Name
Student Full Name Text
Provide the student's full name.