Claim for Commonwealth Seniors Health Card Completed Form Examples and Samples

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Filled Commonwealth Seniors Health Card application form

Source document used: Client Intake Email

Hi there, I’m writing to get some help with our Commonwealth Seniors Health Card application. My name is Arthur H. Miller, and my wife, Martha Jean Miller, and I are both hoping to apply together. Our Centrelink Reference Number is 123-456-789-0. We currently live at 42 Maple Street, Springwood, NSW, 2777, and we use that same address for all our post. My home phone is 02 4751 0000, and yes, that number is silent. You can reach me on my mobile at 0400 123 456, or by email at [email protected]. Martha and I have been happily married since May 12th, 1985. We don't have any children currently in our care, so that section shouldn't apply to us. Regarding our income, we are looking at the 2024-2025 financial year. My taxable income was $35,000, and Martha's was $28,000. We don't have any foreign income or complex investment losses to report this time around. We do have an account-based pension through AustralianSuper, member number 98765432, which commenced back in 2020. We’d like to provide our bank details for payments: I use Westpac, BSB 032-123, account 987654321, in the name of Arthur H. Miller. Martha uses the same bank, BSB 032-123, account 987654322, under Martha Jean Miller. We haven't had any name changes. We are both very keen to get this sorted as soon as possible, so let us know if you need anything else from us, like our tax notices, which we have ready to go.