Form SA474, Claim for an Australian Survivor Pension for a person living outside Australia Completed Form Examples and Samples
View practical examples and samples of how to fill out Form SA474, Claim for an Australian Survivor Pension for a person living outside Australia. Learn how to accurately complete your application with our step-by-step guides.
Example: Filling Form SA474 for Australian Survivor Pension
How this form was filled:
This example demonstrates how an AI can accurately extract applicant and residency details from a personal correspondence email to populate the Australian Government Form SA474. By parsing the unstructured text, the AI correctly identifies sensitive data points such as Customer Reference Numbers, residency history, and passport details required for the Survivor Pension claim process.
Source document used: Personal Support Request Email
Subject: Assistance needed with my Survivor Pension claim - Ref: 1234-5678-9012. Dear Support Team, I am writing to formally submit my claim for the Survivor Pension as I am currently residing in Canada. My name is Margaret Elizabeth Thorne, born on 12 April 1955. My Customer Reference Number is 1234-5678-9012. Regarding my late husband, Arthur Thorne, he currently resides in the United Kingdom, so I am marking that accordingly. I have indeed travelled outside of Australia many times; the last time I entered Australia was in 2019 using my UK passport (Number: GBR-987654321). I am not a natural-born Australian citizen; I was granted citizenship on 15 March 1995. I have lived in Australia previously on a permanent visa granted on 10 January 1990. Before arriving in Australia back in 1990, I lived in New Zealand from 1980 until 1989. Since moving away from Australia, I have lived in Canada since 2020. My nephew, James Thorne, residing at 45 Maple Street, Toronto, helped me draft this email and fill out the necessary documents. He has my full permission to discuss this with you. I have read and agree to all the declarations. Please let me know if you need anything else before the cutoff date of 30 November 2026.
Information used to fill out the document:
- Applicant Name: Margaret Elizabeth Thorne
- Customer Reference Number: 1234-5678-9012
- Date of Birth: 12 April 1955
- Residency History: Lived in Australia (1990-2020), New Zealand (1980-1989), Canada (2020-present)
- Passport Details: GBR-987654321, issued in United Kingdom
- Citizenship Status: Naturalized citizen, granted 15 March 1995
- Assisting Person: James Thorne
What this filled form sample shows:
- Contextual extraction of full names from unstructured prose
- Intelligent mapping of residency dates to specific form sections
- Accurate parsing of ID numbers and passport details
- Handling of nested permissions for third-party assistance
- Date format normalization for government standards
Form specifications and details:
| Form Name: | Form SA474 |
| Purpose: | Claim for an Australian Survivor Pension for a person living outside Australia |
| Target User: | Australian expats or survivors living abroad |
| Compliance Level: | High (Government Document) |
| Categories: | pension claim forms, pension forms, VA claim forms |
| Created: | May 19, 2026 06:47 PM |