This form contains 972 fields organized into 230 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Accommodation Type
Q65_Boarding	CheckBox
DummyCalcQ65	Text
Q65_Private	CheckBox
Q65_Community	CheckBox
Q65_Defence	CheckBox
Q65_Caravan	CheckBox
Q65_Boat	CheckBox
Q65_Other	CheckBox
Other Accommodation Type	Text	Please specify the type of accommodation if it is not listed in the provided options. Fill only if 'Q65_Other' is 'Yes'. Depends on: Q65_Other
Accommodation Type Details
Accommodation Type Single	Text	Indicate if you are single, under 25 years of age, and living in the principal home of a parent.
Single, under 25, living with parent	Checkbox	Check this box if you are single, under 25 years of age, and living in the principal home of a parent.
Pay private rent	Checkbox	Check this box if you or your partner pay private rent, including if you live in a caravan park with site fees or on a vessel with mooring fees.
Own or jointly own home (mortgage, caravan, boat)	Checkbox	Check this box if you or your partner own your home or own it jointly with another person, including if you are paying off a mortgage, or own a caravan, mobile home, or boat.
Home owned by company or trust	Checkbox	Check this box if your home is owned by a company in which you or your partner are a shareholder or director, or by a trust where you, your partner, or a family member are a potential beneficiary or named in the trust deed.
Public housing	Checkbox	Check this box if you live in public housing owned by the Housing Authority, not including paying rent to a Community Housing organisation.
Boarding house, hostel, supported accommodation	Checkbox	Check this box if you live in a boarding house, guest house, hostel, hotel, campus, refuge, emergency, or similar supported accommodation.
Hospital or home for people with disabilities	Checkbox	Check this box if you live in a hospital or a home for people with disabilities.
Right to use for life	Checkbox	Check this box if you or your partner have the right to use your accommodation for life.
Pay no rent	Checkbox	Check this box if you live in accommodation where you pay no rent.
Other, no fixed address	Checkbox	Check this box if your accommodation type is not listed and you or your partner do not have a fixed address.
Other Accommodation Details	Text	Provide details for other accommodation types where you or your partner do not have a fixed address. Fill only if 'Other, no fixed address' is 'Yes'. Depends on: Other, no fixed address
Additional Special Benefit Claim
No	Checkbox	Check this box if you are not claiming Special Benefit for another child younger than 16 years that you have not already claimed for. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if you are claiming Special Benefit for another child younger than 16 years that you have not already claimed for. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Address Change Status
No	Checkbox	Check this box if your permanent home or postal address has NOT changed since you last told us.
Address Change Status	Text	Indicate whether your permanent home or postal address has changed since last told.
Yes	Checkbox	Check this box if your permanent home or postal address HAS changed since you last told us.
Date of Address Change	Date	Provide the date when your permanent home or postal address changed. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Alternative Phone Number
Alternative Phone Number	Text	Please provide an alternative phone number, including its area code. Max length: 10 characters
Arrangement Duration
Indefinitely	Checkbox	Check this box if you want this type of arrangement to last indefinitely.
Arrangement End Date	Date	Enter the date until which the arrangement is desired to last. Fill only if 'Indefinitely' is 'No'. Max length: 10 characters Depends on: Indefinitely
Asset Disposition Inquiry
No	Checkbox	Check this box if you have NOT given away, sold for less than market value, or surrendered a right to any cash, assets, property, or income in the last 5 years.
Yes	Checkbox	Check this box if you HAVE given away, sold for less than market value, or surrendered a right to any cash, assets, property, or income in the last 5 years.
Asset Disposition Summary	Text	Provide a brief summary of the assets you gave away, sold for less than market value, or surrendered a right to. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Australian Business Number
ABN Part 1	Text	Enter the first two digits of the Australian Business Number. Fill only if 'Organisation' is 'Yes'. Max length: 2 characters Depends on: Organisation
ABN Part 2	Text	Enter the next three digits of the Australian Business Number. Fill only if 'Organisation' is 'Yes'. Max length: 3 characters Depends on: Organisation
ABN Part 3	Text	Enter the next three digits of the Australian Business Number. Fill only if 'Organisation' is 'Yes'. Max length: 3 characters Depends on: Organisation
ABN Part 4	Text	Enter the last three digits of the Australian Business Number. Fill only if 'Organisation' is 'Yes'. Max length: 3 characters Depends on: Organisation
Australian Citizenship Grant Date
Citizenship Grant Day	Text	Please enter the day your Australian citizenship was granted. Fill only if 'Australia' is 'Yes'. Depends on: Australia
Citizenship Grant Month and Year	Date	Please enter the month and year your Australian citizenship was granted. Fill only if 'Australia' is 'Yes'. Max length: 10 characters Depends on: Australia
Authorisation Type
Person	Checkbox	Check this box if you are authorising a person.
Authorise Person	Text	Enter text to confirm you are authorising a person.
Organisation	Checkbox	Check this box if you are authorising an organisation.
Authorised Organisation's Centrelink Customer Reference Number
Centrelink Customer Reference Number Part 1	Text	Enter the first part of the authorised organisation's Centrelink Customer Reference Number. Fill only if 'Organisation' is 'Yes'. Max length: 3 characters Depends on: Organisation
Centrelink Customer Reference Number Part 2	Text	Enter the second part of the authorised organisation's Centrelink Customer Reference Number. Fill only if 'Organisation' is 'Yes'. Max length: 3 characters Depends on: Organisation
Centrelink Customer Reference Number Part 3	Text	Enter the third part of the authorised organisation's Centrelink Customer Reference Number. Fill only if 'Organisation' is 'Yes'. Max length: 3 characters Depends on: Organisation
Centrelink Customer Reference Number Part 4	Text	Enter the fourth part of the authorised organisation's Centrelink Customer Reference Number. Fill only if 'Organisation' is 'Yes'. Max length: 1 characters Depends on: Organisation
Authorised Organisation's Permanent Address
Address Line 1	Text	Enter the first line of the authorised organisation's permanent address. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Address Line 2	Text	Enter the second line of the authorised organisation's permanent address. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Suburb/City and State	Text	Enter the suburb or city and the state of the authorised organisation's permanent address. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Postcode	Text	Enter the postcode for the authorised organisation's permanent address. Fill only if 'Organisation' is 'Yes'. Max length: 4 characters Depends on: Organisation
Authorised Organisation's Postal Address
Postal Address	Text	Please enter the full postal address for the authorised organisation, including street number, street name, and suburb or city. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
State/Territory	Text	Please provide the state or territory of the authorised organisation's postal address. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Postcode	Number	Please provide the postcode for the authorised organisation's postal address. Fill only if 'Organisation' is 'Yes'. Max length: 4 characters Depends on: Organisation
Authorised Person Declaration
Authorised Person Signature	Text	Provide the signature of the authorised person or organisation. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Date of Declaration	Date	Provide the date when the declaration was made. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Max length: 10 characters Depends on: Yes
Authorised Person's Centrelink Customer Reference Number
Centrelink Customer Reference Number - Part 1	Text	Please enter the first part of the authorised person's Centrelink Customer Reference Number. Fill only if 'Person' is 'Yes'. Max length: 3 characters Depends on: Person
Centrelink Customer Reference Number - Part 2	Text	Please enter the second part of the authorised person's Centrelink Customer Reference Number. Fill only if 'Person' is 'Yes'. Max length: 3 characters Depends on: Person
Centrelink Customer Reference Number - Part 3	Text	Please enter the third part of the authorised person's Centrelink Customer Reference Number. Fill only if 'Person' is 'Yes'. Max length: 3 characters Depends on: Person
Centrelink Customer Reference Number - Part 4	Text	Please enter the fourth and final part of the authorised person's Centrelink Customer Reference Number. Fill only if 'Person' is 'Yes'. Max length: 1 characters Depends on: Person
Authorised Person's Contact Phone Number
Contact Phone Number	Text	Please provide the authorised person's contact phone number, including the area code. Fill only if 'Person' is 'Yes'. Max length: 10 characters Depends on: Person
Authorised Person's Date of Birth
Date of Birth	Date	Please provide the authorised person's date of birth. Fill only if 'Person' is 'Yes'. Max length: 10 characters Depends on: Person
Authorised Person's Email
Email Address	Text	Enter the email address of the authorised person. Fill only if 'Person' is 'Yes'. Depends on: Person
Authorised Person's Name
Mr	Checkbox	Check this box if the authorised person uses the title 'Mr'. Fill only if 'Person' is 'Yes'. Depends on: Person
Mrs	Checkbox	Check this box if the authorised person uses the title 'Mrs'. Fill only if 'Person' is 'Yes'. Depends on: Person
Miss	Checkbox	Check this box if the authorised person uses the title 'Miss'. Fill only if 'Person' is 'Yes'. Depends on: Person
Ms	Checkbox	Check this box if the authorised person uses the title 'Ms'. Fill only if 'Person' is 'Yes'. Depends on: Person
Mx	Checkbox	Check this box if the authorised person uses the title 'Mx'. Fill only if 'Person' is 'Yes'. Depends on: Person
Other Title	Text	Please enter the authorised person's title if it is not one of the predefined options. Fill only if 'Mx' is 'Yes'. Depends on: Mx
Family Name	Text	Please enter the authorised person's family name. Fill only if 'Person' is 'Yes'. Depends on: Person
First Given Name	Text	Please enter the authorised person's first given name. Fill only if 'Person' is 'Yes'. Depends on: Person
Second Given Name(s)	Text	Please enter any additional given names the authorised person has. Fill only if 'Person' is 'Yes'. Depends on: Person
Authorised Person's Permanent Address
Permanent Address Line 1	Text	Please enter the first line of the authorised person's permanent address. Fill only if 'Person' is 'Yes'. Depends on: Person
Permanent Address Line 2	Text	Please enter the second line of the authorised person's permanent address. Fill only if 'Person' is 'Yes'. Depends on: Person
Permanent Address Line 3	Text	Please enter the third line of the authorised person's permanent address. Fill only if 'Person' is 'Yes'. Depends on: Person
Permanent Address Postcode	Text	Please enter the postcode for the authorised person's permanent address. Fill only if 'Person' is 'Yes'. Max length: 4 characters Depends on: Person
Authorised Person's Postal Address
Postal Address Line 1	Text	Enter the first line of the authorised person's postal address. Fill only if 'Person' is 'Yes'. Depends on: Person
Postal Address Line 2	Text	Enter the second line of the authorised person's postal address. Fill only if 'Person' is 'Yes'. Depends on: Person
Postal Address Line 3 / Suburb	Text	Enter the third line of the authorised person's postal address, which typically includes the suburb or town. Fill only if 'Person' is 'Yes'. Depends on: Person
Postcode	Text	Enter the authorised person's postal code. Fill only if 'Person' is 'Yes'. Max length: 4 characters Depends on: Person
Bank Account Details
Bank Name	Text	Enter the full name of the bank, building society, or credit union. Fill only if 'Have other income and assets' is 'Yes'. Depends on: Yes
Account Number	Text	Provide the bank account number, ensuring it is not a card number. Fill only if 'Have other income and assets' is 'Yes'. Depends on: Yes
Current Balance	Number	Enter the current monetary balance of the account. Fill only if 'Have other income and assets' is 'Yes'. Depends on: Yes
Currency	Text	Specify the currency of the account balance if it is not Australian Dollars (AUD). Fill only if 'Have other income and assets' is 'Yes'. Depends on: Yes
Your Share Percentage	Number	Enter your percentage share of the bank account. Fill only if 'Have other income and assets' is 'Yes'. Max length: 5 characters Depends on: Yes
Partner's Share Percentage	Number	Enter your partner's percentage share of the bank account. Fill only if 'Have other income and assets' is 'Yes'. Max length: 5 characters Depends on: Yes
Board and Lodgings Payment Inquiry
No	Checkbox	Check this box if you and your partner do not pay board and/or lodgings. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a boarding house, guest house, hostel, hotel, campus, refuge, emergency or supported accommodation or similar'. Depends on: Boarding house, hostel, supported accommodation
Lodgings Amount	Number	Please provide the amount you and your partner pay for lodgings. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a boarding house, guest house, hostel, hotel, campus, refuge, emergency or supported accommodation or similar'. Depends on: Boarding house, hostel, supported accommodation
Yes	Checkbox	Check this box if you and your partner do pay board and/or lodgings. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a boarding house, guest house, hostel, hotel, campus, refuge, emergency or supported accommodation or similar'. Depends on: Boarding house, hostel, supported accommodation
Board Cost
Board Amount	Number	Enter the amount paid for board (meals). Fill only if 'Yes, can separate board and lodgings' is 'Yes'. Depends on: Yes, can separate board and lodgings
Board Payment Period	Combobox	Specify the period for which the board amount is paid (e.g., day, week, fortnight, 4 weeks, or calendar month). Fill only if 'Yes, can separate board and lodgings' is 'Yes'. 4 Weeks Day Fortnight 4 weeks Week Depends on: Yes, can separate board and lodgings
Boat or Caravan Ownership
No	Checkbox	Check this box if you and/or your partner do not own, partly own, or have a financial interest in any boats or caravans/motor homes (excluding those you live in).
Yes	Checkbox	Check this box if you and/or your partner own, partly own, or have a financial interest in any boats or caravans/motor homes (excluding those you live in), and you need to provide details.
DummyCalcQ80	Text	Depends on: Yes
Business Involvement Question
No	Checkbox	Check this box if neither you nor your partner are involved in any type of business.
Yes	Checkbox	Check this box if you or your partner are involved in any type of business, including farming, being self-employed, a sole trader, a partnership, or a sub-contractor.
Business Name of Organisation
Business Name of Organisation	Text	Please provide the business name of the organisation, if it is different from the trading name previously mentioned. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Care for Other Children Status
No	Checkbox	Check this box if you do not care for any children, other than the child claiming Special Benefit on this form, who are younger than 16 years.
Yes	Checkbox	Check this box if you care for children, other than the child claiming Special Benefit on this form, who are younger than 16 years.
Centrelink Customer Reference Number
CRN Segment 1	Text	Enter the first part of your Centrelink Customer Reference Number. Max length: 3 characters
CRN Segment 2	Text	Enter the second part of your Centrelink Customer Reference Number. Max length: 3 characters
CRN Segment 3	Text	Enter the third part of your Centrelink Customer Reference Number. Max length: 3 characters
CRN Segment 4	Text	Enter the fourth part of your Centrelink Customer Reference Number. Max length: 1 characters
Centrelink Letter Preference
No	Checkbox	Check this box if receiving Centrelink or aged care letters will not cause distress or confusion for the customer.
Yes	Checkbox	Check this box if receiving Centrelink or aged care letters will cause distress or confusion for the customer.
Checklist of Provided Forms and Documents
Identity documents	Checkbox	Check this box if you are providing identity documents with this form.
Authorising a person or organisation to enquire or act on your behalf (SS313) form	Checkbox	Check this box if you are providing the Authorising a person or organisation to enquire or act on your behalf (SS313) form.
Relationship details - Separated under one roof (SS293) form	Checkbox	Check this box if you are providing the Relationship details - Separated under one roof (SS293) form. Fill only if 'Have you and this person previously lived together as a couple (for example, married, partnered, de facto or in a registered relationship)?' is 'Yes'. Depends on: Yes
Relationship details (SS284) form	Checkbox	Check this box if you are providing the Relationship details (SS284) form. Fill only if 'Did you answer 'Yes' at B, C or D, for this person?' is 'Yes'. Depends on: Yes, Yes
Details of each additional person who shares your accommodation	Checkbox	Check this box if you are providing details of each additional person who shares your accommodation because you answered Yes at question 45 H. Fill only if 'Is there another person who shares your accommodation?' is 'Yes'. Depends on: Yes
Copy of documents to verify the details of sale	Checkbox	Check this box if you are providing copies of documents to verify the details of sale because you answered Yes at question 51. Fill only if 'Have you (and/or your partner) sold your former home within the last 24 months and intend to buy or build a new family home?' is 'Yes'. Depends on: Yes
Real estate details (Mod R) form	Checkbox	Check this box if you are providing the Real estate details (Mod R) form because you answered Yes at question 53, question 54, or for each property if you answered question 82. Fill only if 'Do you (and/or your partner) have an interest in any other property in and/or outside Australia?' is 'Yes'. Depends on: Yes
Business details (Mod F) form and Real estate details (Mod R) form for each property	Checkbox	Check this box if you are providing the Business details (Mod F) form and Real estate details (Mod R) form for each property because you answered Yes at question 55 or question 72. Fill only if 'Are you (and/or your partner) involved in any type of business?' is 'Yes'. Depends on: Yes
Copy of signed lease or tenancy agreement	Checkbox	Check this box if you are providing a copy of a signed lease or tenancy agreement because you answered Yes at question 67. Fill only if 'Provide a full copy of your signed lease or tenancy agreement' is 'Yes'. Depends on: Yes
Income and Assets (Mod iA) form	Checkbox	Check this box if you are providing the Income and Assets (Mod iA) form because you answered Yes at question 69. Fill only if 'You will need to complete and return an Income and assets (Mod iA) form.' is 'Yes'. Depends on: DummyCalcQ69
Copy of payslip(s) for the last 4 weeks from each employer	Checkbox	Check this box if you are providing copies of payslip(s) for the last 4 weeks from each employer because you answered Yes at question 70. Fill only if 'Employment related income' is 'Yes'. Depends on: Yes
Documents which confirm your leave entitlements and/or redundancy payment or Employment Separation Certificate (SU001) form	Checkbox	Check this box if you are providing documents which confirm your leave entitlements and/or redundancy payment or the Employment Separation Certificate (SU001) form because you answered Yes at question 71. Fill only if 'In the last 12 months, have you (and/or your partner) received or do you (and/or your partner) expect to receive any leave entitlements or redundancy payments from an employer?' is 'Yes'. Depends on: Yes
CList.12	CheckBox
CList.13	CheckBox
CList.14	CheckBox
CList.15	CheckBox
CList.16	CheckBox
CList.17	CheckBox
CList.18	CheckBox
CList.19	CheckBox
Child Age Verification
No	Checkbox	Check this box if the child is not younger than 5 years. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if the child is younger than 5 years. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Child Support Assessment Details
No	Checkbox	Check this box if you (and/or your partner) do not have a Child Support assessment case number for this child. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
DummyCalcQ99.C1	Text
Yes	Checkbox	Check this box if you (and/or your partner) have a Child Support assessment case number for this child. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child Support Case ID	Text	Please enter the Child Support Case ID or assessment number for this child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Child Support Amount Received	Number	Please enter the amount of child support received per period. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Child Support Payment Period	Combobox	Please specify the period for which the child support amount is received (e.g., week, fortnight, month, year). Fill only if 'Yes' is 'Yes'. 4 Weeks Day Fortnight 4 weeks Week Depends on: Yes
No	Checkbox	Check this box if you do not have a Child Support assessment case number for this child. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if you have a Child Support assessment case number for this child. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Child Support Case ID	Text	Enter the Child Support assessment case number for this child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Child Support Amount Received	Number	Enter the monetary amount you or your partner receive for child support. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Child Support Payment Frequency	Combobox	Enter the frequency of the child support payment. Fill only if 'Yes' is 'Yes'. 4 Weeks Day Fortnight 4 weeks Week Depends on: Yes
Child Support Assessment Status
Not applicable, still partnered and/or no other parent	Checkbox	Check this box if you are still partnered or if there is no other parent relevant for a child support assessment.
No	Checkbox	Check this box if you do not currently have a child support assessment and need to apply for one.
Yes	Checkbox	Check this box if you currently have a child support assessment for the child(ren).
Child's Age Verification
No	Checkbox	Check this box if the child is 5 years or older. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
DummyCalcQ101.C1	Text
Yes	Checkbox	Check this box if the child is younger than 5 years. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's Citizenship and Birthplace Status
No	Checkbox	Check this box if the child is not an Australian citizen who was born in Australia. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the child is an Australian citizen who was born in Australia. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Australian Citizen Born in Australia Confirmation	Text	Enter 'Yes' to confirm that the child is an Australian citizen born in Australia. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's Country of Birth
Country of Birth	Text	Provide the child's country of birth. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's Date of Birth
Date of Birth	Date	Enter the child's date of birth. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Max length: 10 characters Depends on: Yes
Child's Education Status
No	Checkbox	Check this box if the child is not in full-time education. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the child is in full-time education. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's Gender
Male	Checkbox	Check this box if the child's gender is male. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Female	Checkbox	Check this box if the child's gender is female. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Non-binary	Checkbox	Check this box if the child's gender is non-binary. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's Living Arrangement
No	Checkbox	Check this box if the child does not currently live with you. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the child currently lives with you. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's Name
Family Name	Text	Enter the child's family name. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
First Given Name	Text	Enter the child's first given name. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Second Given Name	Text	Enter the child's second given name. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's Family Name	Text	Please enter the child's family name.
Child's First Given Name	Text	Please enter the child's first given name.
Child's Second Given Name	Text	Please enter the child's second given name, if applicable.
Child's Other Names
No	Checkbox	Check this box if the child has never been known by any other names. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the child has been known by other names. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Other Name 1	Text	Please provide the child's first other name. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Other Name 2	Text	Please provide the child's second other name. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if the child has never been known by any other names.
Yes	Checkbox	Check this box if the child has been known by other names and you need to list them.
Child's Other Names	Text	Please provide any other names the child has been known by. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Child's Payment Account Details
Bank Name	Text	Enter the full name of the bank, building society, or credit union where the child's payment account is held.
Branch Number (BSB)	Text	Provide the Branch Number (BSB) of the financial institution for the child's payment account. Max length: 6 characters
Account Number	Text	Enter the full account number for the child's payment.
Account Holder Name(s)	Text	Provide the full name(s) of the person or people in whose name the account is held.
Child's Shared Care Arrangement
No	Checkbox	Check this box if you and your partner do not share the care of this child with any other person, excluding school or day care arrangements. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Shared Care Details	Text	Please provide details about the shared care arrangement for this child, excluding school or day care arrangements. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you and your partner share the care of this child with another person, excluding school or day care arrangements. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Care Percentage	Number	Enter the percentage of care you (and/or your partner) provide for this child. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Child's Tax File Number
Q104.C1_No	CheckBox
Yes	Checkbox	Check this box if the child has a tax file number. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child's TFN Segment 1	Text	Please provide the first segment of the child's Tax File Number. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Child's TFN Segment 2	Text	Please provide the second segment of the child's Tax File Number. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Child's TFN Segment 3	Text	Please provide the third segment of the child's Tax File Number. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Child's TFN Segment 4	Text	Please provide the fourth segment of the child's Tax File Number. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
No	Checkbox	Check this box if the child does not have a tax file number. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if the child has a tax file number. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Tax File Number Part 1	Text	Please enter the first part of the child's tax file number. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Tax File Number Part 2	Text	Please enter the second part of the child's tax file number. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Tax File Number Part 3	Text	Please enter the third part of the child's tax file number. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Child's Travel History
No	Checkbox	Check this box if the child has never travelled outside Australia. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Not applicable - never travelled to Australia	Checkbox	Check this box if the child has never travelled to Australia or if the question about travelling outside Australia is not relevant for the child's situation. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the child has ever travelled outside Australia, including for short trips and holidays. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Travel Details	Text	Provide specific details of the child's travel outside Australia, including short trips and holidays, if applicable. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Year Child Last Entered Australia	Text	Enter the year when the child last entered Australia. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Passport Number	Text	Enter the child's passport number. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Passport Country of Issue	Text	Enter the country where the child's passport was issued. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Circumstances for Financial Hardship Application
Not working	Checkbox	Check this box if you are currently not employed and this is a reason for your financial hardship application. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Not eligible for other Centrelink payment	Checkbox	Check this box if you are not eligible for any other payment from Centrelink and this contributes to your financial hardship. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Insufficient income	Checkbox	Check this box if your income is insufficient to meet your financial needs, leading to hardship. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
No other means of support	Checkbox	Check this box if you do not have any other sources of financial support, contributing to your financial hardship. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Other circumstances	Checkbox	Check this box if your circumstances for financial hardship are not covered by the options above, and provide details in the space below. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Financial Hardship Details	Text	Please provide comprehensive details regarding your circumstances for this financial hardship application. Fill only if 'Other circumstances' is 'Yes'. Depends on: Other circumstances
Other Circumstances Details	Text	Please provide specific details if your circumstances for financial hardship are not listed above. Fill only if 'Other circumstances' is 'Yes'. Depends on: Other circumstances
Citizenship Details
Country of Citizenship	Text	Enter the country where you currently hold citizenship. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Date Citizenship Granted	Date	Provide the date your citizenship was granted. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Max length: 10 characters Depends on: No
Citizenship or Visa Holder Status
No	Checkbox	Check this box if you are not an Australian citizen or a permanent visa holder.
Yes	Checkbox	Check this box if you are an Australian citizen or a permanent visa holder.
Citizenship Status
No	Checkbox	Check this box if the child is not an Australian citizen born in Australia.
Yes	Checkbox	Check this box if the child is an Australian citizen and was born in Australia.
Claiming Special Benefit for a Child
No	Checkbox	Check this box if you are NOT claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care.
Yes	Checkbox	Check this box if you ARE claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care.
Combined Board and Lodgings Cost
Total Board and Lodgings Amount	Number	Please enter the total amount paid for combined board and lodgings. Fill only if 'No, cannot separate board and lodgings' is 'No'. Depends on: No, cannot separate board and lodgings
Board and Lodgings Payment Period	Combobox	Please enter the period for which the combined board and lodgings amount is paid (e.g., day, week, fortnight, 4 weeks, or calendar month). Fill only if 'No, cannot separate board and lodgings' is 'No'. 4 Weeks Day Fortnight 4 weeks Week Depends on: No, cannot separate board and lodgings
Compensation Claim Question
No	Checkbox	Check this box if you or your partner have never received, claimed, or been able to claim compensation, insurance, or damages.
Yes	Checkbox	Check this box if you or your partner have ever received, claimed, or been able to claim compensation, insurance, or damages.
Confirmation for Question 68
No	Checkbox	Check this box if you did not select any income or asset types in question 68.
Yes	Checkbox	Check this box if you selected one or more income or asset types in question 68.
DummyCalcQ69	Text
Country of Birth
Country of Birth	Text	Enter the name of the country where you were born.
Country of Birth	Text	Please enter the country where the person was born.
Country of Birth	Text	Enter the child's country of birth. Fill only if 'No' is 'No'. Depends on: No
Country of Citizenship
Country of Citizenship	Text	Enter the country of your citizenship.
Couple Consideration Query
No	Checkbox	Check this box if you do not participate in activities jointly with this person that would lead to you being considered a couple. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you participate in activities jointly with this person that would lead to you being considered a couple. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Current Address
Current Address Line 1	Text	Please enter the street number, street name, and any apartment or unit details for your current address.
Suburb/City	Text	Please enter the suburb or city of your current address.
Postcode	Text	Please enter the postcode for your current address. Max length: 4 characters
Current Country of Residence
Australia	Checkbox	Check this box if your current country of residence is Australia.
Other	Checkbox	Check this box if your current country of residence is a country other than Australia.
Country of Residence	Text	Please enter the country where you currently reside. Fill only if 'Other' is 'Other'. Depends on: Other
Further Residence Details	Text	Please provide any further details regarding your current country of residence. Fill only if 'Other' is 'Other'. Depends on: Other
Customer Date of Birth
Date of Birth	Date	Please enter the customer's date of birth. Max length: 10 characters
Customer declaration – I am able to make my own decisions (question 8)
Power of Attorney Document	Checkbox	Check this box if the Power of Attorney (financial and/or legal decisions) document is being provided. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Attorney Photo ID Provided	Checkbox	Check this box if photo identification for the attorney has been provided in person to a service centre, agent or access point. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Customer Declaration Signature
S.Sign0	Text
Select or enter the date in DD MM YYYY format	Text	Max length: 10 characters
S.Sign0	Text
Customer Name
Mr	Checkbox	Check this box if your title is Mr.
Mrs	Checkbox	Check this box if your title is Mrs.
Miss	Checkbox	Check this box if your title is Miss.
Ms	Checkbox	Check this box if your title is Ms.
Mx	Checkbox	Check this box if your title is Mx.
Other Title	Text	Provide your title if it is not one of the options listed. Fill only if 'Mx' is 'Yes'. Depends on: Mx
Family Name	Text	Provide your family name.
First Given Name	Text	Provide your first given name.
Second Given Name(s)	Text	Provide any additional given names you have.
Customer Reference Number
Customer Reference Number Part 1	Text	Enter the first part of your Customer Reference Number. Max length: 3 characters
Customer Reference Number Part 2	Text	Enter the second part of your Customer Reference Number. Max length: 3 characters
Customer Reference Number Part 3	Text	Enter the third part of your Customer Reference Number. Max length: 3 characters
Customer Reference Number Part 4	Text	Enter the fourth part of your Customer Reference Number. Max length: 1 characters
Customer Reference Number Part 1	Text	Please enter the first part of the customer reference number. Max length: 3 characters
Customer Reference Number Part 2	Text	Please enter the second part of the customer reference number. Max length: 3 characters
Customer Reference Number Part 3	Text	Please enter the third part of the customer reference number. Max length: 3 characters
Customer Reference Number Part 4	Text	Please enter the fourth part of the customer reference number. Max length: 1 characters
Date of Birth
Date of Birth	Date	Please enter your date of birth. Max length: 10 characters
Date of Birth	Date	Enter the child's date of birth. Max length: 10 characters
Deceased Partner Details
Deceased Partner Full Name	Text	Please provide the full name of your deceased partner.
Deceased Partner Date of Birth	Date	Please provide the date of birth for your deceased partner. Max length: 10 characters
DummyCalcQ28	Text
Declaration Path Selection
Able to make own decisions	Checkbox	Check this box if you are able to make your own decisions.
Customer Declaration Destination	Text	Enter the page number where the Customer Declaration begins if you are able to make your own decisions.
Not able to make own decisions	Checkbox	Check this box if the customer is not able to make their own decisions.
Deposit Account Details
Bank Name	Text	Enter the full name of the bank, building society, or credit union where the account is held. Fill only if 'Yes - by deposit' is 'Yes'. Depends on: Yes - by deposit
Branch Number (BSB)	Text	Provide the six-digit Branch State Bank (BSB) number for the account. Fill only if 'Yes - by deposit' is 'Yes'. Max length: 6 characters Depends on: Yes - by deposit
Account Number	Text	Enter the account number for the deposit, ensuring it is not a card number. Fill only if 'Yes - by deposit' is 'Yes'. Depends on: Yes - by deposit
Account Holder Names	Text	Provide the full name or names under which the deposit account is held. Fill only if 'Yes - by deposit' is 'Yes'. Depends on: Yes - by deposit
Email Address
Email Address	Text	Please provide your email address.
Employer's Details
Employer's Name	Text	Please provide the full legal name of the employer. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Employer's Address Line 1	Text	Please provide the first line of the employer's street address, including unit number if applicable. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Employer's Address Line 2	Text	Please provide the second line of the employer's street address, which may include suburb or town. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Employer's Postcode	Text	Please enter the employer's postal code. Fill only if 'Employment related income' is 'Yes' Max length: 4 characters Depends on: Yes
Employer's Phone Number	Text	Please provide the employer's contact phone number, including the area code. Fill only if 'Employment related income' is 'Yes' Max length: 10 characters Depends on: Yes
Employer's ABN Part 1	Text	Please enter the first two digits of the employer's Australian Business Number (ABN). Fill only if 'Employment related income' is 'Yes' Max length: 2 characters Depends on: Yes
Employer's ABN Part 2	Text	Please enter the next three digits of the employer's Australian Business Number (ABN). Fill only if 'Employment related income' is 'Yes' Max length: 3 characters Depends on: Yes
Employer's ABN Part 3	Text	Please enter the next three digits of the employer's Australian Business Number (ABN). Fill only if 'Employment related income' is 'Yes' Max length: 3 characters Depends on: Yes
Employer's ABN Part 4	Text	Please enter the final three digits of the employer's Australian Business Number (ABN). Fill only if 'Employment related income' is 'Yes' Max length: 3 characters Depends on: Yes
Employment Income Status
No	Checkbox	Check this box if you and/or your partner are not currently paid or expecting to be paid any income as an employee.
Yes	Checkbox	Check this box if you and/or your partner are currently paid or expecting to be paid income as an employee.
Enduring Power of Attorney Evidence
Copy of legal document and medical evidence of incapacity	Checkbox	Check this box if you are providing a copy of the legal document and medical evidence of the customer's incapacity. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Photo identification for the attorney provided in person	Checkbox	Check this box if photo identification for the attorney has been provided in person to a service centre, agent, or access point. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Letter or signature from multiple attorneys with agreement	Checkbox	Check this box if there are multiple attorneys with majority or joint decision making, and they have all provided a letter or signature with their agreement. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Ex-Partner's Current Address
Address Line 1	Text	Please enter the first line of your ex-partner's current address.
Address Line 2	Text	Please enter the second line of your ex-partner's current address.
Address Line 3	Text	Please enter the third line of your ex-partner's current address, typically the suburb or city.
Postcode	Number	Please enter your ex-partner's current postcode. Max length: 4 characters
State/Territory/Country	Text	Please enter the state, territory, or country of your ex-partner's current address.
Ex-Partner's Name
Ex-Partner's Family Name	Text	Please provide your ex-partner's family name.
Ex-Partner's First Given Name	Text	Please provide your ex-partner's first given name.
Ex-Partner's Second Given Name	Text	Please provide your ex-partner's second given name.
Family Name
Family Name	Text	Please enter the family name or surname.
Family Tax Benefit Status
No	Checkbox	Check this box if you do not receive Family Tax Benefit for this child. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you receive Family Tax Benefit for this child. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if you do not receive Family Tax Benefit for this child. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if you do receive Family Tax Benefit for this child. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
First Asset Disposition Details
Asset Description	Text	Enter a description of the asset that was given away or sold for less than its market value. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Date Given or Sold	Date	Provide the date the asset was given away or sold. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Market Value of Asset	Number	Enter the market value of the asset when it was given away or sold. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Amount Received for Asset	Number	Enter the amount you received for the asset when it was given away or sold. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Your Share Percentage	Number	Enter your percentage share of the asset disposition. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Partner's Share Percentage	Number	Enter your partner's percentage share of the asset disposition. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
No (Special Disability Trust)	Checkbox	Check this box if the gift or asset disposition was not to a Special Disability Trust (SDT). Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes (Special Disability Trust)	Checkbox	Check this box if the gift or asset disposition was to a Special Disability Trust (SDT). Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Bank Account Details
Bank Name	Text	Enter the full name of the bank, building society, or credit union where this account is held.
Account Number	Text	Provide the account number for this bank account.
Current Balance	Number	Enter the current monetary balance of this account.
Currency (if not AUD)	Text	Specify the currency in which the account balance is held if it is not Australian Dollars (AUD). Fill only if 'Current Balance' is not in AUD. Depends on: Current Balance
Your Share Percentage	Number	Enter your percentage share of this bank account. Max length: 5 characters
Partner's Share Percentage	Number	Enter your partner's percentage share of this bank account. Fill only if 'Relationship status' is 'Married', 'Registered relationship' or 'De facto'. Max length: 5 characters Depends on: Married, Registered relationship, De facto relationship
First Boat or Caravan Details
Asset Type	Text	Enter the type of the first boat or caravan asset, for example, 'boat'. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Asset Make	Text	Enter the make of the first boat or caravan asset, for example, 'Quintrex'. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Asset Model	Text	Enter the model of the first boat or caravan asset, for example, 'Coastrunner'. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Year of Manufacture	Text	Enter the four-digit year the first boat or caravan was manufactured. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Current Market Value	Number	Enter the current market value of the first boat or caravan asset. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Loan Balance to Purchase	Number	Enter the outstanding balance of any loan(s) taken to purchase the first boat or caravan asset. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Your Share Percentage	Number	Enter your percentage share of the first boat or caravan asset. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Partner's Share Percentage	Number	Enter your partner's percentage share of the first boat or caravan asset. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
First Country Lived In
First Country Name	Text	Please provide the name of the first country you have lived in since birth. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Country Start Date	Date	Please provide the date you started living in this country. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
First Country of Partner's Residence
Country Name	Text	Enter the name of the first country where your partner has lived. Fill only if 'Has your partner ever lived in Australia?' is 'Yes'. Depends on: Yes
Date Started Living in Country	Date	Provide the date your partner started living in the first country listed. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Date Ended Living in Country	Date	Provide the date your partner stopped living in the first country listed. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
First Given Name
First Given Name	Text	Please enter your first given name.
First Motor Vehicle Details
Asset Type	Text	Provide the type of motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Make	Text	Enter the make of the motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Model	Text	Enter the model of the motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Year	Date	Enter the year of manufacture of the motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Current Market Value	Number	Enter the current market value of the motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Balance of Loan	Number	Enter the outstanding balance of any loan taken to purchase this motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Your Share Percentage	Number	Enter your percentage share of the motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Partner's Share Percentage	Number	Enter your partner's percentage share of the motor vehicle, motor cycle, or trailer. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
First Other Child Details
Customer Reference Number Part 1	Text	Enter the first part of the customer reference number for the first other child. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Customer Reference Number Part 2	Text	Enter the second part of the customer reference number for the first other child. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Customer Reference Number Part 3	Text	Enter the third part of the customer reference number for the first other child. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Customer Reference Number Part 4	Text	Enter the fourth part of the customer reference number for the first other child. Fill only if 'Yes' is 'Yes'. Max length: 1 characters Depends on: Yes
Family Name	Text	Enter the family name of the first other child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Given Name	Text	Enter the first given name of the first other child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Given Name	Text	Enter the second given name of the first other child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Date of Birth	Date	Enter the date of birth of the first other child. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Male	Checkbox	Check this box if the child's gender is male. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Female	Checkbox	Check this box if the child's gender is female. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Non-binary	Checkbox	Check this box if the child's gender is non-binary. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Current Address Line 1	Text	Enter the first line of the current address for the first other child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Current Address Line 2	Text	Enter the second line of the current address for the first other child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Current Address Line 3	Text	Enter the third line of the current address for the first other child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Postcode	Text	Enter the postcode of the first other child's current address. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Country of Birth	Text	Enter the country where the first other child was born. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Country of Citizenship	Text	Enter the country of citizenship for the first other child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if the child does not receive any payment from any Commonwealth, state or territory government. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the child receives a payment from any Commonwealth, state or territory government. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Government Payment Details	Text	Provide details of any payments the first other child receives from a Commonwealth, state, or territory government. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Other Name
First Other Name	Text	Please provide the first other name you have been known by. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Type of First Other Name	Text	Please specify the type of this other name, for example, name at birth, alias, or previous married name. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Other Name	Text	Please provide the first other name your partner has been known by. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Type of First Other Name	Text	Please describe the type of this other name, for example, name at birth, name before marriage, previous married name, Aboriginal or skin name, alias, adoptive name, or foster name. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Person Details
Person's Name	Text	Enter the full name of the first person sharing the accommodation. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Age	Text	Enter the age of the first person sharing the accommodation in years. Fill only if 'Yes, we share accommodation' is 'Yes'. Max length: 3 characters Depends on: Yes, we share accommodation
Date Moved In	Date	Enter the date the first person sharing the accommodation moved in. Fill only if 'Yes, we share accommodation' is 'Yes'. Max length: 10 characters Depends on: Yes, we share accommodation
Relationship to You	Text	Specify the relationship of the first person sharing the accommodation to you. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
No	Checkbox	Check this box if the first person whose details are being entered does not own the home. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Yes	Checkbox	Check this box if the first person whose details are being entered owns the home. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Share of Rent/Lodgings Amount	Number	Enter the monetary amount representing the first person's share of the rent or lodgings. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Share of Rent/Lodgings Period	Combobox	Specify the period for the first person's share of the rent or lodgings. Fill only if 'Yes, we share accommodation' is 'Yes'. 4 Weeks Day Fortnight 4 weeks Week Depends on: Yes, we share accommodation
First Person's Employment Details
DummyCalcQ70	Text	Depends on: Yes
You	Checkbox	Check this box if you are the person working for this employer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Your Partner	Checkbox	Check this box if your partner is the person working for this employer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Employer's Name	Text	Please provide the full name of the employer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Address Line 1	Text	Please enter the first line of the employer's street address. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Address Line 2	Text	Please enter the second line of the employer's street address, if applicable. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Suburb/Town/City	Text	Please enter the suburb, town, or city of the employer's address. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Postcode	Text	Please enter the postcode of the employer's address. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Phone Number	Text	Please enter the employer's phone number, including the area code. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
ABN Segment 1	Text	Please enter the first segment of the Australian Business Number (ABN). Fill only if 'Yes' is 'Yes'. Max length: 2 characters Depends on: Yes
ABN Segment 2	Text	Please enter the second segment of the Australian Business Number (ABN). Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
ABN Segment 3	Text	Please enter the third segment of the Australian Business Number (ABN). Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
ABN Segment 4	Text	Please enter the fourth segment of the Australian Business Number (ABN). Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Full-time	Checkbox	Check this box if the work is full-time. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Part-time	Checkbox	Check this box if the work is part-time. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Seasonal	Checkbox	Check this box if the work is seasonal. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Casual	Checkbox	Check this box if the work is casual. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Hours Worked Per Fortnight	Number	Please enter the total number of hours worked per fortnight for this employment. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Gross Pay Per Fortnight	Number	Please enter the gross amount paid per fortnight, before tax and other deductions. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No, same amount each pay day	Checkbox	Check this box if you do not receive the same amount each pay day. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes, same amount each pay day	Checkbox	Check this box if you do receive the same amount each pay day. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Support Details
Type of Support Received	Text	Provide a description of the type of support received. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Value of Support	Number	Enter the monetary value of the support received. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Support Frequency	Combobox	Specify how often the support is received, for example, weekly, fortnightly, monthly, or yearly. Fill only if 'Yes' is 'Yes'. 4 Weeks Day Yearly Fortnight 4 weeks Week Depends on: Yes
Support Stop Date	Date	Enter the date when this support is expected to stop. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Ongoing Support	Checkbox	Check this box if the support you are currently receiving is ongoing and does not have an end date. Fill only if 'Yes' is 'Yes'. Depends on: Yes
First Support Received Details
Type of support received	Text	Please provide the type of support received. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Value of support	Number	Please enter the monetary value of the support received. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Support frequency	Combobox	Please indicate how often the support is received. 4 Weeks Day Yearly Fortnight 4 weeks Week
Support stop date	Date	Please enter the date when this support will stop. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Max length: 10 characters Depends on: Yes
Ongoing	Checkbox	Check this box if the support received is ongoing and does not have a specific end date. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Formal Lease or Tenancy Agreement Status
No	Checkbox	Check this box if you and/or your partner do not have a formal lease or tenancy agreement.
Yes	Checkbox	Check this box if you and/or your partner have a formal lease or tenancy agreement.
Former Home Sale and New Home Purchase Intent
No	Checkbox	Check this box if you (and/or your partner) have NOT sold your former home within the last 24 months or do NOT intend to buy or build a new family home. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you (and/or your partner) HAVE sold your former home within the last 24 months AND intend to buy or build a new family home. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Former Home Sale Details	Text	Provide further details about the sale of your former home and intent to buy a new one. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Date of Settlement	Date	Provide the date when the settlement of your former home sale occurred. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Amount Received from Sale	Number	Enter the amount you received from the sale of your former home after deducting mortgage and other costs. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Total Intended Use for New Home	Number	Enter the total amount you and/or your partner intend to use from the sale proceeds to buy your new family home. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Your Invested Share	Number	Enter your individual share of the intended amount to be invested in the new family home. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Partner's Invested Share	Number	Enter your partner's individual share of the intended amount to be invested in the new family home. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Expected New Home Completion Date	Date	Provide the expected date for the purchase or completion of your new family home. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Fortnightly Pay Details
Fortnightly Hours Worked	Number	Enter the total number of hours worked per fortnight for this employment. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Fortnightly Gross Amount	Number	Provide the gross amount paid per fortnight for this employment, before tax and any other deductions. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Free Meals with Accommodation
No	Checkbox	Check this box if you do not receive free meals with your accommodation. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you do receive free meals with your accommodation. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Full-time Education Status
No	Checkbox	Check this box if the child is not in full-time education. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if the child is in full-time education. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Gender
Male	Checkbox	Check this box if you identify as male.
Female	Checkbox	Check this box if you identify as female.
Non-binary	Checkbox	Check this box if you identify as non-binary.
Male	Checkbox	Check this box if your gender is male.
Female	Checkbox	Check this box if your gender is female.
Non-binary	Checkbox	Check this box if your gender is non-binary.
Male	Checkbox	Check this box if the child's gender is Male.
Female	Checkbox	Check this box if the child's gender is Female.
Non-binary	Checkbox	Check this box if the child's gender is Non-binary.
General
Instructions	Button
Instructions	Button
Q8GoToQ11	Button
Q20GoToQ22a	Button
Q20GoToQ22b	Button
Q24GoToQ25a	Button
Q24GoToQ25b	Button
Q24GoToQ25c	Button
Q24GoToQ29a	Button
Q24GoToQ29b	Button
Q24GoToQ28	Button
Q24GoToQ44	Button
Q25GoToQ31	Button
Q27GoToQ31	Button
Q28GoToQ44	Button
Q30.GoToQ43	Button
Q38GoToQ42	Button
Q39GoToQ43	Button
Q40GoToQ42A	Button
Q40GoToQ42B	Button
Q44GoToQ46	Button
Q45.P1.eGoTof	Button
Q45.P1.eGoTog	Button
Q45.P1.fGoToh	Button
Q45.P1.fGoTog	Button
Q45.P1.gGoToh	Button
Q45.P1.gGoToh2	Button
Q45.P1.hGoToQ46	Button
Q45.P2B.eGoTof	Button
Q45.P2B.eGoTog	Button
Q45.P2B.fGoToh	Button
Q45.P2B.fGoTog	Button
Q45.P2B.gGoToh	Button
Q45.P2B.gGoToh2	Button
Q49GoToQ51	Button
Q52GoToQ68a	Button
Q52GoToQ60a	Button
Q52GoToQ53	Button
Q52GoToQ68b	Button
Q52GoToQ57	Button
Q52GoToQ61a	Button
Q52GoToQ61b	Button
Q52GoToQ68	Button
Q52GoToQ68c	Button
Q52GoToQ60b	Button
Q53GoToQ55	Button
Q56GoToQ68	Button
Q56GoToQ60	Button
Q57GoToQ68	Button
Q58GoToQ60	Button
Q59GoToQ68	Button
Q59GoToQ60	Button
Q61GoToQ63	Button
Q62GoToQ64a	Button
Q62GoToQ64b	Button
Q65GoToQ67	Button
Q69GoToQ84	Button
70.P2.Address.0	Text
70.P2.Address.1	Text
DummyCalcQ73	Text
Q73GoToQ75	Button
Q81GoToQ83	Button
Q86GoToQ87	Button
86.C2.Address1	Text
86.C2.Address2	Text
Q87	Text	Max length: 1 characters
Q93.C1GoToQ95.C1	Button
Q98.C1GoToQ100.C1	Button
Q99.C1GoToQ100.C1	Button
Q101.C1GoToQ103.C1	Button
Q105.C1GoToQ106	Button
Q93.C2GoToQ95.C2	Button
Q98.C2GoToQ100.C2	Button
Q99.C2GoToQ100.C2	Button
Q101.C2GoToQ103.C2	Button
Print	Button
Clear	Button
Instructions	Button
Instructions	Button
Print	Button
Clear	Button
S.Q4_Details.Address1	Text
S.Q4_Details.Address2	Text
S.Q4_Details.Post.Address1	Text
S.Q4_Details.Post.Address2	Text
S.Q4GoToQ5	Button
	Button
S.DO7.Post.Address1	Text
S.DO7.Post.Address2	Text
	Button
	Button
S.DO8.Address1	Text
S.DO8.Address2	Text
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S.Q11GoToQ12	Button
Print	Button
Clear	Button
Government Payment Details
No	Checkbox	Check this box if the child does not receive any payment from a Commonwealth, state, or territory government.
Yes	Checkbox	Check this box if the child receives a payment from a Commonwealth, state, or territory government, and then provide details in the space below.
Government Payment Details	Text	Please provide details about any payment this child receives from any Commonwealth, state, or territory government. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if the child does not receive any payment from a Commonwealth, state, or territory government. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the child receives a payment from any Commonwealth, state, or territory government. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
DummyCalcQ100.C1	Text
Government Payment Details	Text	Provide details about the payment received from any Commonwealth, state, or territory government for this child. Fill only if 'Yes' is 'Yes'. Depends on: Yes
No	Checkbox	Check this box if the child does not receive any payment from a Commonwealth, state, or territory government. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if the child receives a payment from a Commonwealth, state, or territory government. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Government Payment Details	Text	Provide details of any payments this child receives from Commonwealth, state, or territory governments. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Group Payment Details
Group Institution Code	Text	Please enter the 3-character code for the group payment organisation, if applicable. Fill only if 'Yes - by group' is 'Yes'. Max length: 3 characters Depends on: Yes - by group
Guardianship Order Evidence
Guardianship, Financial Management, or Administration Order	Checkbox	Check this box if you are providing a copy of the guardianship, financial management, or administration order or certificate. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Home Ownership Details
No	Checkbox	Check this box if you and/or your partner do not own a home that you do not live in. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
DummyCalcQ49	Text
Yes	Checkbox	Check this box if you and/or your partner own a home that you do not live in. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Home Phone Details
Home Phone Number	Text	Please provide your home phone number, including the area code. Max length: 10 characters
My name	Checkbox	Check this box if the home phone account is in your name.
My partner's name	Checkbox	Check this box if the home phone account is in your partner's name.
Another name	Checkbox	Check this box if the home phone account is in another person's name.
Home Situated on Land Larger than 2 Hectares
No	Checkbox	Check this box if your (and your partner's) home is not situated on a block of land larger than 2 hectares (5 acres).
Yes	Checkbox	Check this box if your (and your partner's) home is situated on a block of land larger than 2 hectares (5 acres).
DummyCalcQ53	Text
Home Situated on More Than One Title
No	Checkbox	Check this box if your home is not situated on more than one title.
Yes	Checkbox	Check this box if your home is situated on more than one title.
Home Used to Produce Income
No	Checkbox	Check this box if no part of the home is used to produce income, excluding rent from boarders or lodgers.
Yes	Checkbox	Check this box if any part of the home is used to produce income, excluding rent from boarders or lodgers.
Household Contents and Personal Effects Value
Current Market Value	Number	Please provide the estimated current market value of your household contents and personal effects. Fill only if 'Have other income and assets' is 'Yes'. Depends on: Yes
Balance of Loan(s) Taken to Purchase	Number	Please provide the outstanding balance of any loan(s) taken to purchase these household contents and personal effects. Fill only if 'Have other income and assets' is 'Yes'. Depends on: Yes
Your Share Percentage	Number	Please enter your percentage share of the household contents and personal effects. Fill only if 'Have other income and assets' is 'Yes'. Max length: 5 characters Depends on: Yes
Partner's Share Percentage	Number	Please enter your partner's percentage share of the household contents and personal effects. Fill only if 'Have other income and assets' is 'Yes'. Max length: 5 characters Depends on: Yes
If your authorised person or organisation holds any of the following, they will need to provide a copy of the documents (question 9)
Power of Attorney (financial/legal decisions)	Checkbox	Check this box if your authorised person or organisation holds a Power of Attorney for financial and/or legal decisions and you are providing a copy of the document. Fill only if 'a question about having an authorised person or organisation' is 'Yes'.
Enduring Power of Attorney (financial/legal decisions)	Checkbox	Check this box if your authorised person or organisation holds an Enduring Power of Attorney for financial and/or legal decisions and you are providing a copy of the document. Fill only if 'a question about having an authorised person or organisation' is 'Yes'.
Guardianship order	Checkbox	Check this box if your authorised person or organisation holds a Guardianship order and you are providing a copy of the document. Fill only if 'a question about having an authorised person or organisation' is 'Yes'.
Financial management/administration order	Checkbox	Check this box if your authorised person or organisation holds a Financial management/administration order and you are providing a copy of the document. Fill only if 'a question about having an authorised person or organisation' is 'Yes'.
Income Protection Payments Question
No	Checkbox	Check this box if you or your partner do not receive payments from an income protection policy.
Yes	Checkbox	Check this box if you or your partner receive payments from an income protection policy.
Interest In Property Outside Australia
No	Checkbox	Check this box if you and/or your partner do not have an interest in any other property in and/or outside Australia.
Country of Property Interest	Text	Please specify the country or region where you have an interest in property outside Australia. Fill only if 'Are you (and/or your partner) involved in any type of business?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you and/or your partner have an interest in any other property in and/or outside Australia.
Interpreter Requirement
No	Checkbox	Check this box if you do not need an interpreter.
Interpreter Language Details	Text	Please provide additional details about the required interpreter, such as specific language or type of sign language.
Yes	Checkbox	Check this box if you need an interpreter.
Joint Financial Commitments Query
No	Checkbox	Check this box if you and this person have never had any joint financial commitments. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you and this person have ever had any joint financial commitments, such as a joint bank account, mortgage, or other loans. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Known by other names selection
No	Checkbox	Check this box if your partner has not been known by any other name. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Yes	Checkbox	Check this box if your partner has been known by other names, and you will provide details below. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Other Name	Text	Please provide all other names your partner has been known by, including their name at birth, name before marriage, previous married name, Aboriginal or skin name, alias, adoptive name, or foster name. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Leave Entitlements Question
No	Checkbox	Check this box if you (and/or your partner) have NOT received or do NOT expect to receive any leave entitlements or redundancy payments from an employer in the last 12 months.
Yes	Checkbox	Check this box if you (and/or your partner) HAVE received or DO expect to receive any leave entitlements or redundancy payments from an employer in the last 12 months.
Legal Documents Held
S.Q9_PoA	CheckBox
Enduring Power of Attorney (financial and/or legal decisions)	Checkbox	Check this box if you have an Enduring Power of Attorney for financial and/or legal decisions. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Guardianship order	Checkbox	Check this box if you have a Guardianship order. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Financial management/administration order	Checkbox	Check this box if you have a Financial management/administration order. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
None of the above	Checkbox	Check this box if you do not have any of the legal documents listed above. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Lived in Australia Selection
No	Checkbox	Check this box if your partner has never lived in Australia. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
DummyCalcQ39	Text
Yes	Checkbox	Check this box if your partner has ever lived in Australia. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Lived Outside Australia Status
No	Checkbox	Check this box if you have never lived outside Australia for any period. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Yes	Checkbox	Check this box if you have lived outside Australia for any period. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Country	Text	Provide the name of the country you have lived in. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Living Arrangement
No	Checkbox	Check this box if the child does not currently live with you. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes	Checkbox	Check this box if the child currently lives with you. Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Living Arrangement with Partner
No	Checkbox	Check this box if you do not live in the same home as your partner. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Yes	Checkbox	Check this box if you live in the same home as your partner. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Reason Not Living with Partner	Text	Provide a reason if you do not live in the same home as your partner. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Living with Primary Tenant and Income Consideration
No	Checkbox	Check this box if you and your partner do not live with the primary tenant, or if your income has not been taken into account by the public housing authority when calculating the rent.
Public Housing Authority	Text	Enter the name of the public housing authority that took your and your partner's income into account when calculating rent.
Yes	Checkbox	Check this box if you and your partner live with the primary tenant AND your income has been taken into account by the public housing authority when calculating the rent.
Lodgings Cost
Lodgings Accommodation Amount	Number	Please provide the amount paid for lodgings, which is accommodation only. Fill only if 'Yes, can separate board and lodgings' is 'Yes'. Depends on: Yes, can separate board and lodgings
Lodgings Accommodation Period	Combobox	Please specify the period for which the lodgings accommodation amount is paid (e.g., day, week, fortnight, 4 weeks, or calendar month). Fill only if 'Yes, can separate board and lodgings' is 'Yes'. 4 Weeks Day Fortnight 4 weeks Week Depends on: Yes, can separate board and lodgings
Mobile Phone Details
Mobile Phone Number	Text	Please provide your mobile phone number. Max length: 10 characters
My name	Checkbox	Check this box if the mobile phone account is in your name.
My partner's name	Checkbox	Check this box if the mobile phone account is in your partner's name.
Another name	Checkbox	Check this box if the mobile phone account is in someone else's name.
Most Recent Visa Details
DummyCalcQ22	Text
Visa Subclass	Text	Enter the subclass number or code for your most recent visa. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Date Visa Granted	Date	Enter the date your most recent visa was granted. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Motor Vehicle Ownership
No	Checkbox	Check this box if you (and/or your partner) do not own, partly own, or have a financial interest in any motor vehicles, motor cycles, or trailers.
Yes	Checkbox	Check this box if you (and/or your partner) own, partly own, or have a financial interest in any motor vehicles, motor cycles, or trailers and need to provide details below.
Vehicle Type	Text	Please enter the type of motor vehicle, such as a car, motorcycle, or trailer. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Name on Rental Contract or Lease Agreement
No	Checkbox	Check this box if neither your nor your partner's name is on the rental contract or lease agreement.
Yes	Checkbox	Check this box if your or your partner's name is on the rental contract or lease agreement.
DummyCalcQ57	Text
Number of Other Children
Number of Other Children	Text	Enter the total number of other children, younger than 16 years, in your care. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Number Of Other Properties
Number of Other Properties	Text	Enter the total number of other properties you and/or your partner own or have an interest in, both inside and outside Australia. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Organisation Contact Person Name
Contact Person Name	Text	Please enter the full name of the contact person for the organisation. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Organisation Contact Phone Number
Organisation Contact Phone Number	Text	Please provide the contact phone number for the authorised organisation, including the area code. Fill only if 'Organisation' is 'Yes'. Max length: 10 characters Depends on: Organisation
Organisation's Email
Organisation Email	Text	Please provide the email address for the organisation. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Other Citizenship Details
Country of Citizenship	Text	Please provide the name of the country where your partner holds citizenship. Fill only if 'Other' is 'Yes'. Depends on: Other
Date Citizenship Granted	Date	Please provide the date your partner was granted citizenship. Fill only if 'Other' is 'Yes'. Max length: 10 characters Depends on: Other
Other Country of Residence
Other Country of Residence	Text	Enter the name of the country where your partner currently resides, if it is not Australia. Fill only if 'Other Country of residence' is 'Yes'. Depends on: Other Country of residence
Country of Residence Details	Text	Provide any further details or specific information about your partner's country of residence. Fill only if 'Other Country of residence' is 'Yes'. Depends on: Other Country of residence
Other Names of Authorised Person
Alternative Name	Text	Please provide any other name the authorised person has been known by, such as a name at birth, alias, or previous married name. Fill only if 'Person' is 'Yes'. Depends on: Person
Other Names Status
No	Checkbox	Check this box if you have not been known by any other name(s).
Yes	Checkbox	Check this box if you have been known by any other name(s) and need to provide details.
Other Name	Text	Please provide any other name you have been known by, such as a name at birth, name before marriage, previous married name, Aboriginal or skin name, alias, adoptive name, or foster name. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Other Support Inquiry
No	Checkbox	Check this box if you (and/or your partner) are not currently receiving any other support.
Yes	Checkbox	Check this box if you (and/or your partner) are currently receiving other support.
Given Away Description	Text	Please provide a detailed description of what was given away or sold for less than its market value, such as money, a car, a second home, land, or a farm. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Parent/Guardian Signature and Date
Sign	Text
Signature Date	Date	Provide the date the signature was made. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Max length: 10 characters Depends on: Yes
Parent/Guardian Signature	Text	Enter the signature of the parent or guardian of the child(ren). Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Partner Lived Outside Australia Query
No	Checkbox	Check this box if your partner has never lived outside Australia for any period, meaning they have always lived in Australia. Fill only if 'Has your partner ever lived in Australia?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if your partner has ever lived in any country other than Australia for a period where they made their home or spent a long time, excluding short trips or holidays. Fill only if 'Has your partner ever lived in Australia?' is 'Yes'. Depends on: Yes
Partner's Citizenship or Visa Holder Status
Partner is not applicable (no partner)	Checkbox	Check this box if you do not have a partner.
Partner is not an Australian citizen or permanent visa holder	Checkbox	Check this box if your partner is not an Australian citizen or a permanent visa holder.
Partner is an Australian citizen or permanent visa holder, but no longer with partner	Checkbox	Check this box if your partner is an Australian citizen or permanent visa holder, but you are no longer with them.
Partner is an Australian citizen or permanent visa holder	Checkbox	Check this box if your partner is an Australian citizen or a permanent visa holder.
Partner's Country of Birth
Country of Birth	Text	Provide your partner's country of birth. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Partner's Country of Citizenship Selection
Australia	Checkbox	Check this box if your partner's country of citizenship is Australia. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Other	Checkbox	Check this box if your partner's country of citizenship is not Australia and you need to provide details below. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Partner's Country of Residence Selection
Australia	Checkbox	Check this box if your partner is currently living in Australia on a long-term basis. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Other Country of residence	Checkbox	Check this box if your partner is currently living in a country other than Australia on a long-term basis. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Partner's Current Visa Details
Visa Subclass	Text	Please enter your partner's visa subclass. Fill only if 'What is your partner's current type of visa?' is 'Permanent' or 'Temporary'. Depends on: Permanent, Temporary
Visa Granted Date	Date	Please enter the date your partner's visa was granted. Fill only if 'What is your partner's current type of visa?' is 'Permanent' or 'Temporary'. Max length: 10 characters Depends on: Permanent, Temporary
Partner's Date of Birth
Partner's Date of Birth	Date	Please provide your partner's date of birth. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Max length: 10 characters Depends on: Partner is not an Australian citizen or permanent visa holder
Partner's Gender
Male	Checkbox	Check this box if your partner identifies as male. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Female	Checkbox	Check this box if your partner identifies as female. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Non-binary	Checkbox	Check this box if your partner identifies as non-binary. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Partner's Guardianship of Child
No	Checkbox	Check this box if the partner provided details at question 29 or 31 is not the other parent or guardian of the child claiming Special Benefit. Fill only if 'relationship status' is 'Married', 'Registered relationship', 'De facto', 'Separated' or 'Divorced'. Depends on: Married, Registered relationship, De facto relationship, Separated, Divorced
Yes	Checkbox	Check this box if the partner provided details at question 29 or 31 is the other parent or guardian of the child claiming Special Benefit. Fill only if 'relationship status' is 'Married', 'Registered relationship', 'De facto', 'Separated' or 'Divorced'. Depends on: Married, Registered relationship, De facto relationship, Separated, Divorced
Partner's Name
Mr	Checkbox	Check this box if your partner's title is 'Mr'. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Mrs	Checkbox	Check this box if your partner's title is 'Mrs'. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Miss	Checkbox	Check this box if your partner's title is 'Miss'. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Ms	Checkbox	Check this box if your partner's title is 'Ms'. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Mx	Checkbox	Check this box if your partner's title is 'Mx'. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Other Title	Text	Please enter your partner's title if 'Other' is selected. Fill only if 'Mr', 'Mrs', 'Miss', 'Ms', 'Mx' is 'Other'. Depends on: Mr, Mrs, Miss, Ms, Mx
Family Name	Text	Please enter your partner's family name. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
First Given Name	Text	Please enter your partner's first given name. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Second Given Name	Text	Please enter your partner's second given name. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Partner's Relationship to Child
Parent	Checkbox	Check this box if your partner is the child's parent. Fill only if 'your relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Adoptive parent	Checkbox	Check this box if your partner is the child's adoptive parent. Fill only if 'your relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Grandparent	Checkbox	Check this box if your partner is the child's grandparent. Fill only if 'your relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Step-parent	Checkbox	Check this box if your partner is the child's step-parent. Fill only if 'your relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Foster carer	Checkbox	Check this box if your partner is the child's foster carer. Fill only if 'your relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Other	Checkbox	Check this box if your partner's relationship to the child is not one of the categories listed. Fill only if 'your relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Partner's Other Relationship	Text	Please provide details if your partner's relationship to the child is not listed in the provided options. Fill only if 'Other' is 'Other'. Depends on: Other
Partner's Relationship to the Child
Parent	Checkbox	Check this box if your partner is the natural or relationship parent of the child. Fill only if 'relationship status' indicates you have a partner (is not Separated, Divorced, Widowed, or Never married). Depends on: Married, Registered relationship, De facto relationship
Adoptive parent	Checkbox	Check this box if your partner is the adoptive parent of the child. Fill only if 'relationship status' indicates you have a partner (is not Separated, Divorced, Widowed, or Never married). Depends on: Married, Registered relationship, De facto relationship
Grandparent	Checkbox	Check this box if your partner is the grandparent of the child. Fill only if 'relationship status' indicates you have a partner (is not Separated, Divorced, Widowed, or Never married). Depends on: Married, Registered relationship, De facto relationship
Step-parent	Checkbox	Check this box if your partner is the step-parent of the child. Fill only if 'relationship status' indicates you have a partner (is not Separated, Divorced, Widowed, or Never married). Depends on: Married, Registered relationship, De facto relationship
Foster carer	Checkbox	Check this box if your partner is the foster carer of the child. Fill only if 'relationship status' indicates you have a partner (is not Separated, Divorced, Widowed, or Never married). Depends on: Married, Registered relationship, De facto relationship
Other	Checkbox	Check this box if your partner's relationship to the child is not listed, and then provide further details. Fill only if 'relationship status' indicates you have a partner (is not Separated, Divorced, Widowed, or Never married). Depends on: Married, Registered relationship, De facto relationship
Partner's Other Relationship	Text	Specify your partner's relationship to the child if it is not one of the listed options. Fill only if 'relationship status' indicates you have a partner (is not Separated, Divorced, Widowed, or Never married). Depends on: Married, Registered relationship, De facto relationship
Partner's Relationship Details	Text	Provide further details about your partner's relationship to the child. Fill only if 'Other' is 'Other'. Depends on: Other
Partner's Signature Information
Partner's Signature Date	Date	Provide the date when the partner signed the form. Fill only if 'relationship status' is 'Married', 'Registered relationship' or 'De facto'. Max length: 10 characters Depends on: Married, Registered relationship, De facto relationship
Not able to obtain partner's signature	Checkbox	Check this box if you are unable to obtain your partner's signature for this form. Fill only if 'relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Details Indicator	Text	Indicate if further details are provided below regarding the partner's signature. Fill only if 'relationship status' is 'Married', 'Registered relationship' or 'De facto'. Depends on: Married, Registered relationship, De facto relationship
Partner's Signature Details	Text	Provide a detailed explanation if you are unable to obtain your partner's signature. Fill only if 'Not able to obtain partner's signature' is 'Yes'. Depends on: Not able to obtain partner's signature
Partner's Visa Type
Permanent	Checkbox	Check this box if your partner's current visa is permanent. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Temporary	Checkbox	Check this box if your partner's current visa is temporary. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
New Zealand passport (Special Category visa)	Checkbox	Check this box if your partner holds a New Zealand passport and has a Special Category visa. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
DummyCalcQ40	Text
Not sure	Checkbox	Check this box if you are not sure of your partner's current type of visa. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Password
Password	Text	Enter a password for security purposes. The password must contain 4 to 12 letters or numbers. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Max length: 12 characters Depends on: Yes
Pay Consistency Question
No	Checkbox	Check this box if you do not receive the same amount each pay day. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Yes	Checkbox	Check this box if you receive the same amount each pay day. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Payment Reception Choice
No	Checkbox	Check this box if you will not be receiving payments on behalf of the customer. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Receive Payments on Behalf of Customer	Text	Indicate whether you will be receiving payments on behalf of the customer by entering 'Yes' or 'No'. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes - by deposit	Checkbox	Check this box if you will be receiving payments on behalf of the customer by direct deposit into an account. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes - by group	Checkbox	Check this box if you will be receiving payments on behalf of the customer as part of a group payment. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Payment Start Date
Payment Start Date	Date	Please provide the date you and your partner started paying these fees. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a boarding house, guest house, hostel, hotel, campus, refuge, emergency or supported accommodation or similar'. Max length: 10 characters Depends on: Boarding house, hostel, supported accommodation
Period Not Living with Partner
Additional Period Detail	Text	Provide any additional specific details regarding the start date of the period not living with your partner. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Period From Date	Date	Provide the date you started not living with your partner. Fill only if 'No' is 'Yes'. Max length: 10 characters Depends on: No
Period To Date	Date	Provide the date you stopped not living with your partner. Fill only if 'No' is 'Yes'. Max length: 10 characters Depends on: No
or indefinite	Checkbox	Check this box if the period you are not living with your partner is indefinite and does not have an end date. Fill only if 'No' is 'Yes'. Depends on: No
Permanent Address
Permanent Address Line 1	Text	Please provide the first line of your permanent address.
Permanent Address Line 2	Text	Please provide the second line of your permanent address.
Permanent Address Line 3	Text	Please provide the third line of your permanent address, typically including suburb, city, or state.
Permanent Postcode	Number	Please enter your permanent address postcode. Max length: 4 characters
Permanent Home Address
Street Address	Text	Please provide the street number, street name, and any unit or building details for your permanent home address.
Suburb, Town or State	Text	Please provide the suburb, town, or state of your permanent home address.
Postcode	Number	Please provide the postcode for your permanent home address. Max length: 4 characters
Person 1 Answer Check
No	Checkbox	Check this box if you did not answer 'Yes' at B, C or D for this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Answer to B, C, or D	Text	Enter the answer you provided for this person in question B, C, or D. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you answered 'Yes' at B, C or D for this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 1 Details
Full Name	Text	Please provide the full name of Person 1. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Age	Text	Please provide the current age of Person 1. Fill only if 'Q44 Yes' is 'Yes'. Max length: 3 characters Depends on: Q44 Yes
Start Sharing Date	Date	Please provide the date you started sharing accommodation with this person. Fill only if 'Q44 Yes' is 'Yes'. Max length: 10 characters Depends on: Q44 Yes
Relationship	Text	Please describe your relationship to Person 1. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Person 1 Safety Concern
No	Checkbox	Check this box if you are not concerned about your safety if forms are issued to this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Safety Concern Details	Text	Provide specific details regarding your concern for safety if forms are issued to this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you are concerned about your safety if forms are issued to this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 1 Shared Accommodation Query
No	Checkbox	Check this box if there is no other person who shares your accommodation. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Number of Other Persons	Number	Enter the number of additional people who share your accommodation. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if there is another person who shares your accommodation. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 2 Additional Shared Accommodation Query
Q45.P2.h_No	CheckBox
Yes	Checkbox	Check this box if there is another person who shares accommodation with Person 2. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 2 Answer Check
No	Checkbox	Check this box if you did not answer 'Yes' at questions B, C, or D for this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you answered 'Yes' at questions B, C, or D for this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 2 Couple Status Query
No	Checkbox	Check this box if you and this person are not considered to be a couple, even if you participate in activities jointly. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you and this person are considered to be a couple because you participate in activities jointly. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 2 Details
Full Name	Text	Enter the full name of Person 2. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Age	Text	Enter the age of Person 2. Fill only if 'Yes' is 'Yes'. Max length: 3 characters Depends on: Yes
Sharing Start Date	Date	Provide the date when you started sharing with this person. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Relationship to Person 2	Text	Enter your relationship to Person 2. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Person 2 Joint Financial Commitments
No	Checkbox	Check this box if you and Person 2 have never had any joint financial commitments. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you and Person 2 have ever had any joint financial commitments (e.g., joint bank account, mortgage, or other loans). Fill only if 'Yes' is 'Yes'. Depends on: Yes
Person 2 Previous Cohabitation
No	Checkbox	Check this box if you and Person 2 have not previously lived together as a couple. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you and Person 2 have previously lived together as a couple. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 2 Safety Concern
No	Checkbox	Check this box if you are not concerned about your safety if forms are issued to this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you are concerned about your safety if forms are issued to this person. Fill only if 'Do you share your accommodation with anyone other than an immediate family member?' is 'Yes'. Depends on: Q44 Yes
Person 2 Shared Accommodation at Another Address
No	Checkbox	Check this box if you and this person have not shared accommodation at another address. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you and this person have shared accommodation at another address. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Person 2 Shared Parenting/Guardianship
No	Checkbox	Check this box if you and this person do not share the parenting or guardianship of any children. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you and this person share the parenting or guardianship of any children. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Person Working For Employer
You	Checkbox	Check this box if you are the person working for this employer. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Your Partner	Checkbox	Check this box if your partner is the person working for this employer. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Postal Address
Postal Address Line 1	Text	Enter the first line of your postal address.
Postal Address Line 2	Text	Enter the second line of your postal address, if applicable.
Postal Address Line 3	Text	Enter the third line of your postal address, typically including suburb, city, and state.
Postal Postcode	Text	Enter the postcode for your postal address. Max length: 4 characters
Postal Street Address	Text	Please provide the street name and number for your postal address.
Postal Suburb/City/State	Text	Please provide the suburb, city, and state for your postal address.
Postal Postcode	Text	Please provide the postcode for your postal address. Max length: 4 characters
Power of Attorney Information
Power of Attorney Signing Confirmation	Text	Provide confirmation if a Power of Attorney is signing the customer declaration.
Power of Attorney Signing	Checkbox	Check this box if a Power of Attorney is signing the customer declaration on behalf of the customer.
Power of Attorney Name	Text	Enter the full name of the Power of Attorney who is signing. Fill only if 'Power of Attorney Signing Confirmation', 'Power of Attorney Signing' is 'Yes'. Depends on: Power of Attorney Signing Confirmation, Power of Attorney Signing
Preferred Spoken Language
Preferred Spoken Language	Text	Please provide your preferred spoken language. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Preferred Written Language
Preferred Written Language	Text	Please enter your preferred written language. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Previous Cohabitation as Couple Query
No	Checkbox	Check this box if you and this person have not previously lived together as a couple. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Country 1	Text	Enter the name of the first country where your partner has lived since birth, other than Australia. Fill only if 'Has your partner ever lived in Australia?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you and this person have previously lived together as a couple. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Primary Tenant Paying Market Rate of Rent
No	Checkbox	Check this box if the primary tenant is not paying the market rate of rent.
Not sure	Checkbox	Check this box if you are unsure whether the primary tenant is paying the market rate of rent.
Yes	Checkbox	Check this box if the primary tenant is paying the market rate of rent.
Unsure Navigation	Text	Provide the number of the next question to navigate to if unsure about the primary tenant paying market rate of rent.
Prior Compensation Disclosure Question
No	Checkbox	Check this box if you or your partner have not previously disclosed this compensation information to us. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you or your partner have previously disclosed this compensation information to us. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Privacy notice
Q107	Text
Reason for Not Living in Home
You or the children are studying	Checkbox	Check this box if you or your children are studying as the reason for not living in the home. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Receiving medical treatment	Checkbox	Check this box if you are receiving medical treatment as the reason for not living in the home. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Receiving care from a person in a private home	Checkbox	Check this box if you are receiving care from a person in a private home as the reason for not living in the home. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Receiving care in a nursing home	Checkbox	Check this box if you are receiving care in a nursing home as the reason for not living in the home. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Providing care to a person in a private home	Checkbox	Check this box if you are providing care to a person in a private home as the reason for not living in the home. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Overseas absence	Checkbox	Check this box if you are experiencing an overseas absence as the reason for not living in the home. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Other	Checkbox	Check this box if your reason for not living in the home is not listed above, and provide details. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Other Reason Details	Text	Please provide specific details if you selected 'Other' as the reason for not living in the home. Fill only if 'Other' is 'Yes'. Depends on: Other
Full Reason Explanation	Text	Please provide a detailed explanation of your reason for not living in the home. Fill only if 'Other' is 'Yes'. Depends on: Other
Reason for Not Living with Partner
Partner's illness	Checkbox	Check this box if you are not living with your partner due to your partner's illness. Fill only if 'No' is 'Yes'. Depends on: No
Your illness	Checkbox	Check this box if you are not living with your partner due to your own illness. Fill only if 'No' is 'Yes'. Depends on: No
Partner in prison	Checkbox	Check this box if you are not living with your partner because your partner is in prison. Fill only if 'No' is 'Yes'. Depends on: No
Partner's employment	Checkbox	Check this box if you are not living with your partner due to your partner's employment. Fill only if 'No' is 'Yes'. Depends on: No
Other	Checkbox	Check this box if you are not living with your partner for a reason not listed above, and provide details. Fill only if 'No' is 'Yes'. Depends on: No
Other Reason Short	Text	Please provide a brief explanation for why you are not living with your partner if your reason is not listed. Fill only if 'Is your partner an Australian citizen or a permanent visa holder?' is 'No'. Depends on: Partner is not an Australian citizen or permanent visa holder
Other Reason Details	Text	Please provide detailed information explaining why you are not living with your partner if your reason is not listed. Fill only if 'Other' is 'Yes'. Depends on: Other
Relationship Status
Married Status Identifier	Text	Provide any specific code or identifier related to your married status.
Married	Checkbox	The user should check this box if they are currently married to their partner.
Date Married or Reconciled (Married)	Date	Enter the date you were married or last reconciled with your partner. Fill only if 'Married' is 'Yes'. Max length: 10 characters Depends on: Married
Registered relationship	Checkbox	The user should check this box if their relationship is registered under Australian state or territory law.
Date Registered or Reconciled (Registered Relationship)	Date	Enter the date your registered relationship was registered or last reconciled with your partner. Fill only if 'Registered relationship' is 'Yes'. Max length: 10 characters Depends on: Registered relationship
De facto relationship	Checkbox	The user should check this box if they are in a de facto relationship, meaning their relationship is similar to a married couple but is not legally married or registered.
Date Relationship Started or Reconciled (De Facto)	Date	Enter the date you started your de facto relationship or last reconciled with your partner. Fill only if 'De facto relationship' is 'Yes'. Max length: 10 characters Depends on: De facto relationship
Separated	Checkbox	The user should check this box if they are currently separated from a partner with whom they were previously in a marriage, registered, or de facto relationship.
Date of Last Separation	Date	Enter the date of your last separation from a partner. Fill only if 'Separated' is 'Yes'. Max length: 10 characters Depends on: Separated
Divorced	Checkbox	The user should check this box if they are legally divorced from a previous marriage.
Date of Divorce	Date	Enter the date your divorce was finalized. Fill only if 'Divorced' is 'Yes'. Max length: 10 characters Depends on: Divorced
Widowed	Checkbox	The user should check this box if their partner from a previous marriage, registered, or de facto relationship has died.
Date of Partner's Death	Date	Enter the date your partner passed away. Fill only if 'Widowed' is 'Yes'. Max length: 10 characters Depends on: Widowed
Never married or lived with a partner	Checkbox	The user should check this box if they have never been married and have never lived with a partner.
Relationship to Customer
Parent of customer	Checkbox	Check this box if your relationship to the customer is that of a parent. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Child of customer	Checkbox	Check this box if your relationship to the customer is that of a child. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Legal guardian	Checkbox	Check this box if your relationship to the customer is that of a legal guardian. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Partner	Checkbox	Check this box if your relationship to the customer is that of a partner. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Sibling	Checkbox	Check this box if your relationship to the customer is that of a sibling. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Grandparent of customer	Checkbox	Check this box if your relationship to the customer is that of a grandparent. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Grandchild of customer	Checkbox	Check this box if your relationship to the customer is that of a grandchild. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Other relative	Checkbox	Check this box if your relationship to the customer is that of another relative not explicitly listed. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Organisation	Checkbox	Check this box if your relationship to the customer is as an organisation. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Professional	Checkbox	Check this box if your relationship to the customer is as a professional. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Other	Checkbox	Check this box if your relationship to the customer is not described by any of the other options and provide details in the space below. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
DummyCalcQ12S	Text
Other Relationship	Text	Enter your specific relationship with the customer if it is not listed above. Fill only if 'Other' is 'Yes'. Depends on: Other
Relevant Professional Evidence
Letter or medical evidence of incapacity	Checkbox	Check this box if you are providing a letter or medical evidence of the customer's incapacity from a relevant professional for third-party authorisation. Fill only if 'Do you need an interpreter?' is 'Yes'. Depends on: Yes
Requested Arrangement Type
Option 1: Person permitted to enquire	Checkbox	Check this box if you want to authorise someone to ask questions about your payments and services, but not make any updates.
Option 2: Person permitted to update	Checkbox	Check this box if you want to authorise someone to ask questions about your payments and services and provide information to update them.
Option 3: Correspondence nominee	Checkbox	Check this box if you want to nominate someone to handle inquiries, report changes, sign forms, attend appointments, and receive your letters on your behalf.
Option 4: Payment nominee	Checkbox	Check this box if you want to nominate someone to receive your Centrelink payments on your behalf.
Second Asset Disposition Details
Second Asset Description	Text	Provide a description of the second asset or item you gave away or sold for less than its market value. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Asset Disposition Date	Date	Enter the date when the second asset was given away or sold. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Second Asset Market Value	Number	Enter the market value of the second asset at the time it was given away or sold. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Asset Proceeds Received	Number	Enter the amount of money you received for the second asset when it was given away or sold. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Asset Your Share	Number	Enter your percentage share of the second asset that was given away or sold. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Second Asset Partner's Share	Number	Enter your partner's percentage share of the second asset that was given away or sold. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
No	Checkbox	Check this box if the second asset given away or sold for less than its market value was NOT a gift to a Special Disability Trust (SDT). Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if the second asset given away or sold for less than its market value WAS a gift to a Special Disability Trust (SDT). Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Bank Account Details
Second Bank Name	Text	Please provide the full name of the bank, building society, or credit union where the second account is held.
Second Account Number	Text	Please enter the account number for the second bank account, ensuring it is not your card number.
Second Account Balance	Number	Please provide the current financial balance of the second bank account.
Second Account Currency	Text	Please specify the currency type of the second bank account if it is not Australian Dollars (AUD). Fill only if 'Second Account Balance' is not in AUD. Depends on: Second Account Balance
Your Share Percentage (Second Account)	Number	Please enter your percentage share of the second bank account's ownership. Max length: 5 characters
Partner's Share Percentage (Second Account)	Number	Please enter your partner's percentage share of the second bank account's ownership. Fill only if 'Relationship status' is 'Married', 'Registered relationship' or 'De facto'. Max length: 5 characters Depends on: Married, Registered relationship, De facto relationship
Second Boat or Caravan Details
Type of Asset	Text	Please enter the type of the second boat or caravan. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Make	Text	Please enter the make or brand of the second boat or caravan. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Model	Text	Please enter the model of the second boat or caravan. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Year	Text	Please enter the year of manufacture for the second boat or caravan. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Current Market Value	Number	Please enter the current market value of the second boat or caravan. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Balance of Loan to Purchase	Number	Please enter the outstanding balance of any loan(s) taken to purchase the second boat or caravan. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Your Share Percentage	Number	Please enter your percentage share of the second boat or caravan's value. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Partner's Share Percentage	Number	Please enter your partner's percentage share of the second boat or caravan's value. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Second Country Lived In
Second Country Name	Text	Please provide the name of the second country you have lived in. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Country Date From	Date	Please provide the date you started living in the second country. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Second Country of Partner's Residence
Second Country Name	Text	Please provide the name of the second country your partner has lived in. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Country Start Date	Date	Please provide the date your partner started living in the second country. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Second Given Name
Second Given Name	Text	Please enter your second given name.
Second Motor Vehicle Details
Type of Asset	Text	Provide the type of asset, for example, 'car'. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Make	Text	Enter the make of the motor vehicle, for example, 'Holden'. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Model	Text	Enter the model of the motor vehicle, for example, 'Astra'. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Year	Text	Enter the year of manufacture of the motor vehicle in YYYY format. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Current Market Value	Number	Provide the current market value of the motor vehicle. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Balance of Loan	Number	Enter the remaining balance of any loan(s) taken to purchase the motor vehicle. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Your Share Percentage	Number	Enter your percentage share of ownership or value of the motor vehicle. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Partner's Share Percentage	Number	Enter your partner's percentage share of ownership or value of the motor vehicle. Fill only if 'Yes' is 'Yes'. Max length: 5 characters Depends on: Yes
Second Other Name
Second Other Name	Text	Please enter the second other name you have been known by. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Other Name Type	Text	Please describe the type of the second other name you have been known by, such as 'name before marriage'. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Other Name	Text	Please provide your partner's second other name. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Other Name Type	Text	Please specify the type of this second other name, such as a name before marriage. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Person Details
Second Person's Name	Text	Enter the full name of the second person sharing accommodation with you. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Second Person's Age	Text	Enter the age of the second person sharing accommodation with you. Fill only if 'Yes, we share accommodation' is 'Yes'. Max length: 3 characters Depends on: Yes, we share accommodation
Second Person's Move-in Date	Date	Provide the date the second person moved into the accommodation. Fill only if 'Yes, we share accommodation' is 'Yes'. Max length: 10 characters Depends on: Yes, we share accommodation
Second Person's Relationship	Text	State the relationship of the second person to you. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
No	Checkbox	Check this box if the second person listed does not own the home. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Yes	Checkbox	Check this box if the second person listed does own the home. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Second Person's Share Amount	Number	Enter the amount of rent or lodgings the second person contributes. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Second Person's Share Period	Combobox	Specify the period for which the second person's share of rent/lodgings is paid (e.g., day, week, month). Fill only if 'Yes, we share accommodation' is 'Yes'. 4 Weeks Day Fortnight 4 weeks Week Depends on: Yes, we share accommodation
Second Support Details
Type of Support Received	Text	Enter the type of support received, for example, financial assistance, Red Cross support, or spousal maintenance. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Value of Support Received	Number	Enter the monetary value of the support received. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Support Frequency	Combobox	Enter how often the support is received, such as weekly, fortnightly, monthly, or yearly. Fill only if 'Yes' is 'Yes'. 4 Weeks Day Yearly Fortnight 4 weeks Week Depends on: Yes
Support Stop Date	Date	Enter the date when this support is expected to stop. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Ongoing	Checkbox	Check this box if the second type of support received does not have a specific end date and is expected to continue indefinitely. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Second Support Received Details
Type of Support Received	Text	Please enter the type of support received. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Support Value	Number	Please enter the monetary value of the support received. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Support Frequency	Combobox	Please specify how often the support is received (e.g., weekly, fortnightly, monthly, yearly). 4 Weeks Day Yearly Fortnight 4 weeks Week
Support Stop Date	Date	Please enter the date when this support will stop. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Max length: 10 characters Depends on: Yes
Ongoing	Checkbox	Check this box if the second type of support received is ongoing and does not have a specific end date. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Separable Board and Lodgings Inquiry
No, cannot separate board and lodgings	Checkbox	Check this box if you and your partner cannot separate the amounts paid for board and lodgings. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a boarding house, guest house, hostel, hotel, campus, refuge, emergency or supported accommodation or similar'. Depends on: Boarding house, hostel, supported accommodation
DummyCalcQ62	Text
Yes, can separate board and lodgings	Checkbox	Check this box if you and your partner can separate the amounts paid for board (meals) and lodgings (accommodation only). Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a boarding house, guest house, hostel, hotel, campus, refuge, emergency or supported accommodation or similar'. Depends on: Boarding house, hostel, supported accommodation
Shared Accommodation at Another Address Query
No	Checkbox	Check this box if you and this person have not shared accommodation at another address. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you and this person have shared accommodation at another address. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Shared Accommodation Inquiry
No, we do not share accommodation	Checkbox	Check this box if you and your partner do not share your accommodation with other people. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a place where you (and/or your partner) pay private rent'. Depends on: Pay private rent
Yes, we share accommodation	Checkbox	Check this box if you and your partner share your accommodation with other people. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a place where you (and/or your partner) pay private rent'. Depends on: Pay private rent
Shared Accommodation Details	Text	Provide additional details regarding sharing your accommodation with other people. Fill only if 'What type of accommodation best describes where you (and your partner) live?' is 'In a place where you (and/or your partner) pay private rent'. Depends on: Pay private rent
Shared Accommodation with Non-Family Member Query
Q44 No	Checkbox	Check this box if you do not share your accommodation with anyone other than an immediate family member.
DummyCalcQ44	Text
Q44 Yes	Checkbox	Check this box if you share your accommodation with someone who is not an immediate family member.
Shared Care Details
No, do not share care	Checkbox	Check this box if you and your partner do not share the care of this child with another person (not including school or day care arrangements). Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Yes, share care	Checkbox	Check this box if you or your partner share the care of this child with another person (not including school or day care arrangements). Fill only if 'Are you claiming Special Benefit for another child younger than 16 years, you have not already claimed for?' is 'Yes'.
Child Care Percentage	Number	Enter the percentage of care you (and/or your partner) provide for this child. Fill only if 'Yes, share care' is 'Yes'. Max length: 4 characters Depends on: Yes, share care
Shared Parenting/Guardianship Query
No	Checkbox	Check this box if you and this person do not share the parenting or guardianship of any children. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Yes	Checkbox	Check this box if you and this person share the parenting or guardianship of any children. Fill only if 'Q44 Yes' is 'Yes'. Depends on: Q44 Yes
Site, Ground or Mooring Fees Payment
Q56_No	CheckBox
Site, Ground or Mooring Fees Paid	Text	Enter the details of any site, ground, or mooring fees paid for your home, if applicable.
Q56	CheckBox
Sources of Other Income and Assets
Money on loan to another person or organisation	Checkbox	Check this box if you have money on loan to another person or organisation.
Bonds or debentures	Checkbox	Check this box if you have bonds or debentures.
Money from any boarders or lodgers living with you	Checkbox	Check this box if you receive money from boarders or lodgers living with you, excluding immediate family members.
Educational assistance	Checkbox	Check this box if you receive educational assistance, such as scholarships and bursaries.
Managed investments	Checkbox	Check this box if you have managed investments, including investment trusts, personal investment plans, life insurance, and friendly society bonds.
Money you receive from a loan against your home	Checkbox	Check this box if you receive money from a loan against your home, such as a home equity conversion loan.
A life insurance policy that can be cashed in	Checkbox	Check this box if you have a life insurance policy that can be cashed in.
Any other income or assets that you have not already told us about	Checkbox	Check this box if you have any other income or assets that have not already been declared.
Special Benefit Claim Status
No	Checkbox	Check this box if you are not claiming Special Benefit for another child younger than 16 years whom you have not already claimed for. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
DummyCalcQ105.C1	Text
Yes	Checkbox	Check this box if you are claiming Special Benefit for another child younger than 16 years whom you have not already claimed for. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Status Resolution Support Services Payment Details
No	Checkbox	Check this box if you are not receiving a Status Resolution Support Services payment. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Yes	Checkbox	Check this box if you are receiving a Status Resolution Support Services payment. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
SRS Payment Reference	Text	Please provide any specific details or a reference for your Status Resolution Support Services payment. Fill only if 'Yes' is 'Yes'. Depends on: Yes
SRS Payment Explanation	Text	Please provide a detailed explanation regarding your Status Resolution Support Services payment. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Support From Outside Australia Inquiry
No	Checkbox	Check this box if you and/or your partner do not receive any money from outside Australia.
Yes	Checkbox	Check this box if you and/or your partner receive money from outside Australia, such as a pension, rent, or other means of support.
Third Country Lived In
Third Country Name	Text	Please provide the name of the third country you have lived in. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Third Country Lived In Date From	Date	Please provide the date from which you started living in the third country. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Third Country of Partner's Residence
Third Country	Text	Enter the name of the third country where your partner has lived since birth. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Third Country Date From	Date	Provide the date your partner started living in the third country. Fill only if 'Yes' is 'Yes'. Max length: 10 characters Depends on: Yes
Third Party Address
Address Line 1	Text	Please enter the first line of the third party's address.
Address Line 2	Text	Please enter the second line of the third party's address, including suburb, city, and state.
Postcode	Text	Please enter the postcode for the third party's address. Max length: 4 characters
Third Party Contact Phone Number
Third Party Contact Phone Number	Text	Please provide the contact phone number for the third party, including the area code. Max length: 10 characters
Third Party Declaration Date
Third Party Declaration Date	Date	Please provide the date the third party is making this declaration. Max length: 10 characters
Third Party Information
Third Party Name	Text	Provide the full name of the third party.
Relationship to Customer	Text	Enter the relationship of the third party to the customer.
Third Person Details
Third Person's Name	Text	Enter the full name of the third person living with you. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Third Person's Age	Text	Enter the age of the third person. Fill only if 'Yes, we share accommodation' is 'Yes'. Max length: 3 characters Depends on: Yes, we share accommodation
Third Person Move-in Date	Date	Enter the date the third person moved into the accommodation. Fill only if 'Yes, we share accommodation' is 'Yes'. Max length: 10 characters Depends on: Yes, we share accommodation
Third Person's Relationship	Text	Enter the relationship of the third person to you or your partner. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Do they own the home? - No	Checkbox	Check this box if the third person listed does not own the home. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Do they own the home? - Yes	Checkbox	Check this box if the third person listed owns the home. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Third Person's Share of Rent/Lodgings	Number	Enter the monetary amount representing the third person's share of the rent or lodgings. Fill only if 'Yes, we share accommodation' is 'Yes'. Depends on: Yes, we share accommodation
Third Person's Share Frequency	Combobox	Specify the frequency (e.g., day, week, month) for the third person's share of rent or lodgings. Fill only if 'Yes, we share accommodation' is 'Yes'. 4 Weeks Day Fortnight 4 weeks Week Depends on: Yes, we share accommodation
Third Support Received Details
Type of Support Received	Text	Please describe the type of support received. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Support Value	Number	Please enter the monetary value of the support received. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Support Frequency	Combobox	Please specify how often the support is received (e.g., weekly, fortnightly, monthly, yearly). 4 Weeks Day Yearly Fortnight 4 weeks Week
Support Stop Date	Date	Please provide the date when this support will stop. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Max length: 10 characters Depends on: Yes
Ongoing	Checkbox	Check this box if the third type of support received is ongoing and does not have a specific end date. Fill only if 'Are you (and/or your partner) currently receiving other support?' is 'Yes'. Depends on: Yes
Total Accommodation Payment
Total Payment Amount	Number	Enter the total amount you and your partner pay for accommodation. Fill only if 'No' is 'No'. Depends on: No
Payment Frequency	Combobox	Enter the frequency of the accommodation payment, such as day, week, fortnight, 4 weeks, or calendar month. Fill only if 'No' is 'No'. 4 Weeks Day Fortnight 4 weeks Week Depends on: No
Total Amount Charged and Period
Total Amount Charged	Number	Enter the total amount being charged. Fill only if 'Do you (and your partner) pay board and/or lodgings?' is 'No'. Depends on: No
Charging Period	Combobox	Specify the period for which the amount is charged (e.g., day, week, fortnight, 4 weeks, or calendar month). 4 Weeks Day Fortnight 4 weeks Week
Trading Name of Organisation
Trading Name of Organisation	Text	Provide the trading name of the authorised organisation. Fill only if 'Organisation' is 'Yes'. Depends on: Organisation
Travel Details
Year Last Entered Australia	Number	Please provide the last year you entered Australia. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Passport Number	Text	Please enter your passport number. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Passport Issuing Country	Text	Please specify the country where your passport was issued. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Yes Travel Confirmation	Text	Confirm that your partner has travelled outside Australia by entering a value in this field. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Year Last Entered Australia	Number	Provide the year your partner last entered Australia. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Passport Number	Text	Enter your partner's passport number. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Passport Country of Issue	Text	Enter the country where your partner's passport was issued. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Travel History
No	Checkbox	Check this box if the child has not travelled outside Australia, meaning all their travel has been within Australia.
Not applicable - never travelled outside Australia	Checkbox	Check this box if the child has never travelled outside Australia at any point.
Yes	Checkbox	Check this box if the child has travelled outside Australia, including short trips or holidays.
Year Last Entered Australia	Text	Please provide the year the child last entered Australia. Fill only if 'Yes' is 'Yes'. Max length: 4 characters Depends on: Yes
Passport Number	Text	Please enter the child's passport number. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Country of Issue	Text	Please provide the country where the passport was issued. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Travel Outside Australia Question
No	Checkbox	Check this box if you have never travelled outside Australia, including short trips and holidays.
Yes	Checkbox	Check this box if you have ever travelled outside Australia, including short trips and holidays.
Year Last Entered Australia	Text	Please provide the year you last entered Australia. Fill only if 'Yes' is 'Yes'. Depends on: Yes
Travel Outside Australia Selection
No	Checkbox	The user should check this box if their partner has not ever travelled outside Australia. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Not applicable - never travelled to Australia	Checkbox	The user should check this box if the question is not applicable because their partner has never travelled to Australia. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Yes	Checkbox	The user should check this box if their partner has ever travelled outside Australia, including for short trips and holidays. Fill only if 'your relationship status right now' is 'Married' or 'Registered relationship' or 'De facto' Depends on: Married, Registered relationship, De facto relationship
Visa Change Status
Q22_No	CheckBox
Yes	Checkbox	Check this box if your visa has changed since you arrived in Australia. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Visa Details on Arrival
Visa Subclass	Text	Please provide the subclass of your visa on arrival. Fill only if 'Permanent', 'Temporary' is selected, any. Depends on: Permanent, Temporary
Date Visa Granted	Date	Please enter the date your visa was granted. Fill only if 'Permanent', 'Temporary' is selected, any. Max length: 10 characters Depends on: Permanent, Temporary
Visa Type on Arrival
Visa Type on Arrival	Text	Please provide the type of visa you arrived on. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Permanent	Checkbox	Check this box if you arrived on a permanent visa. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Temporary	Checkbox	Check this box if you arrived on a temporary visa. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
New Zealand passport (Special Category visa)	Checkbox	Check this box if you arrived using a New Zealand passport under a Special Category visa. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Not sure	Checkbox	Check this box if you are unsure about the type of visa you arrived on. Fill only if 'Are you an Australian citizen or a permanent visa holder?' is 'No'. Depends on: No
Work Phone Number
Work Phone Number	Text	Please enter your work phone number, including the area code. Max length: 10 characters
Work Type
Full-time	Checkbox	Check this box if the work you are reporting is full-time. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Part-time	Checkbox	Check this box if the work you are reporting is part-time. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Seasonal	Checkbox	Check this box if the work you are reporting is seasonal. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Casual	Checkbox	Check this box if the work you are reporting is casual. Fill only if 'Employment related income' is 'Yes' Depends on: Yes
Your Date of Birth
Your Date of Birth	Date	Please provide your full date of birth. Max length: 10 characters
Your Name
Mr	Checkbox	Check this box if your title is Mr.
Mrs	Checkbox	Check this box if your title is Mrs.
Miss	Checkbox	Check this box if your title is Miss.
Ms	Checkbox	Check this box if your title is Ms.
Mx	Checkbox	Check this box if your title is Mx.
Other Title	Text	Please enter your title if it is not one of the options provided. Fill only if 'Mx' is 'Yes'. Depends on: Mx
Family Name	Text	Please enter your family name or surname.
First Given Name	Text	Please enter your first given name.
Second Given Name	Text	Please enter your second given name, if applicable.
Your Relationship to Child
Parent	Checkbox	Check this box if you are the child's natural parent or a relationship parent (e.g., legally responsible for the child born through an artificial conception procedure or where a surrogacy court order is in place).
Adoptive parent	Checkbox	Check this box if you are the child's adoptive parent.
Grandparent	Checkbox	Check this box if you are the child's grandparent.
Step-parent	Checkbox	Check this box if you are the child's step-parent.
Foster carer	Checkbox	Check this box if you are the child's foster carer.
Other	Checkbox	Check this box if your relationship to the child is not listed in the specific options provided and you need to give details.
Other Relationship Details	Text	Please provide specific details about your relationship to the child if it falls outside the predefined categories. Fill only if 'Other' is 'Other'. Depends on: Other
Your Relationship to the Child
Parent	Checkbox	Check this box if your relationship to the child is that of a natural, adoptive, or relationship parent. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Adoptive parent	Checkbox	Check this box if your relationship to the child is specifically as an adoptive parent. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Grandparent	Checkbox	Check this box if your relationship to the child is that of a grandparent. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Step-parent	Checkbox	Check this box if your relationship to the child is that of a step-parent. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Foster carer	Checkbox	Check this box if your relationship to the child is that of a foster carer. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Other	Checkbox	Check this box if your relationship to the child is not covered by any of the other options and you need to provide details. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
Your Other Relationship Details	Text	Please specify the nature of your relationship to the child if it is not one of the provided options. Fill only if 'Are you claiming Special Benefit on behalf of a child(ren) under the age of 16 years in your care?' is 'Yes'. Depends on: Yes
95.C1.Details	Text	Depends on: Other

Form SS001 - Claim for Special Benefit Instructions