Relationship and Child Care Arrangement Details Form Instructions
This form contains 247 fields organized into 63 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Additional Care Arrangement Details | ||
| Additional Care Arrangements or Concerns | Text |
Please provide any additional information about your care arrangements or any concerns you may have, such as difficulties contacting the other parent, carer, or guardian. Fill only if 'No', 'Yes' is checked and you have concerns, any.
Depends on:
No, Yes
|
| Additional Child in Care Status | ||
| No | Checkbox |
Check this box if you do not have another child in your care who spends time with someone other than your current partner.
|
| Child's Carer Name | Text |
Enter the full name of the person who cares for the child when they are not with you.
|
| Yes | Checkbox |
Check this box if you have another child in your care who spends time with someone other than your current partner.
|
| Additional Child Query | ||
| No | Checkbox |
Check this box if you do not have another child in your care who spends time with someone other than your current partner. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Yes | Checkbox |
Check this box if you have another child in your care who spends time with someone other than your current partner, and you need to provide details for each additional child. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Alternate Caregiver Contact Information | ||
| Alternate Caregiver Name | Text |
Please provide the full name of the alternate caregiver. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Alternate Caregiver Address Line 1 | Text |
Please enter the first line of the alternate caregiver's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Alternate Caregiver Address Line 2 | Text |
Please enter the second line of the alternate caregiver's street address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Alternate Caregiver Address Line 3 | Text |
Please enter the third line of the alternate caregiver's street address, such as the suburb or city. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Alternate Caregiver Postcode | Text |
Please enter the postcode for the alternate caregiver's address. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Alternate Caregiver Phone Number | Text |
Please provide the phone number, including the area code, for the alternate caregiver. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Arrangement Following Status | ||
| No | Checkbox |
Check this box if the arrangements in the parenting plan, court order, or written agreement are NOT being followed.
|
| Yes | Checkbox |
Check this box if the arrangements in the parenting plan, court order, or written agreement ARE being followed.
|
| Question Number for No | Text |
Please enter the number of the question to proceed to if the arrangements are not being followed.
|
| Care Arrangement Agreement | ||
| No | Checkbox |
Check this box if the care arrangements stated in this form are NOT agreed between all parties providing care for the children.
|
| Yes | Checkbox |
Check this box if the care arrangements stated in this form ARE agreed between all parties providing care for the children.
|
| Care Arrangement Dates | ||
| Care Arrangement Start Day | Text |
Provide the day the current care arrangement started.
|
| Care Arrangement Start Month | Text |
Provide the month the current care arrangement started.
|
| Care Arrangement Start Year | Text |
Provide the year the current care arrangement started.
|
| Care Arrangement End/Change Day | Text |
Provide the day the care arrangement is expected to end or change, if applicable. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Care Arrangement End/Change Month | Text |
Provide the month the care arrangement is expected to end or change, if applicable. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Care Arrangement End/Change Year | Text |
Provide the year the care arrangement is expected to end or change, if applicable. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Care Arrangement End/Change Date | ||
| End/Change Date Day | Date |
Enter the day these care arrangements are expected to end or change.
|
| End/Change Date Month | Date |
Enter the month these care arrangements are expected to end or change.
|
| End/Change Date Year | Date |
Enter the year these care arrangements are expected to end or change.
|
| Care Arrangement Start Date | ||
| Day Care Started | Date |
Please enter the day the care arrangement started.
|
| Month Care Started | Date |
Please enter the month the care arrangement started.
|
| Year Care Started | Date |
Please enter the year the care arrangement started.
|
| Care Arrangement Status | ||
| No | Checkbox |
Check this box if your care arrangements are not indefinite or ongoing.
|
| Yes | Checkbox |
Check this box if your care arrangements are indefinite and ongoing.
|
| Care Arrangements Status | ||
| No | Checkbox |
Check this box if your care arrangements are not indefinite or ongoing.
|
| Yes | Checkbox |
Check this box if your care arrangements are indefinite or ongoing.
|
| Child Time Spent With Others Status | ||
| No | Checkbox |
Check this box if the child does not spend time with someone other than you or your current partner.
|
| DummyCalcQ25.0 | Text | |
| Yes | Checkbox |
Check this box if the child spends time with someone other than you or your current partner, such as another parent, carer, or guardian.
|
| Child's Date of Birth | ||
| Child's Date of Birth - Day | Text |
Enter the day of the child's birth.
|
| Child's Date of Birth - Month | Text |
Enter the month of the child's birth.
|
| Child's Date of Birth - Year | Text |
Enter the year of the child's birth.
|
| Child's Day of Birth | Date |
Please enter the day of the child's birth.
|
| Child's Month of Birth | Date |
Please enter the month of the child's birth.
|
| Child's Year of Birth | Date |
Please enter the year of the child's birth.
|
| Child's Name | ||
| Child's Family Name | Text |
Please provide the child's family name.
|
| Child's Given Name(s) | Text |
Please provide the child's given name(s).
|
| Child's Family Name | Text |
Please provide the child's family name.
|
| Child's Given Name(s) | Text |
Please provide the child's given name(s).
|
| Child's Time with Other Parent/Carer | ||
| Nights | Text |
Provide the total number of nights the child will be with the other parent, carer, or guardian. Fill only if 'question 22' is not empty
Depends on:
No, Yes, Day Care Started, Month Care Started, Year Care Started, End/Change Date Day, End/Change Date Month, End/Change Date Year
|
| Weeks | Text |
Provide the total number of weeks the child will be with the other parent, carer, or guardian. Fill only if 'question 22' is not empty
Depends on:
No, Yes, Day Care Started, Month Care Started, Year Care Started, End/Change Date Day, End/Change Date Month, End/Change Date Year
|
| Hours | Text |
Provide the total number of hours the child will be with the other parent, carer, or guardian. Fill only if 'question 22' is not empty
Depends on:
No, Yes, Day Care Started, Month Care Started, Year Care Started, End/Change Date Day, End/Change Date Month, End/Change Date Year
|
| Child's Time with Others | ||
| No | Checkbox |
Check this box if the child does not spend time with anyone other than yourself or your current partner. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Yes | Checkbox |
Check this box if the child spends time with someone other than yourself or your current partner, such as another parent. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Child's Time with You | ||
| Total number of nights with you | Number |
Enter the total number of nights the child will be with you during the specified care period. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Total number of weeks with you | Number |
Enter the total number of weeks the child will be with you during the specified care period. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Total number of hours with you | Number |
Enter the total number of hours the child will be with you during the specified care period. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Contact Details | ||
| Home Phone Number | Text |
Please enter your home phone number, including the area code.
|
| Mobile Phone Number | Text |
Please enter your mobile phone number.
|
| Work Phone Number | Text |
Please enter your work phone number, including the area code.
|
| Text |
Please enter your email address.
|
|
| Contact Person Details | ||
| Full name | Text |
Depends on:
Yes
|
| Q25_Details_1.Address1 | Text |
Depends on:
Yes
|
| Q25_Details_1.Address2 | Text |
Depends on:
Yes
|
| Q25_Details_1.Address3 | Text |
Depends on:
Yes
|
| Q25_Details_1.Postcode | Text |
Depends on:
Yes
|
| Enter 10 digit number with no spaces. Include area code for a landline | Text |
Depends on:
Yes
|
| Current Payments Status | ||
| No | Checkbox |
Check this box if you and/or your partner are NOT currently receiving fortnightly payments, including a zero rate of Family Tax Benefit or Child Care Subsidy for this child.
|
| Yes | Checkbox |
Check this box if you and/or your partner ARE currently receiving fortnightly payments, including a zero rate of Family Tax Benefit or Child Care Subsidy for this child.
|
| Go To Question Number | Text |
Please provide the number of the next question to proceed to if you are not currently receiving fortnightly payments.
|
| Customer Reference Number | ||
| Reference Number Part 1 | Text |
Enter the first part of your customer reference number.
|
| Reference Number Part 2 | Text |
Enter the second part of your customer reference number.
|
| Reference Number Part 3 | Text |
Enter the third part of your customer reference number.
|
| Reference Number Part 4 | Text |
Enter the fourth part of your customer reference number.
|
| Date Married or Last Reconciled | ||
| Day of Marriage/Reconciliation | Text |
Enter the day you were married or last reconciled with your partner.
|
| Month of Marriage/Reconciliation | Text |
Enter the month you were married or last reconciled with your partner. Fill only if 'Married' is 'Yes'.
Depends on:
Married
|
| First Two Digits of Year | Text |
Enter the first two digits of the year you were married or last reconciled with your partner. Fill only if 'Married' is 'Yes'.
Depends on:
Married
|
| Last Two Digits of Year | Text |
Enter the last two digits of the year you were married or last reconciled with your partner. Fill only if 'Married' is 'Yes'.
Depends on:
Married
|
| Date of Birth | ||
| Day of Birth | Text |
Please enter the day of your birth.
|
| Month of Birth | Text |
Please enter the month of your birth.
|
| Year of Birth | Number |
Please enter the year of your birth.
|
| Date of Divorce | ||
| Divorce Day | Date |
Please provide the day of the divorce. Fill only if 'Divorced' is 'Yes'.
Depends on:
Divorced
|
| Divorce Month | Date |
Please provide the month of the divorce. Fill only if 'Divorced' is 'Yes'.
Depends on:
Divorced
|
| Divorce Year | Date |
Please provide the year of the divorce. Fill only if 'Divorced' is 'Yes'.
Depends on:
Divorced
|
| Date of Last Separation | ||
| Day of Last Separation | Text |
Please enter the day of your last separation. Fill only if 'Separated' is 'Yes'.
Depends on:
Separated
|
| Month of Last Separation | Text |
Please enter the month of your last separation. Fill only if 'Separated' is 'Yes'.
Depends on:
Separated
|
| Year of Last Separation | Text |
Please enter the year of your last separation. Fill only if 'Separated' is 'Yes'.
Depends on:
Separated
|
| Date of Partner's Death | ||
| Day of partner's death | Text |
Enter the day of your partner's death. Fill only if 'Widowed' is 'Yes'.
Depends on:
Widowed
|
| Month of partner's death | Text |
Enter the month of your partner's death. Fill only if 'Widowed' is 'Yes'.
Depends on:
Widowed
|
| Year of partner's death | Text |
Enter the year of your partner's death. Fill only if 'Widowed' is 'Yes'.
Depends on:
Widowed
|
| Date Registered or Last Reconciled | ||
| Registered Relationship Day | Number |
Please enter the day your registered relationship was registered or last reconciled. Fill only if 'Registered relationship' is 'Yes'.
Depends on:
Registered relationship
|
| Registered Relationship Month | Number |
Please enter the month your registered relationship was registered or last reconciled. Fill only if 'Registered relationship' is 'Yes'.
Depends on:
Registered relationship
|
| Registered Relationship Year | Number |
Please enter the year your registered relationship was registered or last reconciled. Fill only if 'Registered relationship' is 'Yes'.
Depends on:
Registered relationship
|
| Date Relationship Started or Last Reconciled | ||
| De facto Relationship Day | Date |
Please provide the day you started your de facto relationship or last reconciled with your partner. Fill only if 'De facto' is 'Yes'.
Depends on:
De facto
|
| De facto Relationship Month | Date |
Please provide the month you started your de facto relationship or last reconciled with your partner. Fill only if 'De facto' is 'Yes'.
Depends on:
De facto
|
| De facto Relationship Year | Date |
Please provide the year you started your de facto relationship or last reconciled with your partner. Fill only if 'De facto' is 'Yes'.
Depends on:
De facto
|
| Declarant's Signature and Date | ||
| Sign | Text | |
| Declaration Date Day | Text |
Please enter the day of the date you are signing this declaration.
|
| Declaration Date Month | Text |
Please enter the month of the date you are signing this declaration.
|
| Declaration Date Year | Text |
Please enter the year of the date you are signing this declaration.
|
| Declarant's Signature | Text |
Please enter your full legal signature to confirm your declaration.
|
| Duration of Care With Other Parent | ||
| Number of Nights | Number |
Enter the total number of nights this child will be with the other parent, carer, or guardian for the specified care period. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Number of Weeks | Number |
Enter the total number of weeks this child will be with the other parent, carer, or guardian for the specified care period. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Number of Hours | Number |
Enter the total number of hours this child will be with the other parent, carer, or guardian for the specified care period. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Duration of Care With You | ||
| Total Nights | Text |
Enter the total number of nights the child will be with you during the care period. Fill only if 'No' is 'No'.
Depends on:
No
|
| Total Weeks | Text |
Enter the total number of weeks the child will be with you during the care period. Fill only if 'No' is 'No'.
Depends on:
No
|
| Total Hours | Text |
Enter the total number of hours the child will be with you during the care period. Fill only if 'No' is 'No'.
Depends on:
No
|
| Family Tax Benefit Eligibility Question | ||
| No | Checkbox |
Check this box if you do not want to test your eligibility for Family Tax Benefit or Child Care Subsidy for this child and wish to proceed to the next question. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Yes | Checkbox |
Check this box if you want to test your eligibility for Family Tax Benefit or Child Care Subsidy for this child and will continue to complete and return this form. Fill only if 'No' is 'Yes'.
Depends on:
No
|
| Family Tax Benefit Eligibility Test | ||
| No | Checkbox |
Check this box if you do not want to test your eligibility for Family Tax Benefit or Child Care Subsidy for this child and wish to proceed to the next question.
|
| Yes | Checkbox |
Check this box if you want to test your eligibility for Family Tax Benefit or Child Care Subsidy for this child, or if you are not currently receiving these benefits and wish to make a claim.
|
| Fortnightly Payments Question | ||
| No | Checkbox |
Check this box if you and/or your partner are NOT currently receiving fortnightly payments, including receiving a zero rate of Family Tax Benefit or receiving Child Care Subsidy for this child.
|
| Yes | Checkbox |
Check this box if you and/or your partner ARE currently receiving fortnightly payments, including receiving a zero rate of Family Tax Benefit or receiving Child Care Subsidy for this child.
|
| Next Question Number for No | Text |
Provide the number of the next question to proceed to if you are not currently receiving fortnightly payments for this child.
|
| Further Care Arrangement Information | ||
| Further Care Arrangement Details | Text |
Please provide any additional information regarding the care arrangements for this child, such as specific schedules or holiday arrangements.
|
| Further Information on Care Arrangements | ||
| Further Information | Text |
Please provide any further details regarding the care arrangements for this child. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| General | ||
| Instructions | Button | |
| Instructions | Button | |
| Q4.Address1 | Text | |
| Q4.Address2 | Text | |
| Q5.Address1 | Text | |
| Q5.Address2 | Text | |
| Q7GoToQ8_0 | Button | |
| Q7GoToQ8_1 | Button | |
| Q7GoToQ8_2 | Button | |
| Q7GoToQ14_0 | Button | |
| Q7GoToQ14_1 | Button | |
| Q7GoToQ14_2 | Button | |
| Q7GoToQ14_3 | Button | |
| 14 | Text | |
| Q19GoToQ21.0 | Button | |
| Q23GoToQ25.0 | Button | |
| Q24GoToQ32.0 | Button | |
| Q25GoToQ32.0 | Button | |
| Q26GoToQ29.0 | Button | |
| Q28GoToQ32_0 | Button | |
| Q32GoToQ33.0 | Button | |
| Q19GoToQ21.1 | Button | |
| Q23GoToQ25.1 | Button | |
| Q24GoToQ32.1 | Button | |
| Q25GoToQ32.1 | Button | |
| Q26GoToQ29.1 | Button | |
| Q28GoToQ32.1 | Button | |
| Q35 | Text | |
| Clear button | Button | |
| Knowledge of Care Percentage | ||
| No | Checkbox |
Check this box if you do not know the percentage of care you will have for the care period stated in question 22. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Yes | Checkbox |
Check this box if you know the percentage of care you will have for the care period stated in question 22. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Knowledge of Care Percentage Status | ||
| No | Checkbox |
Check this box if you do not know what percentage of care you will have for the care period stated in question 22. Fill only if 'question 22' is not empty
Depends on:
No, Yes, Day Care Started, Month Care Started, Year Care Started, End/Change Date Day, End/Change Date Month, End/Change Date Year
|
| Care Percentage Calculation | Number |
Provide the percentage of care you will have for the child during the specified care period, as calculated using the provided guidance. Fill only if 'question 22' is not empty
Depends on:
No, Yes, Day Care Started, Month Care Started, Year Care Started, End/Change Date Day, End/Change Date Month, End/Change Date Year
|
| Yes | Checkbox |
Check this box if you know what percentage of care you will have for the care period stated in question 22. Fill only if 'question 22' is not empty
Depends on:
No, Yes, Day Care Started, Month Care Started, Year Care Started, End/Change Date Day, End/Change Date Month, End/Change Date Year
|
| Office Hours Contact Phone Number | ||
| Office Hours Contact Phone Number | Text |
Please provide your best office hours contact phone number, including the area code, for verification of your agreement to the care arrangements. Fill only if 'question 33' is 'Yes'
Depends on:
Yes
|
| Other Carer's Name | ||
| Other Carer's Name | Text |
Provide the full name of the other carer. Fill only if 'question 33' is 'Yes'
Depends on:
Yes
|
| Other Parent's Care Percentage | ||
| Other Parent Care Percentage | Number |
Enter the percentage of care the other parent, carer, or guardian of this child will have during the care period stated in question 22. Fill only if 'question 22' is not empty
Depends on:
No, Yes, Day Care Started, Month Care Started, Year Care Started, End/Change Date Day, End/Change Date Month, End/Change Date Year
|
| Q28.1 | Text |
Depends on:
Yes
|
| Parenting Arrangement Compliance | ||
| No, arrangements not followed | Checkbox |
Check this box if the arrangements in the parenting plan, court order, or written agreement are not being followed for Child 2. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Yes, arrangements followed | Checkbox |
Check this box if the arrangements in the parenting plan, court order, or written agreement are being followed for Child 2. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Next Question Number (If Not Followed) | Text |
Please specify the number of the next question to proceed to if the parenting arrangements are not being followed. Fill only if 'No, arrangements not followed' is 'No'.
Depends on:
No, arrangements not followed
|
| Parenting Plan Agreement | ||
| No | Checkbox |
Check this box if you do not have a parenting plan, court order, or written agreement that shows where this child stays.
|
| Child's Family Name | Text |
Please enter the child's family name as it appears on official documents.
|
| Yes | Checkbox |
Check this box if you have a parenting plan, court order, or written agreement that shows where this child stays.
|
| Parenting Plan Question | ||
| No | Checkbox |
Check this box if you do not have a parenting plan, court order, or written agreement that shows where this child stays.
|
| DummyCalcQ23.1 | Text | |
| Yes | Checkbox |
Check this box if you have a parenting plan, court order, or written agreement that shows where this child stays.
|
| Partner's Contact Details | ||
| Partner's Home Phone Number | Text |
Please enter your partner's home phone number, including the area code. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Mobile Phone Number | Text |
Please enter your partner's mobile phone number. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Work Phone Number | Text |
Please enter your partner's work phone number, including the area code. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Email | Text |
Please enter your partner's email address. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Customer Reference Number | ||
| Customer Reference Number (CRN) | Text |
Depends on:
Married, Registered relationship, De facto
|
| Customer Reference Number (CRN) | Text |
Depends on:
Married, Registered relationship, De facto
|
| Customer Reference Number (CRN) | Text |
Depends on:
Married, Registered relationship, De facto
|
| Customer Reference Number (CRN) | Text |
Depends on:
Married, Registered relationship, De facto
|
| Partner's Date of Birth | ||
| Partner's Day of Birth | Date |
Provide the day of your partner's birth. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Month of Birth | Date |
Provide the month of your partner's birth. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Year of Birth | Date |
Provide the year of your partner's birth. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Name | ||
| Mr | Checkbox |
Check this box if your partner's title is Mr. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Mrs | Checkbox |
Check this box if your partner's title is Mrs. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Miss | Checkbox |
Check this box if your partner's title is Miss. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Ms | Checkbox |
Check this box if your partner's title is Ms. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Mx | Checkbox |
Check this box if your partner's title is Mx. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Other Title | Text |
Enter your partner's custom title if their preferred title is not listed. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Family Name | Text |
Provide your partner's family name or surname. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's First Given Name | Text |
Provide your partner's first given name. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Second Given Name | Text |
Provide your partner's second given name. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Permanent Address | ||
| Address Line 1 | Text |
Enter the first line of your partner's permanent address. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Address Line 2 | Text |
Enter the second line of your partner's permanent address. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Suburb/Town/State | Text |
Enter the suburb, town, or state of your partner's permanent address. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Postcode | Text |
Enter the postcode for your partner's permanent address. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Partner's Relationship to Child | ||
| Parent | Checkbox |
Check this box if your partner is a natural or relationship parent to the child.
|
| Adoptive parent | Checkbox |
Check this box if your partner is an adoptive parent to the child.
|
| Grandparent | Checkbox |
Check this box if your partner is a grandparent to the child.
|
| Step-parent | Checkbox |
Check this box if your partner is a step-parent to the child.
|
| Foster carer | Checkbox |
Check this box if your partner is a foster carer for the child.
|
| Other | Checkbox |
Check this box if your partner's relationship to the child is not one of the listed options and provide details in the space below.
|
| Partner's Other Relationship | Text |
Enter the specific relationship of your partner to the child if it is not one of the listed options. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Partner's Relationship Explanation | Text |
Provide any further explanation or additional details regarding your partner's relationship to the child.
|
| Partner's Relationship to the Child | ||
| Parent | Checkbox |
Check this box if your partner is the natural or legal parent of the child.
|
| Adoptive parent | Checkbox |
Check this box if your partner is the adoptive parent of the child.
|
| Grandparent | Checkbox |
Check this box if your partner is the grandparent of the child.
|
| Step-parent | Checkbox |
Check this box if your partner is the step-parent of the child.
|
| Foster carer | Checkbox |
Check this box if your partner is the foster carer of the child.
|
| Other | Checkbox |
Check this box if your partner's relationship to the child is not listed in the options above.
|
| Partner's Other Relationship Brief Details | Text |
Enter a brief description of your partner's relationship to the child if it falls under the 'Other' category.
|
| Partner's Other Relationship Extended Details | Text |
Provide extended details regarding your partner's relationship to the child if it falls under the 'Other' category. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Percentage Calculation Information | ||
| Care Percentage | Number |
Enter the percentage of care you will have for the care period stated in question 22. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Permanent Address | ||
| Permanent Street Address | Text |
Please enter your full permanent street address details.
|
| Permanent Suburb/Town | Text |
Please enter the suburb or town of your permanent address.
|
| Permanent Postcode | Text |
Please provide the postcode for your permanent address.
|
| Permission for Partner Enquiries | ||
| No | Checkbox |
Check this box if you do not give permission for your partner to make enquiries on your behalf. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| Yes | Checkbox |
Check this box if you give permission for your partner to make enquiries on your behalf. Fill only if 'Married', 'Registered relationship', 'De facto' is 'Yes', any.
Depends on:
Married, Registered relationship, De facto
|
| 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, including suburb or city, if applicable.
|
| Postal Postcode | Text |
Enter the postcode for your postal address.
|
| Relationship Status | ||
| Married | Checkbox |
Check this box if you are currently married and are not separated.
|
| Registered relationship | Checkbox |
Check this box if your relationship is registered under Australian state or territory law and you are not separated.
|
| De facto | Checkbox |
Check this box if your relationship is similar to a married couple but you are not married or in a registered relationship, and you are not separated.
|
| Separated | Checkbox |
Check this box if you were previously in a marriage, registered, or de facto relationship and are now separated.
|
| Divorced | Checkbox |
Check this box if you are legally divorced.
|
| Widowed | Checkbox |
Check this box if you were previously in a marriage, registered, or de facto relationship and your partner has passed away.
|
| Never married or lived with a partner | Checkbox |
Check this box if you have never been married or lived with a partner in a de facto or registered relationship.
|
| Shared Care Information | ||
| Shared Care Reference Number | Text |
Please provide the reference number for the shared care information. Fill only if 'Another child' is 'Yes'.
Depends on:
DummyCalcQ23.1
|
| Signature Date | ||
| Signature Day | Date |
Please provide the day of the signature. Fill only if 'question 33' is 'Yes'
Depends on:
Yes
|
| Signature Month | Date |
Please provide the month of the signature. Fill only if 'question 33' is 'Yes'
Depends on:
Yes
|
| Signature Year | Date |
Please provide the year of the signature. Fill only if 'question 33' is 'Yes'
Depends on:
Yes
|
| Your Care Percentage | ||
| Your Care Percentage | Number |
Enter the percentage of care you will have for this child during the specified care period. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Your Care Percentage | Number |
Enter the percentage of care you will have during the care period stated in question 22. Fill only if 'Yes' is 'Yes'.
Depends on:
Yes
|
| Your Name | ||
| Q2.Title_Mr | CheckBox | |
| Q2.Title_Mrs | CheckBox | |
| Q2.Title_Miss | CheckBox | |
| Q2.Title_Ms | CheckBox | |
| Q2.Title_Mx | CheckBox | |
| Other Title | Text |
Please specify your preferred title if it is not listed among the options. Fill only if 'Q2.Title_Mx' is selected for the 'Other' title.
Depends on:
Q2.Title_Mx
|
| Family Name | Text |
Enter your family name or surname as it appears on your official documents.
|
| First Given Name | Text |
Enter your first or primary given name as it appears on your official documents.
|
| Second Given Name | Text |
Enter your second given name, if applicable, as it appears on your official documents.
|
| Your Relationship to Child | ||
| Parent | Checkbox |
Check this box if your relationship to the child is that of a natural parent, or if you are legally responsible for the child due to artificial conception or a surrogacy court order.
|
| Adoptive parent | Checkbox |
Check this box if your relationship to the child is that of an adoptive parent.
|
| Grandparent | Checkbox |
Check this box if your relationship to the child is that of a grandparent.
|
| Step-parent | Checkbox |
Check this box if your relationship to the child is that of a step-parent.
|
| Foster carer | Checkbox |
Check this box if your relationship to the child is that of a foster carer.
|
| Other | Checkbox |
Check this box if your relationship to the child is not one of the options listed above, and provide details in the space provided.
|
| Other Relationship Details | Text |
Enter the details describing your relationship to the child if it is not one of the listed options. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Extended Relationship Details (Other) | Text |
Provide further details if the 'Other' relationship to the child requires additional explanation.
|
| Your Relationship to the Child | ||
| Q17_0_Parent | CheckBox | |
| Q17_0_Adoptiveparent | CheckBox | |
| Q17_0_Grandparent | CheckBox | |
| Q17_0_Step-parent | CheckBox | |
| Q17_0_FosterCarer | CheckBox | |
| Q17_0_Other | CheckBox | |
| Other Relationship | Text |
Please provide the type of your relationship to the child if it is not listed above.
|
| Other Relationship Details | Text |
Please provide further details regarding your 'Other' relationship to the child. Fill only if 'Q17_0_Other' is 'Yes'.
Depends on:
Q17_0_Other
|