Completing the Details of your child's care arrangements (FA012) 007-03020050

The customer needs to provide their personal information and that of their partner (if applicable), to correctly identify themselves and their partner.

The Details of your child's care arrangements (FA012) allows for the provision of details for two children for whom care is shared with another person. If care of other children is shared, details for each child should be provided on a separate sheet.

The name and address of the person who shares care of the child with the customer are required.

If there is a parenting plan, written agreement or court order in place for the child, it should be provided:

• If the parenting plan, written agreement or court order arrangements are being followed, the customer need not complete Questions 22-28 for that child
• If it is not being followed, all questions should be completed

Question 19 - Your care arrangement.

The customer needs to state when the current care arrangement started and whether it is an ongoing/ indefinite arrangement or due to cease on a certain date.

Unless a parenting plan, written agreement or court order is in place and is being followed, the customer needs to either:

• state the level of ongoing actual care as a percentage for each person caring for the child or provide details of actual care, or
• if they do not know the percentage of actual care, provide details of the number of hours, nights or weeks the child spends in each person's care

The customer needs to indicate whether or not the other person caring for the child agrees to the care arrangements as stated by the customer.

A provision is made for the customer to add any additional information that may affect their claim.

If the customer has concerns about the other carer signing the statement or contact being made with the other parent, the customer should provide details.

The statement must be signed by the customer (electronic signatures cannot be accepted for an FA012).

If the customer indicates Yes to Question 33 (the other carer agrees to the details of the care arrangement as stated by the customer), they should also arrange for the other carer to sign the form unless the customer has concerns about the other carer signing the statement or contact being made with the other parent.

Upon lodgement of FA012, see Receipt of claims, forms and documentation for family assistance.