Claiming Commonwealth Seniors Health Card (CSHC) 065-06010000
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Claim for a Commonwealth Seniors Health Card (SA296)
Claim for Commonwealth Seniors Health Card (CSHC) (SA443) to be issued via the First Contact Service Offer (FCSO) workflow
Customer Declaration Form
Use 'Save As' workaround to download/use attachment.
Customer Declaration Form for Commonwealth Seniors Heath Card
Privacy notice for CSHC customers
Privacy and your personal information
Your personal information is protected by law (including the Privacy Act 1988) and is collected by the Australian Government Services Australia for the assessment and administration of payments and services. This information is required to process your application or claim.
Your information may be used by the agency, or given to other parties where you have agreed to that, or where it is required or authorised by law (including for the purpose of research or conducting investigations).
You can get more information about the way in which the agency will manage your personal information, including our privacy policy, at servicesaustralia.gov.au/privacy.