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Processing an ABSTUDY claim 010-23061559




This document outlines the process for assessing a claim for ABSTUDY.

For ABSTUDY Smart Centre processing staff.

Accepting a claim

Table 1

Expand table

Step

Action

1

Locate claim

Claims are allocated through Workload Manager. See Work Optimiser for staff.

Online claim/Assisted Customer Claim ACC

ABSTUDY claims submitted online or by ACC will generate a Social Online Application (SOA) new claim work item on the student's record. It will have all the claim details provided by the student online or entered into ACC.

Verbal claim

ABSTUDY claims submitted verbally through the ABSTUDY claiming tool will generate a new claim activity on the student's record. The claim details provided by the applicant can be found in Document Tools.

  • Schooling A claims will be on the parent/guardian's record
  • Schooling B claims will be on the student's record
  • ABSTUDY PES claims will be on the student's record

See Orientation Visit travel for non-current ABSTUDY customers for students claiming Fares Allowance for Orientation Visit travel, who meet one of the following:

  • not ABSTUDY current and visiting multiple schools for orientation
  • currently in Year 5 or lower, or
  • claiming a reimbursement for an orientation activity with a status of ABY/ASS

Paper claim

ABSTUDY paper claims scanned to the student's record will generate a new claim activity on the student's record. For:

2

Preliminary checking

Before processing the claim, check if:

If the claim is needed or must be processed, check if it is complete and the applicant has lodged all additional supporting documents by reviewing:

If the claim is:

  • assessed in Process Direct, go to Step 3
  • for a student who will be boarding privately, go to Step 4
  • neither of the above, and:
    • incomplete, and/or all additional supporting documents have not been provided, go to Step 5
    • complete and all additional supporting documents have been provided, go to Step 6

3

Claims assessed in Process Direct

When assessing a claim in Process Direct, select:

  • Open left slider; Close right slider to view the Claim Summary that has information provided by the customer
  • Tasks to view the documents requested online or by ACC
  • Notes to view the DOCs and comments recorded in Process Direct
  • Documents or the links at the bottom of the expanded Claim Summary to view the documents provided by the customer (uploaded online or scanned to their record)
  • Benefit History to view Benefit Status
  • Relations menu icon to view the Relations menu

See Process Direct navigation, common screens and functions for further guidance.

If the claim is:

  • incomplete, and/or all additional supporting documents have not been provided, go to Step 5
  • complete, and all additional supporting documents have been provided, go to Step 6

4

Private boarder document requirements

Applicants must return a signed ABSTUDY request for private board provider details form (SY115) before their claim will be assessed.

If the applicant has returned the SY115 and there will be:

  • fewer than 5 students residing on the premises or unknown, continue the claim as a private boarding student
  • 5 or more students residing on the premises, it is classed as a hostel for ABSTUDY purposes. The private board provider will need to sign into an ABSTUDY Hostel Standards Agreement to continue to receive some ABSTUDY entitlements. See ABSTUDY Hostel Agreements to start the agreement process. Continue the claim as a student claiming ABSTUDY to board at a hostel which is not a signatory to an ABSTUDY Hostels Agreement

Has the SY115 and all other needed information been provided?

5

Claim incomplete and/or supporting documents not provided

If the information can be provided verbally (such as a verbal MOD JY), make 2 genuine attempts to contact the applicant by phone to get the information needed.

For students claiming Tertiary or Masters and Doctorate Awards, or as an Australian Apprentice, do not reject the claim for failing to provide parental income information. Payment of non-means tested allowances/benefits can still occur for the relevant award. Process the claim, go to Step 6

If the information cannot be provided verbally or contact is unsuccessful, and the claim is:

6

Has the most beneficial claim been lodged?

Students may claim for an ABSTUDY Award when another may be more beneficial or appropriate.

Did the customer lodge the most beneficial claim for ABSTUDY?

7

Another ABSTUDY payment is more beneficial

Contact the customer and tell them another ABSTUDY payment may be more beneficial. Make at least 2 genuine attempts to contact.

Has the contact been successful?

  • Yes, and the customer wants to:
  • No:
    • Issue the relevant paper claim form for the most beneficial ABSTUDY payment if needed
    • Continue processing the allocated claim. Note: if contact was unsuccessful for a student applying for ABSTUDY Living Allowance who is deemed eligible for ABSTUDY PES or the Part-time Award, process the claim as an Incidentals only claim following the Incidentals Table
    • For claims lodged through:
      - the ABSTUDY Claiming Tool, go to Step 9
      - all other claims, go to Step 10

8

Claiming more beneficial payment

If additional information is needed, ask the customer for it during the call.

Did the customer provide all needed information for the new claim?

9

ABSTUDY Claiming Tool

Applicants who complete a claim through the ABSTUDY Claiming Tool must:

  • accept a verbal declaration, or
  • return a signed Customer Declaration Form (CDF)

The accepted verbal declaration is recorded on the:

  • Verbal Declaration DOC, and
  • Progress of ABSTUDY claim DOC

If the Verbal Declaration DOC:

10

Checking the new claim (NCL) activity

Go to the Activity List (AL) screen and confirm the correct claim is indexed on the student's or Australian Apprentice's record.

Note: students under 16 years of age and studying secondary non-school level studies, should be claiming ABSTUDY Schooling B.

If an incorrect claim has been indexed, cancel the activity and index the correct claim activity.

Select the appropriate option below.

Process Direct claims

For ABSTUDY Tertiary, Masters and Doctorate and Part-time Awards, check if a claim has been created in Process Direct.

If a claim has not been automatically created, create a blank Social Online Application (SOA) shell in Process Direct.

  • Benefit Type: select as appropriate, for example ABSTUDY - Tertiary Living Allowance
  • Customer CRN
  • Date of Receipt

See Process Direct navigation, common screens and functions.

Go to Step 13.

ABSTUDY NCL activity is indexed

Check the Source is correct:

  • Select the started ABSTUDY NCL activity
  • The Source must be 'SCT', 'SY018', 'SY019', 'SY022' or 'SY092'. If another Source is coded:

Check the keywords are correct:

  • Go to the AL screen
  • Select the ABSTUDY NCL activity
  • From the Selection Options screen, select Keywords
  • Check the appropriate claim type keyword has been added:
    • 'ABYNCL' - ABSTUDY Living Allowance
    • 'ABTNCL' - ABSTUDY Schooling A
    • 'BOARDER' - ABSTUDY Secondary Boarding
    • 'EPANCL' - ABSTUDY Pensioner Education Supplement
  • Check the appropriate Verbal Declaration keyword has been added:
    • 'VERBNIL' - if the applicant accepted a verbal declaration and did not need to provide any supporting documents
    • 'VERBDOC' - if the applicant accepted a verbal declaration and needed to provide supporting documents
    • 'VERBNO' - if the applicant did not accept a verbal declaration

If the Source and Claim Type and Verbal Declaration keywords are correct, go to Step 11.

If the correct Claim Type and Verbal Declaration keywords are missing:

  • Go to the AL screen
  • Select the ABSTUDY NCL activity
  • From the Selection Options screen, select (O). Transfer the activity to another site/region
  • Add the appropriate Claim Type keyword:
    • 'ABYNCL' - ABSTUDY Living Allowance
    • 'ABTNCL' - ABSTUDY Schooling A
    • 'BOARDER' - ABSTUDY Secondary Boarding
    • 'EPANCL' - ABSTUDY Pensioner Education Supplement
  • Add the appropriate Verbal Declaration keyword:
    • 'VERBNIL' - if the applicant accepted a verbal declaration and did not need to provide any supporting documents
    • 'VERBDOC' - if the applicant accepted a verbal declaration and needed to provide supporting documents
    • 'VERBNO' - if the applicant did not accept a verbal declaration

Go to Step 11.

ABSTUDY NCL activity is not indexed
  • Index a NCL activity
  • Key the Source as 'SCT', 'SY018', 'SY019', 'SY022' or 'SY092'
  • Go to the AL screen
  • Select the ABSTUDY NCL activity
  • From the Selection Options screen, select (O). Transfer the activity to 'ABS'
  • Add the appropriate Claim Type keyword:
    • 'ABYNCL' - ABSTUDY Living Allowance
    • 'ABTNCL' - ABSTUDY Schooling A
    • 'BOARDER' - ABSTUDY Secondary Boarding
    • 'EPANCL' - ABSTUDY Pensioner Education Supplement
  • Add the appropriate Verbal Declaration keyword:
    • 'VERBNIL' - if the applicant accepted a verbal declaration and did not need to provide any supporting documents
    • 'VERBDOC' - if the applicant accepted a verbal declaration and needed to provide supporting documents
    • 'VERBNO' - if the applicant did not accept a verbal declaration

Go to Step 11.

11

Verbal declaration, CDF or claim form

Has the applicant accepted the verbal declaration, returned a signed CDF or completed an ABSTUDY paper claim form?

12

Verbal declaration not accepted, CDF or claim form not provided

If the customer did not provide a signed CDF or paper claim form, and a verbal declaration has not been accepted, make 2 genuine attempts to contact the customer to obtain the verbal declaration.

  • If contact is successful and verbal declaration has been provided and documented, go to Step 13
  • If contact is unsuccessful and the claim is:
    • 18 days or older, go to Step 18
    • 17 days or younger, place the claim on hold until day 18. Procedure ends here

13

Future Away from Base pre-assessment checks

Due to system limitations students need to initially be granted ABSTUDY Incidentals only, where they:

  • are transferring to ABSTUDY from another benefit, and
  • need travel and/or meals/accommodation to be booked in advance of their course start date

This can occur where the student:

  • is claiming ABSTUDY Living Allowance
  • will be attending an Away from Base activity within the next 6 weeks as confirmed by received correspondence, and
  • is currently getting another benefit

Does the student meet all of the above?

14

Check previous payments

Does any payment have the benefit status show as CNP, or are there any outstanding employment income reports?

15

Cancelling previous payments

If the status of the previous payment is CNP (cancel next payment), or there are outstanding employment reports, Service Officers must cancel the payment. This activity must be completed outside of the NCL activity:

In Process Direct or Customer First:

  • go to the Payment Summary (PS) screen
  • in the Number of months in past: field key '999'
  • select Execute/Enter
  • note the DPT+1
  • go to the Benefit Action (BA) screen
  • code the cancellation. Use reason OTH from DPT+1
  • inhibit the letter on the Actions (ASC) screen before finalising the activity
  • record cancellation details. Use Fast Note - select Auto text, use Generic > SUS/CAN/RES > Suspend Cancel Reason

For further coding advice, for:

The benefit status should now be CAN. Go to Step 16.

16

ABSTUDY Award eligibility

Is the customer eligible for an ABSTUDY Award?

17

Australian Apprentice

Australian apprentices must have a current Commonwealth registration number.

Before assessing the claim, Services Australia will obtain the Australian Apprenticeship details from the Department of Employment and Workplace Relations.

If the customer's Australian Apprenticeship details are not yet current:

  • Record the details in the Progress of ABSTUDY Claim DOC
  • Contact the customer and tell them payments cannot occur until confirmation of their Australian Apprenticeship status is received
  • Place the claim on hold for 14 days

While waiting for confirmation, claims can be re-held for up to 13 weeks. After 13 weeks, reject the claim NAT (Not an Apprentice). See Rejecting an ABSTUDY claim.

Does the Australian Apprentice have a current Commonwealth registration number?

  • Yes, go to Step 20
  • No, and the Apprentice claim has been held for:
    • under 13 weeks, place the claim on hold for 14 days. Procedure ends here
    • 13 weeks or more, go to Step 18

18

Not eligible for ABSTUDY

The ABSTUDY claim may reject automatically (following the updating of information on the customer's record, for example, student attending primary school) or may need to be rejected manually.

Note: use discretion when to apply either a streamline, manual or automatic rejection. An automatic rejection is the preferred option.

See Codes for ABSTUDY cancellation, suspension and rejection for a list of automatic and manual rejection codes.

To reject the claim:

19

Automatic rejection

If the student is current on ABSTUDY Schooling A and the rejected claim is incorrectly affecting the students ABSTUDY Schooling A entitlement, see the Resources page for a workaround.

If the claim is in:

Process Direct
  • Select the Process button
  • Update the screens with the details provided in the ABSTUDY claim
  • After updating the screens, select the Assess button to assess and finalise the claim
  • Contact the applicant and explain the reason for the decision. See Advising verbally of an unfavourable decision
  • Record details on a DOC
  • Procedure ends here
Customer First
  • Go to the Activity List (AL) screen
  • Select the started ABSTUDY NCL activity
  • Go to the ABSTUDY Task Selector (EYTS) screen
  • Update the appropriate screens using the details provided in the ABSTUDY claim
  • After updating the screens, go to the Assessment Results (AR) screen
  • Finalise the activity
  • Contact the applicant and explain the reason for the decision. See Advising verbally of an unfavourable decision
  • Record details on a DOC - Use Fast Note - select Auto text, use Students, ABSTUDY & Apprentices > Claims - ABSTUDY > ABY Granted/Rejected > Confirm
  • Expire the 'Progress of ABSTUDY claim' Display on Access DOC
  • Procedure ends here

20

Australian Apprentice start date

Due to system limitations, an Apprentice claim Date of Receipt (DOR) may need to be changed to align with the calculated start date.

To determine correct start date, see Start and closing date for ABSTUDY claims.

Does the claim DOR align with the calculated start date?

21

Date of Receipt (DOR)

To update the DOR:

  • Select Update DOR in More Options menu
  • Key the calculated start date and select Continue

For:


For information on how to complete the required action, select the option from the dropdown box below.

Lawful custody

Lawful custody


Table 8

Expand table

Step

Action

1

Claiming ABSTUDY in lawful custody

Has the assessment of the Lawful Custody Allowance claim occurred and the ABSTUDY Lawful Custody Allowance claim for reimbursement - to support SY022 (SY108), been received?

2

Claim lodged by closing date

A closing date applies to Lawful Custody claims. Lodgement must occur before 1 April in the year immediately following the year of study, or apprenticeship activity:

  • unless the customer is a vulnerable customer, or
  • the late lodgement was due to circumstances beyond their control

See Start and closing date for ABSTUDY claims.

Was the SY022 lodged by the closing date, and/or do acceptable reasons for late lodgement apply?

3

Student or Australian Apprentice

If the customer is:

4

Confirm Australian Apprenticeship details

To qualify for ABSTUDY as an Australian Apprentice, a person must have a current Commonwealth Registration Number relating to a full-time Australian Apprenticeship.

Refer the apprenticeship details to a Local Peer Support (LPS). They will check and confirm the details on the Access Apprenticeship database.

If the Australian Apprenticeship details on the database are:

  • confirmed, go to Step 5
  • unconfirmed:
    • Hold the claim for 14 days
    • Record details in a Progress of ABSTUDY Claim Fast Note Display on Access (DOA)
    • Check the claim every 14 days for up to 13 weeks
    • Contact the customer. Explain approval of payments cannot occur until the Department of Employment and Workplace Relations record confirmation of their Australian Apprenticeship status
    • If the status is still unconfirmed after 13 weeks from the receipt of the claim, go to Step 10

5

Lawful Custody Award

Students and Australian Apprentices must meet specific criteria to qualify for Lawful Custody Award.

Are they eligible for Lawful Custody Award?

6

Customer may qualify for Lawful Custody Allowance

Students and Australian Apprentices who qualify for the Lawful Custody Award may qualify for Lawful Custody Allowance.

In Customer First, open the customer's record to code the claim:

  • Select the started new claim (NCL) activity from the Activity List (AL) screen
  • Go to the Customer Details Task Selector (CDTS) screen
  • Update the appropriate screens based on the claim information provided

Pre-selected mandatory screens:

  • Accommodation (AC) - even though this screen does not need the details for this claim, the system will not accept the claim unless completed. Enter the following codes in the relevant fields:
    • Address Type Used for RA calc - 'HOM'
    • Home Ownership - 'NHO'
    • Sharer Status - 'NAS'
  • Tax File Number Details (TFN) - code the TFN or exemption reason:
    • Before granting ABSTUDY (if not provided), the customer must supply a:
      - TFN, if they do not meet an exemption reason, or
      - TFN application form
      For further information, see Tax File Number (TFN) for ABSTUDY
  • Payment Destination Details (PAS) - even though this screen does not need the details for this claim, the system will not accept the claim unless completed. Enter the following code:
    • 'OVR/TEMP. OVERWRITE TNG & FNG' override in the Direct Credit Exemption Reason: field
  • Identity Confirmation - code the Proof of Identity (POI) exemption reason 'AB'

Note: customers may be eligible for Lawful Custody Allowance for more than one course. If a customer is current, they cannot have a NCL activity indexed on their record. This will require a separate activity to complete the relevant coding.

7

ABSTUDY Task Selector (EYTS)

After updating the screens selected from the Customer Details Task Selector (CDTS) screen, the screen flow will go to the EYTS.

Update the appropriate screens based on the claim information.

Pre-selected mandatory screens will depend on the age of the customer.

If the customer is aged:

8

Coding for customers aged 22 years or over

Students

  • Customer Study Details (EDC) screen in Process Direct or Education Course Details (EDC) screen in Customer First - for information on how to update this screen, see Coding ABSTUDY education details
    • Code the Participation Status: field as 'LAW'
  • Education Payments Start Date (EPDC) screen - the system automatically calculates the payment start date
    • Accept this date unless the student has transferred from another payment. If so, the date to use will then be - Date Paid To plus 1 (DPT+1)

Australian Apprentices (apprentice or trainee)

  • Apprenticeship Details (NAPD) screen - Code Australian Apprenticeship details on the NAPD screen
  • EDC screen - for information on how to update this screen, see Coding ABSTUDY education details
    • Code the Participation Status: field as 'APL'

Note: select any other screens on the EYTS screen with a 'Y' next to them, to confirm the details on these screens are still current.

Go to Step 11.

9

Coding for customers aged under 22 years

Students

  • Customer Study Details (EDC) screen in Process Direct or Education Course Details (EDC) screen in Customer First - for information on how to update this screen, see Coding ABSTUDY education details
    • Code the Participation Status: field as 'LAW'
  • Education Payments Start Date (EPDC) screen - the system automatically calculates the payment start date:
    • Accept this date unless the student has transferred from another payment. If so, the date to use will then be - Date Paid To plus 1 (DPT+1), or
    • If the student is turning 16 years of age, use the date of their 16th birthday

Australian Apprentices (apprentice or trainee)

  • Apprenticeship Details (NAPD) screen - Code Australian Apprenticeship details on the NAPD screen
  • EDC screen - for more information on how to update this screen, see Coding ABSTUDY education details
    • Code the Participation Status: field as 'APL'
  • EPDC screen - the system automatically calculates the payment start date:
    • Accept this date unless the student has transferred from another payment. If so, the date to use will then be - Date Paid To plus 1 (DPT+1), or
    • If the student is turning 16 years of age, use the date of their 16th birthday

Independent/Homeless/Away from Home Details (NIH) screen, press [Enter] through this screen - Not required for a Lawful Custody claim.

Select any other screens on the EYTS screen with a 'Y' next to them, to confirm the details on these screens are still current.

Go to Step 11.

10

Not eligible for ABSTUDY

As the customer is not eligible for ABSTUDY, complete the following:

  • Reject the claim for ABSTUDY
  • Tell them the decision and their review and appeal rights
  • Rejected claim for payment as an Australian Apprentice:
    • Where this occurs after 13 weeks because the Department of Employment and Workplace Relations have not recorded confirmation of their Australian Apprenticeship status, contact the customer to inform them of the rejection reason
  • Record the reasons for the decision to reject the ABSTUDY claim on the ABY LAW Granted/Rejected Fast Note
    Use Fast Note – select Auto text, use Students, ABSTUDY & Apprentices > Claims - ABSTUDY > ABY LAW Granted/Rejected > Confirm

11

Itemised list of essential course costs

Staff should find these listed on the ABSTUDY Lawful Custody Allowance claim for reimbursement - to support SY022 (SY108) provided by the correctional institution. The Head of School/Faculty must verify the itemised claim as being an essential requirement for all students or Australian Apprentices.

Has the correctional institution lodged an itemised list of essential course costs or equipment costs?

  • Yes, go to Step 12
  • No, Lawful Custody Allowance is not payable at this stage. However, the customer will remain current (with no payment), so assessment can occur when the correctional institution lodges the essential course or equipment costs:
    • Finalise the activity on the Assessment Results (AR) screen
    • Record details on the ABY LAW Granted/Rejected Fast Note
      Use Fast Note - select Auto text, use Students, ABSTUDY & Apprentices > Claims - ABSTUDY > ABY LAW Granted/Rejected > Confirm
    • Procedure ends here

12

Legitimate essential course or equipment costs

Check the ABSTUDY Lawful Custody Allowance claim for reimbursement - to support SY022 (SY108).

To consider essential costs as legitimate, the:

  • Essential course costs must:
    • be verified by the Head of School/Faculty as being an essential requirement for all students undertaking the course, and
    • have evidence of expenditure, such as receipts, lodged by the correctional institution
  • Equipment costs must:
    • be verified by the employer as being an essential requirement for all Australian Apprentices working in this area, and
    • have evidence of expenditure, such as receipts, lodged by the correctional institution

Note: there is no upper limit to this allowance; however, Service Officers must be satisfied the claim includes only essential costs.

Does the applicant have any legitimate essential course or equipment costs?

  • Yes, go to Step 13
  • No, Lawful Custody Allowance is not payable. However, the customer will remain current (with no payment), in case the correctional institution lodges future essential course or equipment costs:

13

Lawful Custody Allowance is payable

Complete the following fields on the Supplementary Education Payments (EPSP) screen:

Note: if the correctional institution lodges a request for bulk reimbursement, Service Officers must code the following for each customer in the claim.

  • Event Date - record the date the customer became eligible for Lawful Custody Allowance or the start date of the course
  • Payment Type - key 'LAW'
  • Reason - leave blank
  • Amount Claimed - enter the amount of money the applicant has asked to have reimbursed
  • Amount Paid - record the amount the applicant is going to have paid to them, (that is, the legitimate course or equipment costs)
  • Payee - key 'TPT'. Note: still use 'TPT' in the rare cases where the correctional institution has arranged for payment to go to the customer (by advising in writing)
  • Claim Details - record the claim number given by the correctional institution on the LAW RTO Form A
  • Frequency - record details to show how often the customer's requested payment will occur. The payment for this allowance tends to be a one off

14

Payment destination

Arrange for the payment to go to the correctional institution (or other third party such as the education provider).

Go to the Payment Instruction Summary (PIPS) screen and complete the following fields:

  • Add New Payee - key 'Y' for an individual such as the customer, or
  • Link to Organisation - key 'Y' for a correctional institution or third party organisation

These fields will flow to the screens to code the third party details for the person or the organisation. If the payment is to go:

  • to the correctional institution or supplier of textbooks, pay them in the form of a direct debit (using the account details on the claim form)
  • to reimburse the customer as per a written directive by the correctional institution, complete the Payment Instructions Payee Details (PIPD) screen with their details
  • directly to the education provider and that provider is on the institution register (accessed through the PIPS screen). Make the payment directly to the education provider

For more information about how to arrange payment for a third party, see Payments to third parties and institutions for ABSTUDY.

15

Finalise the activity

Finalise the activity on the Assessment Results (AR) screen (check the results are correct before finalising).

Do not inhibit claim outcome advice for the customer/s.

Advise the correctional institution of the decision and any payments issued in a Q888 Lawful Custody Allowance - Reimbursed to correctional centre letter. See Creating a Q999 or Q888 letter.

  • Customer's record:
    • Record details of the claim on the ABY LAW Granted/Rejected Fast Note
      Use Fast Note - select Auto text, use Students, ABSTUDY & Apprentices > Claims - ABSTUDY > ABY LAW Granted/Rejected > Confirm
    • If the SY022 has already been assessed, annotate the existing Fast Note with details of payment
  • Correctional institution's record:
    • Record details of the payment on the ABY LAW Reimbursement Fast Note
      Use Fast Note - select Auto text, use Students, ABSTUDY & Apprentices > Claims - ABSTUDY > ABY LAW Granted/Rejected Reimbursement > Confirm
  • Expire any Fast Note > Progress of ABSTUDY claim Display on Access (DOA)
  • Complete any scanned documents actioned as part of the claim

Procedure ends here.