Coding the paper Carer Payment and/or Carer Allowance Care Needs Assessment for a child under 16 years 009-04050040

For Carer Payment/Carer Allowance Smart Centre Processing staff

This page contains instructions for coding the responses to the Carer Payment and/or Carer Allowance Care Needs Assessment (CNA) (for a child under 16 years).

Table 1: When processing Carer Payment and/or Carer Allowance child claims, it is expected that if a CNA is lodged as part of a paper claim, it will be coded in Process Direct. However, there will occasions where it may need to be coded in Customer First/Customer Record (for example, reviews and reassessments).

Category

Description

Process Direct

In Process Direct

Go to the child care receiver's record by selecting to expand the relationship panel
Select the correct child care receiver
Go to the Care Receiver Task Selector (CETS) screen
Select CLS - Care Load Summary Task Selector and select Next
The Care Load Summary (CLS) screen will display, select Next
The Care Load Summary Task Selector screen will display, select all screens that need to be coded, select Next
To continue processing, go to About the form

Customer First/Customer Record

In Customer First/Customer Record

While in the Carer's record, go to the care receiver's record. To do this, key 'CRS' in the Next field, and select [Enter]
Select the corresponding radio button for the child care receiver, and select 'Continue'
The 'Care Receiver Task Selector' screen will present. Tick the box for 'Care Load Summary' and select 'Continue'
The Care Load Summary (CLS) screen will present. To add a new Care Needs Assessment key 'Y' in the Add a new Care Needs assessment field and select 'Continue'
To continue processing, go to About the form

About the form

To accurately assess the Care Needs Assessment (CNA) of the care receiver, enter the answers provided on the form completed by the carer. Coding can be found in the tables below for each question.

If the CNA questionnaire is inconsistent with a qualifying health professional questionnaire, conduct further investigation. Contact with the customer will be required to amend responses to ensure the CNA questionnaire is an accurate reflection of the child's functional ability, behaviour and special care needs.

Note: If a carer marks more than 1 answer to any question, excluding questions 54 and 55 which allow multiple responses, only use the response that states the highest care needs (that is, the most beneficial) and disregard the other responses. Note: this is different to coding the THP.

Question Number	Question
1	The child's ability to do everyday things Is the child's ability to do everyday things (for example eating, bathing, talking, walking and mixing with other people): improving over time (that is, the child is likely to require less help in the future), code 'A' becoming worse over time (that is, the child is likely to require more help in the future), code 'B' relatively stable (that is, the child is likely to require the same level of help in the future), code 'C' fluctuating or episodic (that is, the child's condition and ability to do everyday things goes up and down from day to day or week to week), code 'D' not sure, code 'E' This question does not achieve a score towards the CNA and is a guide for Service Officers and the Carer Specialist Assistance Teams (CSATs) to establish if the condition is improving, stable or getting worse.
2	Settling down to sleep at night For example, repeated efforts needed to get the child to go to sleep at night. Record responses in the appropriate system. If the carer's response is: Never (or no response recorded), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
3	Disrupted sleep at night For example, waking up many times during the night, awake for long periods during the night, or having nightmares. Record responses in the appropriate system. If the carer's response is: Never (or no response recorded), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
4	Irritable behaviour For example, crying all the time, not able to be calmed down, or for an older child, continually agitated, prone to angry outbursts. Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
5	Speaking and communicating That is, speaking and communication everyday needs. Record responses in the appropriate system. If the carer's response is: The child's speech and communication is appropriate for their age (the child can speak and communicate their everyday needs in the same way as other children of the same age. For young babies this may include crying when hungry, smiling or babbling (or no response is recorded), code 'A' The child has difficulty speaking or communicating their needs in other ways (speech is unclear and can only be understood by people who know the child very well, or the child is aged over 4 years and can only say or sign a few words), code 'B' The child uses other ways to communicate (sign language, picture board, electronic communicator, gestures, pointing), code 'C' The child cannot talk or communicate their needs effectively in other ways, code 'D'
6	Understanding speech That is, the child understanding what you say to them. Record responses in the appropriate system. If the carer's response is: The child is able to understand everything that I would expect for a child of this age (or no response is recorded), code 'A' The child sometimes needs me to speak more simply, repeat things or give reminders once or twice a day, code 'B' The child often needs me to speak more simply, repeat things or give reminders. The child has a lot of difficulty understanding what I say several times a day, code 'C' The child cannot understand most things I say. The child does not appear to understand simple instructions or questions such as 'do you want a drink?, code 'D'
7	Playing and mixing with other children Record responses in the appropriate system. If the carer's response is: The child plays and mixes with other children as expected for a child of their age (or no response is recorded), code 'A' The child sometimes needs help to play and mix appropriately with other children once or twice a week, code 'B' The child often needs help to play and mix appropriately with other children several times a week, code 'C' The child cannot play or mix with other children at all. The child has extreme behaviour problems or the child cannot play with other children because of a severe disability or medical condition, code 'D'
8	Is the child is aged under 3 years? Yes, go to Q21 (Section B). Do not answer questions 9 to 20 if the child is aged under 3 years) No, go to the next question (answer questions 9 to 20 if the child is aged 3 years or over)
9	General information Question 9 on the form does not represent a question for the carer. Instead, question 9 instructs the carer to read the following statement before continuing with their response: 'Questions 10 to 20 asks you about the child's behaviour, (for example, running away, aggressive behaviours, self-harming behaviours, extreme anxiety or withdrawal). For each question please select the response the best describes the child's behaviour and the impact this behaviour has on you during the day and the night.' No response/coding is required for Question 9.
10	Does the child have severe behaviour difficulties? Record responses in the appropriate system. The system does not require any coding for this question as its purpose is to guide the carer.
11	The child wanders, escapes or runs away from home, school or community settings Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes (The child sometimes wanders or runs away but not every week), code 'B' Often (The child would wander or run away at least once a week if not closely supervised), code 'C' Always (The child continually wanders or runs away unless hand is held or doors and gates are locked), code 'D'
12	The child shouts, screams at or threatens other people or makes so much noise that other people become alarmed Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
13	The child becomes physically aggressive and harms others by hitting, pushing, kicking biting or throwing objects Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
14	The child gets extremely upset for little or no apparent reason The child has episodes of intense crying or screaming and is very difficult to calm down. Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
15	The child gets extremely anxious or fearful or becomes emotionally withdrawn Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'

Question number	Question
16	The child has strange behaviours such as unusual routines, repetitive or obsessive behaviours, hearing voices or seeing things that are not there Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
17	The child displays high-risk behaviour that causes a danger to themselves or to others, including family members The child requires supervision and actions such as locking away household items that would not normally have to be locked away or preventing the child from running into traffic. Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
18	The child behaves in ways that result in injury to themselves This may include head-banging, hand-biting or other self-harming behaviours. Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
19	The child has displayed suicidal behaviours The child has suicidal thoughts and has planned or attempted suicide. Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code ‘B' Often, code 'C' Always, code 'D'
20	The child does or says things that are sexually inappropriate Record responses in the appropriate system. If the carer's response is: Never (or no response is recorded but Q10 was answered Yes), code 'A' Sometimes, code 'B' Often, code 'C' Always, code 'D'
21	Does the child have more problems and need more help doing everyday tasks (like eating, grooming, bathing, using the toilet, walking) than other children of the same age? Staff are not required to code a response to this question as the system will automatically take the user to Question 22.
22	Is the child aged under 12 months? Record responses in the appropriate system. It is not required to answer this question if coding manually as the system will automatically take the user to Question 23.
23	General information Question 23 on the form does not represent a question for the carer. Instead, question 23 instructs the carer to read the following statement before continuing with their response: 'Questions 24 to 38 ask you to rate the child's ability to perform a number of different tasks. You must answer all of these questions. For each question, select the response that best describes the child's ability. Please base your responses on what the child does when using any aids, appliances or home modifications that assist with the care of the child. If the child has a condition that changes from day to day, please base your answers on the child's usual ability, i.e. what the child is able to do most of the time. Help includes supervision, prompting, reminding or training required as well as physical help. The child's age will be taken into account when assessing your responses.' No response/coding is required for Question 23.
24	Does the child feed themselves once food is prepared? Record responses in the appropriate system. If the carer's response is: The child feeds themselves with no help (or no response is recorded but Q22 was answered Yes), code 'A' The child needs a little help like prompting, reminding or a small amount of physical help, code 'B' The child needs a lot of help, code 'C' The child is completely dependent on me to feed them (for example, I have to hold the child's bottle, spoon-feed the child, or feed the child through a naso-gastric feeding tube, gastrostomy or P.E.G.), code 'D'
25	Does the child do every day grooming tasks like brush their teeth, brush/comb hair, wash and rinse their hands and face? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered Yes), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
26	Does the child wash themselves from the neck down (except for their back) in the bath, shower, or sponge/bed bath? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered Yes), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
27	Does the child dress themselves from the waist up, like putting on singlets, t-shirts, jumpers and jackets? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered Yes), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
28	Does the child dress themselves from the waist down, like putting on underpants, skirts/pants/trousers, socks, shoes? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered Yes), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
29	Does the child wipe themselves and adjust their clothing before and after using the toilet? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered Yes), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
30	Does the child have bladder accidents? That is, wets their pants or nappy. Record responses in the appropriate system. If the carer's response is: The child never has bladder accidents (or no response is recorded but Q22 was answered Yes), code 'A' The child has bladder accidents during the night but is dry during the day, code 'B' The child has occasional bladder accidents during the day and at night, code 'C' The child has frequent bladder accidents during the day and at night, code 'D'

Question number	Question
31	Does the child have bowel accidents? That is, soils their pants or nappy. Record responses in the appropriate system. If the carer's response is: The child never has bowel accidents (or no response is recorded but Q22 was answered No), code 'A' The child sometimes has bowel accidents, code 'B' The child often has bowel accidents, code 'C' The child is completely incontinent of faeces, code 'D'
32	Does the child sit down and get up from the toilet or potty? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered No), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
33	Does the child sit down and get up from a chair or wheelchair? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered No), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
34	Does the child get into or out of a bath or shower (whichever is used more often)? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered No), code ‘A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
35	How does the child move around? Record responses in the appropriate system. If the carer's response is: The child moves around by walking (or no response is recorded but Q22 was answered No), code 'A' The child moves around using a wheelchair or other mobility aids, code 'B' The child moves around by crawling, rolling or bottom-hitching, code 'C' The child is not able to move around by themselves, code 'D'
36	Does the child move around by themselves indoors on an even surface? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered No), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
37	Does the child move around by themselves outdoors on uneven surfaces? Record responses in the appropriate system. If the carer's response is: No help (or no response is recorded but Q22 was answered No), code 'A' A little help, code 'B' A lot of help, code 'C' Completely dependent, code 'D'
38	Does the child go up and down stairs? Record responses in the appropriate system. If the carer's response is: The child goes up and down a flight of stairs with no help from me (or no response is recorded but Q22 was answered No), code 'A' The child goes up and down two or three steps with no help from me, code 'B' The child goes up and down a single step or kerb with no help from me, code 'C' The child needs physical help from me to go up and down steps or stairs or the child cannot use steps or stairs at all, code 'D'
39	General information Question 39 on the form does not represent a question for the carer. Instead, question 39 instructs the carer to read the following statement before continuing with their response: 'Questions 40 to 56 ask you to indicate the child's special care needs. If the child has a condition that changes from day to day, please base your answers on the child's usual and ongoing needs.' No response/coding is required for Question 39.
40	Does the child use any of the following to help with breathing? Record responses in the appropriate system. The following may be used by the child: Tracheostomy: an opening made by a surgeon through the front of the child’s neck into the windpipe. A tracheostomy tube is used to keep the tracheostomy open Ventilator: a machine which breathes for the child and connects to the child’s airway, usually through a tube into the windpipe known as a tracheostomy tube Oxygen: the child is regularly given extra oxygen to breathe from an oxygen cylinder at home as directed by a medical practitioner CPAP/BiPAP: a CPAP or BiPAP machine helps to keep the child’s airway open by providing a flow of air at pressure, usually through a mask fitted firmly to the face If the carer states: 'Yes' to any one of the above, code 'Y' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
41	Does the child receive dialysis due to a kidney condition? Record responses in the appropriate system. If the carer states: 'Yes'. In: Process Direct, code 'Y' Customer First/Customer Record, code ‘B’ 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
42	Do you provide Total Parenteral Nutrition (TPN) for the child? TPN is a technique in which nutrients are given to a person through a tube directly into their veins, usually because they cannot digest regular food. Record responses in the appropriate system. If the carer states: 'Yes'. In: Process Direct, code ‘Y’ Customer First/Customer Record, code ‘B’ 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
43	Do you do postural drainage for the child? Postural drainage means using positioning to help drain mucus from the child's lungs and airways. This often includes physical techniques such as patting the child's chest with cupped hands (percussion) to help clear the secretions. Record responses in the appropriate system. If the carer states: 'Yes - during the day': less than daily, code 'A' once or twice a day, code 'B' 3 or more times a day, code 'C' 'Yes - during the night' (such as, 10pm to 6am): less than nightly, code 'A' once a night, code 'B' 2 or more times a night, code 'C' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
44	Do you clear the child's airways through suctioning? Suctioning is the use of a tube connected to equipment to remove mucus or saliva from the child's mouth, throat or airway. Record responses in the appropriate system. If the carer states: 'Yes - during the day': less than daily, code 'A' once or twice a day, code 'B' 3 or more times a day, code 'C' 'Yes - during the night' (such as, 10pm to 6am): less than nightly, code 'A' once a night, code 'B' 2 or more times a night, code 'C' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
45	Do you physically assist or position the jaw of the child to help with chewing and/or swallowing? Record responses in the appropriate system. If the carer states: 'Yes': less than daily, code 'A' once or twice a day, code 'B' 3 or more times a day, code 'C' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response

Question number	Question
46	Do you Percutaneous Endoscopic Gastrostomy (PEG) feed or use a feeding tube to feed the child? When a child is PEG fed they have a tube or button that goes directly into their stomach and are fed through that tube. Record responses in the appropriate system. If the carer states: 'Yes': less than daily, code 'A' once or twice a day, code 'B' 3 or more times a day, code 'C' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
47	Do you provide physical assistance to turn or position the child because they are unable to do so independently? Record responses in the appropriate system. If the carer states: 'Yes - during the day': less than daily, code 'A' once or twice a day, code 'B' 3 or more times a day, code 'C' 'Yes - during the night' (such as, 10pm to 6am): less than nightly, code 'A' once a night, code 'B' 2 or more times a night, code 'C' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
48	Do you manage wounds or dressings for the child? Record responses in the appropriate system. If the carer states: 'Yes': less than 30 min per day, code 'A' 30-60 min per day, code 'B' 1-2 hours per day, code 'C' more than 2 hours per day, code 'D' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
49	Do you give emergency medication or first aid for poorly controlled seizures? Record responses in the appropriate system. If the carer states: 'Yes': less than monthly, code 'A' once or twice a month, code 'B' 3 or more times a month, code 'C' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
50	Do you provide stoma care (e.g. colostomy or ileostomy) for the child? A stoma is an opening in the abdominal wall and is used to enable waste materials from the intestines to empty into a pouch or bag. Record responses in the appropriate system. If the carer states: 'Yes': less than daily, code 'A' once or twice a day, code 'B' 3 or more times a day, code 'C' 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
51	Does the child have an eating disorder that has been diagnosed by a medical practitioner (Anorexia nervosa or bulimia)? Record responses in the appropriate system. If the carer states: 'Yes'. In: Process Direct, code 'Y' Customer First/Customer Record, use ‘B’ 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
52	Is the child receiving a course of chemotherapy or radiotherapy treatment? Record responses in the appropriate system. If the carer states: 'Yes. In: Process Direct, code 'Y' Customer First/Customer Record, code ‘B’ 'No' to this question, do not key anything in the system. The system will accept a 'nil' response
53	Do you prepare or administer medications related to the child's medical condition? Medications include tablets, other oral medications, injections, puffers/inhalers, suppositories, enemas, ointments, or creams prescribed by a medical practitioner. Record responses in the appropriate system. If the carer states: 'Yes', key the number of minutes per day the carer has stated 'No' to this question, leave blank
54	Do you provide any of the following supports or treatments for the child? These fields are used to enter the responses to the corresponding questions in the Care Needs Assessment questionnaire. Record responses in the appropriate system. For each item the carer ticked, code the following: Attending health care appointments related to the child's disability or medical condition multiple times per month: in Process Direct, if carer states ‘Yes’, select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' Exercises prescribed by a physiotherapist, speech therapist, occupational therapist or other specialist at least twice a week: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' Applying daily splints, braces, special garments or mobility aides recommended by a health practitioner: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' Behavioural program recommended by a psychologist, psychiatrist or other therapist: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' Early childhood intervention activities recommended by a teacher, therapist or other disability specialist: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' Sign language or hearing equipment where the child is Deaf or has a severe hearing impairment: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' Equipment or tactile aids or other assistance around the home where the child is blind or has a severe visual impairment: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' Blood testing or urine testing performed by you at least three times a day: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N'
55	Do any of these other care needs apply to you and the child you care for? These fields are used to enter the responses to the corresponding questions in the Care Needs Assessment questionnaire. Record responses in the appropriate system. For each item the carer ticked, code the following: I am unable to access general child care, after school-hours care or vacation care programs due to this child's special care needs: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' I am often called to the child's school or child care attend to their special care requirements or collect them due to their health or behaviour: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' This child has been excluded from school or child care for more than one day in the last school term because of their health care needs or behavioural issues: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' This child can only attend school part-time due to the severity of their disability or medical condition or because school supports are not available: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' I have to attend and stay at school or child care to provide care for my child due to the severity of their disability or medical condition because school supports are not available: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N' I can only leave this child in the care of others when they have had specific training and are willing to manage the child's care needs: in Process Direct, if carer states ‘Yes’ select the corresponding check box in Customer First/Customer Record, code 'Y' or 'N'
56	Please describe any other care needs that the child has This is for the parent or carer to state the impact that the child's special care needs have on them. This helps the Carer Specialist Assessment Team (CSAT) to identify changes which may have to be made to the SA394, and in conducting the required phone interview. It is not a requirement to code this on the system as it is a guide question only.
57	Please describe any other effects that the child's disability or medical condition has on you (for example, on your daily routine, ability to take up paid employment, your health, social activities or emotional effects) This is for the parent or carer to state the impact that the child's special care needs have on them. This helps the Carer Specialist Assessment Team (CSAT) to identify changes which may have to be made to the SA394, and in conducting the required phone interview. It is not a requirement to code this on the system as it is a guide question only.
58	If you have any other comments about your situation that you feel are relevant This is for the parent or carer to provide any other comments. This helps the Carer Specialist Assessment Team (CSAT) to identify changes which may have to be made to the SA394, and in conducting the required phone interview. It is not a requirement to code this on the system as it is a guide question only.
59	General information Question 59 on the form does not represent a question for the carer. Instead, question 59 instructs the carer to read the following statement before continuing with their response: Privacy and your personal information Your personal information is protected by law, including the Privacy Act 1988, and is collected by 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 department or given to other parties for the purposes of research, investigation or where you have agreed or it is required or authorised by law. You can get more information about the way in which Services Australia will manage your personal information, including our privacy policy at: www servicesaustralia.gov.au/individuals/privacy or by requesting a copy from the agency. No response/coding is required for Question 59.
60	General information Question 60 on the form does not represent a question for the carer. Instead, question 60 instructs the carer to read the following statement before continuing with their response: Statement I declare that: the information I have provided in this form is complete and correct I understand that: giving false or misleading information is a serious offence Services Australia can make relevant enquiries to make sure I receive the correct entitlement The carer is required to sign and date the form at question 60. Date signed is used to record the date the carer signed the assessment on the Care Load Behaviour (CLBHA) screen. If it is not dated, use the date of receipt.

Operational Information

Coding the paper Carer Payment and/or Carer Allowance Care Needs Assessment for a child under 16 years 009-04050040

On this page:

System for processing

About the form

Questions 1 - 15 of the CNA

Questions 1 - 15 explanations

Questions 16 - 30 of the CNA

Questions 16 - 30 explanations

Questions 31 - 45 of the CNA

Questions 31 - 45 explanations

Questions 46 - 60 of the CNA

Questions 46 - 60 explanations