Better health and ageing for all Australians

Aged Care Forms

Application for Financial Hardship Assistance

Application form for residential aged care recipients to apply for a reduction in care fees, a waiver of income-tested fees, and a waiver of accommodation bond/charge.

In this section:

You may download this document in PDF format:

PDF printable version of Financial Hardship Application Form (PDF 646 KB)

If you are unable to download the PDF file please send an email to: acc@health.gov.au for a copy to be sent to you.

Related Links: Information Sheet 13 - Financial Hardship Assistance

Help with accessing large documents

When accessing large documents (over 500 KB in size), it is recommended that the following procedure be used:

  1. Click the link with the RIGHT mouse button
  2. Choose "Save Target As.../Save Link As..." depending on your browser
  3. Select an appropriate folder on a local drive to place the downloaded file

Attempting to open large documents within the browser window (by left-clicking) may inhibit your ability to continue browsing while the document is opening and/or lead to system problems.

Help with accessing PDF documents

To view PDF (Portable Document Format) documents, you will need to have a PDF reader installed on your computer. A number of PDF readers are available through the Australian Government Information Management Office (AGIMO) Web Guide website.