Instructions

Parent(s)/Guardian(s) details
for the BASE tax year and CURRENT tax year
for dependent Youth Allowance or ABSTUDY customers

People who are under 22 years of age are considered dependent

for Youth Allowance and ABSTUDY purposes, unless they meet one
of the independence criteria.

When to use this form Use this form to provide income details of parent(s)/guardian(s) if you are a dependent claiming
or receiving Youth Allowance or ABSTUDY.
Where a person is considered a dependant, the income of their parent(s)/guardian(s) is taken into
account when determining their eligibility and rate of payment. The Parental Means Test is made
up of the:
• Parental Income Test, and
• Maintenance Income Test.
Important: The information to be provided in this form is for the BASE tax year and/or the
CURRENT tax year.
Read the Notes on page 2 for an explanation of the BASE tax year and the CURRENT tax year.

Who should fill in You should fill out this form if you are the parent(s)/guardian(s) of the person claiming or receiving
this form Youth Allowance or ABSTUDY. You need to complete all questions in this form so that we can
make the correct assessment of their payment.
A parent/guardian is:
• the natural or adoptive parent with whom the Youth Allowance or ABSTUDY customer lives –
if the parent is a member of a couple, also include their partner
• any other person on whom the Youth Allowance or ABSTUDY customer is wholly or
substantially dependent.
If neither of the above applies, the parent/guardian is the natural or adoptive parent with whom
the Youth Allowance or ABSTUDY customer last lived.
Step parent
A step parent’s income is included if:
• the step parent is the parent’s partner
• the step parent lives with the parent, and
• the Youth Allowance or ABSTUDY customer’s permanent home is the same as the home of the
parent and step parent.
Note: The Youth Allowance or ABSTUDY customer may occasionally live away from that home for
temporary absences and still be assessed on their parent/step parent’s income.
Definition of a partner
If you have a partner, we generally consider you a member of a couple. Under social security law,
family assistance law and ABSTUDY policy, we consider you a member of a couple if you are either:
• married, or
• in a registered relationship, or
• in a de facto relationship.
We may still consider you a member of a couple if you are not physically living with your partner.
For example, your partner may fly-in fly-out or live away for work, like military or oil rig workers.
For more information, go to servicesaustralia.gov.au/moc
www.

Keep these Notes (pages 1 to 4) for your information.

Mod(JY).2003
Notes—1 of 4
For more information Go to servicesaustralia.gov.au or visit one of our service centres.
www.

Call us on 132 490 for Youth Allowance or 1800 132 317 for ABSTUDY.
We can translate documents you need for your claim or payments for free.
To speak to us in other languages, call 131 202.
Note: Call charges may apply.
If you have a hearing or speech impairment, you can contact the TTY service on
Freecall™ 1800 810 586. A TTY phone is required to use this service.

Parental Income Test The Parental Income Test includes:

• taxable income plus fringe benefits received from employers
• income from outside Australia
• net investment losses, including negative gearing from property and shares
• reportable superannuation contributions
• tax free pensions and benefits.
Exemption from the Parental Income Test
Dependent Youth Allowance or ABSTUDY claimants and recipients may be exempt from the
Parental Income Test if:
• at least one of their parent(s)/guardian(s) is in receipt of a pension, benefit, allowance or
ABSTUDY Living Allowance (excluding Family Tax Benefit, Child Care Benefit, Child Care
Rebate, Child Care Subsidy, Carer Allowance or Mobility Allowance)
• certain payments paid by the Department of Veterans’ Affairs
• for ABSTUDY claimants only – a Health Care Card issued due to receiving a maximum rate of
Family Tax Benefit Part A.
The BASE tax year
An assessment is normally based on the parental income for the BASE tax year.
The BASE tax year is the financial year ending before 1 January of the year of study.
A CURRENT tax year assessment
If you are completing this form between September and December, you will need to provide
information for both the BASE tax year and the CURRENT tax year. An assessment can be based
on the CURRENT tax year where there has been a substantial decrease in parental income that is
likely to continue for at least 2 years.
You will need to apply for a CURRENT tax year assessment for this reason and documentation
is usually required. Estimates of income may be acceptable until a Notice of Assessment is
available.
A CURRENT tax year assessment may also be applied where parental income for the financial
year immediately following the BASE tax year exceeds the BASE tax year income by more than
25%. This assessment applies from 1 October.
Refer to the appropriate year of payment listed below to work out the appropriate tax year:
The year of payment The appropriate BASE tax year The appropriate CURRENT tax year
(calendar year) (1 July to 30 June) (1 July to 30 June)
2018 2016–17 2017–18
2019 2017–18 2018–19
2020 2018–19 2019–20
2021 2019–20 2020–21

IMPORTANT: If you are applying for a CURRENT tax year assessment, you need to complete the
details on this form for BOTH the BASE tax year and the CURRENT tax year.

Continued
Mod(JY).2003
Notes—2 of 4
 Proof of income
If you have a Notice of Assessment issued by the Australian Taxation Office, a copy of this must
be provided as proof of income. However, if it has not been issued or is not available, or you have
additional income, you need to verify your income by providing documents, for example, full
income tax return and payment summaries or a letter from your employer(s) which must have the
employer’s name and address on them.
Reportable fringe benefits
Employer provided benefits (fringe benefits) received from an employer are counted as income
under the Parental Income Test.
You must tell us the amount of any exempt fringe benefits received from an employer who is a
not for profit organisation and any other reportable fringe benefits.
Examples of reportable fringe benefits provided by employers:
• helping pay your rent or home loan
• providing a home phone
• providing a car
• paying child(ren)’s school fees
• paying health insurance premiums
• paying child care expenses.
An employer’s contribution to a complying superannuation fund is not a fringe benefit.
The value of any reportable fringe benefits will be recorded on your payment summary for the
financial year ending 30 June. You can ask your employer to tell you the amount that is expected
to be shown on your payment summary.
Exempt reportable fringe benefits
Exempt reportable fringe benefits are any reportable fringe benefits received from not for
profit organisations eligible for a fringe benefits tax exemption under section 57A of the
Fringe Benefits Tax Assessment Act 1986. You should check with your employer’s payroll area
if you are not sure if you receive exempt reportable fringe benefits.
Other reportable fringe benefits
Any reportable fringe benefits received from all other employers that are not eligible for a fringe
benefits tax exemption.
Net investment losses
Net investment losses include net losses from rental property (negative gearing) and non-property
income investments such as shares. Investment earnings include taxable and tax-exempt
interest, dividends and rental income. The value of such losses is added back to parental income
for the Parental Income Test.
Reportable superannuation contributions
Reportable superannuation contributions are counted as part of parental income and include
discretionary employer superannuation contributions (such as voluntary salary sacrificed
amounts) paid by you (or your partner) or on your behalf and, for the self-employed, total
superannuation contributions that will be claimed as a tax deduction.
Tax free pensions and benefits
Tax free pensions and benefits are certain non-taxable pensions or benefits received in the
relevant tax year from us, the Department of Veterans’ Affairs or the Military Rehabilitation and
Compensation Commission. It includes Disability Support Pension, Carer Payment and similar
pensions or benefits. It does not include Family Tax Benefit, Child Care Benefit, Child Care Rebate,
Child Care Subsidy, Carer Allowance or Mobility Allowance.
Maintenance Income, including child support
Maintenance paid out for any dependent children is deducted from the combined parental income
for the Parental Income Test.
Maintenance income for the upkeep of a child or partner maintenance can include any of the
following:
• cash
• lump sum payments and non-cash amounts
• utilities charges
• school fees
• other payments made on behalf, or for the benefit, of the child.
Mod(JY).2003
Notes—3 of 4
The Maintenance The Maintenance Income Test includes maintenance income received by you.
Income Test Your children may be exempt from the Maintenance Income Test if you (and/or your partner) are
permanently blind and receive:
• an Age Pension
• a Disability Support Pension
• a service pension, income support supplement or Veteran Payment from the Department of
Veterans’ Affairs.

Other dependent Other dependent children who are in your care may be taken into account for the Parental Income
children Test, to make sure the effect of the test is divided across all children in the family. These children
are included in what is called the Youth Allowance or ABSTUDY customer’s family pool if:
• the child is being paid one of the following payments as a dependant, that is, their payment is
also subject to the Parental Income Test:
–– Youth Allowance (YA)
–– ABSTUDY Living Allowance or School Fees Allowance
–– Assistance for Isolated Children (AIC) Additional Boarding Allowance, or
• the child meets the definition of a Family Tax Benefit (FTB) child, that is, they are 0 to 19 years
of age and if 16 to 19 years of age, they are studying at secondary school. If there is a shared
care arrangement in place for the child, this may also be taken into account.

Rent Assistance Rent paid by you may be included in the family pool that forms part of the Parental Income Test.
It may increase the rate of payment you receive.
If you are paying rent but not receiving Rent Assistance from us, your rental details will need to
be verified.

Mod(JY).2003
Notes—4 of 4
 Instructions

Parent(s)/Guardian(s) details
for the BASE tax year and CURRENT tax year
for dependent Youth Allowance or ABSTUDY customers

PART A – About the person claiming Youth Allowance or ABSTUDY

Filling in this form 4 Youth Allowance or ABSTUDY customer’s date of birth

• Use black or blue pen. / /

• Print in BLOCK LETTERS.
• Where you see a box like this Go to 1 skip to the question
number shown. You do not need to answer the questions in
5 Did the Youth Allowance or ABSTUDY customer come into your
between. care in the last 12 months?
No Go to next question
Yes Date customer came into your care
About the Youth Allowance or ABSTUDY customer – / /
NOT the parent/guardian

1 Youth Allowance or ABSTUDY customer’s

Centrelink Reference Number (if known) The rest of the questions in this form are about
the parent(s)/guardian(s) — Go to next page

2 Youth Allowance or ABSTUDY customer’s name

Family name

First given name

Second given name

3 Has the Youth Allowance or ABSTUDY customer been known by

any other name?

Include:
• name at birth
• name before marriage
• previous married name
• Aboriginal or skin name
• alias
• adoptive name
• foster name.

No Go to next question
Yes Give details below
Other name

Type of name (for example, name at birth)

CLK0Mod(JY) 2003

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PART B – About the parent(s)/guardian(s) of the person claiming Youth Allowance or ABSTUDY

The parent/guardian is the person with primary care and responsibility for the Youth Allowance or ABSTUDY customer.
The parent/guardian partner is the partner of the parent/guardian.

Parent/Guardian Parent/Guardian Partner

6 Tick ONE of the boxes below to tell us about your relationship

status right now.

If you have ever been separated, give the date that you most
recently got back together with your partner.

Married Date married/

reconciled with your partner
/ /

Registered relationship Date registered/

(registered under state reconciled with your partner
or territory law)
/ /

De facto Date you started your

relationship/reconciled with
your partner
/ /

Separated Date of last separation

(previously in a marriage,
/ /
registered or de facto
relationship)
Divorced Date of divorce
/ /

Widowed Date of partner’s death

(previously in a marriage,
/ /
registered or de facto
relationship)
Never married or lived with
a partner

7 Are you a step parent of the Youth Allowance or ABSTUDY 7 Are you a step parent of the Youth Allowance or ABSTUDY
customer? customer?
No Go to 9 No Go to 9
Yes Go to next question Yes Go to next question

Mod(JY).2003
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 Parent/Guardian Parent/Guardian partner

8 Only answer this question if you are a step parent. 8 Only answer this question if you are a step parent.
Does the Youth Allowance or ABSTUDY customer ‘normally’ live Does the Youth Allowance or ABSTUDY customer ‘normally’ live
with you? with you?
The student would be regarded as normally living with you The student would be regarded as normally living with you
unless they have established a separate and permanent home unless they have established a separate and permanent home
away from the family home that includes holiday periods. away from the family home that includes holiday periods.
Those students who are away from the family home during Those students who are away from the family home during
the school term only and return home during breaks would the school term only and return home during breaks would
be treated as normally living with you. be treated as normally living with you.

No You do not need to provide more personal details. No You do not need to provide more personal details.
You need to sign the declaration on page 10. You need to sign the declaration on page 10.
Go to 39 Go to 39

Yes Go to next question Yes Go to next question

9 Your name 9 Your name

Mr Mrs Miss Ms Other Mr Mrs Miss Ms Other

Family name Family name

First given name First given name

Second given name Second given name

10 Your date of birth 10 Your date of birth

/ / / /

11 Your permanent address (if different to the Youth Allowance or 11 Your permanent address (if different to the Youth Allowance or
ABSTUDY customer’s address) ABSTUDY customer’s address)

Postcode Postcode

12 Your postal address (if different to above) 12 Your postal address (if different to above)

Postcode Postcode

13 Your contact phone number 13 Your contact phone number

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 Parent/Guardian Parent/Guardian partner

14 Do you receive a payment paid by the Department of Veterans’ 14 Do you receive a payment paid by the Department of Veterans’
Affairs? Affairs?
No Go to next question No Go to 15
Yes Name of payment Yes Name of payment

Go to 15

15 Read this before answering the following question.

For more information about BASE tax year and CURRENT tax
year, read the Notes.

Are you (and your partner) completing this form between

September and December?
No
Yes

16 Has your (and/or your partner’s) income decreased since the

BASE tax year?
No Go to 18
Yes Go to next question

17 Is this decrease expected to continue for at least 2 years?

No Go to next question
Yes Give details below
Provide documents to support this decrease
(or estimated decrease) in income. This
application will not be processed until
evidence is received.

Date decrease occurred

/ /
Estimate the time the decrease will last

18 Did you answer ‘Yes’ at question 15 OR question 17?

No Only fill in details for the BASE tax year.
You do not need to fill in details for the
CURRENT tax year.
Go to next question

Yes You must fill in details for both the BASE tax year
and the CURRENT tax year.
Go to next question

19 What was/is your taxable income for the tax year? 19 What was/is your taxable income for the tax year?
BASE tax year CURRENT tax year BASE tax year CURRENT tax year
$ $ $ $

Mod(JY).2003
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 Parent/Guardian Parent/Guardian partner

20 Have you received your Notice of Assessment (NOA) for the 20 Have you received your Notice of Assessment (NOA) for the
relevant tax year from the Australian Taxation Office (ATO)? relevant tax year from the Australian Taxation Office (ATO)?
BASE tax year CURRENT tax year BASE tax year CURRENT tax year
No What is the No What is the No What is the No What is the
approximate date approximate date approximate date approximate date
your NOA will be your NOA will be your NOA will be your NOA will be
available? available? available? available?
/ / / / / / / /

Yes Provide your Yes Provide your Yes Provide your Yes Provide your
NOA NOA NOA NOA

I am not required to lodge I am not required to lodge I am not required to lodge I am not required to lodge
an income tax return. an income tax return. an income tax return. an income tax return.
Give a reason why. Give a reason why. Give a reason why. Give a reason why.

If you still earned If you still earned If you still earned If you still earned
income, you will need income, you will need income, you will need income, you will need
to provide evidence. to provide evidence. to provide evidence. to provide evidence.

21 Read this before answering the following questions. 21 Read this before answering the following questions.
For more information, read ‘Parental Income Test’ in the Notes. For more information, read ‘Parental Income Test’ in the Notes.
During the relevant tax year, did you receive (or expect to receive) During the relevant tax year, did you receive (or expect to receive)
any income or make a loss in any of the areas listed below? any income or make a loss in any of the areas listed below?
No Go to next question No Go to next question
Yes Give details below Yes Give details below
BASE tax year CURRENT tax year BASE tax year CURRENT tax year
Exempt reportable Exempt reportable Exempt reportable Exempt reportable
fringe benefits fringe benefits fringe benefits fringe benefits
$ $ $ $
Other reportable fringe benefits Other reportable fringe benefits Other reportable fringe benefits Other reportable fringe benefits
$ $ $ $
Foreign income not already Foreign income not already Foreign income not already Foreign income not already
included in question 19 included in question 19 included in question 19 included in question 19
$ $ $ $
Net investment losses Net investment losses Net investment losses Net investment losses
$ $ $ $
Reportable superannuation Reportable superannuation Reportable superannuation Reportable superannuation
contributions paid by you or contributions paid by you or contributions paid by you or contributions paid by you or
on your behalf on your behalf on your behalf on your behalf
$ $ $ $
Tax free pensions and benefits Tax free pensions and benefits Tax free pensions and benefits Tax free pensions and benefits
$ $ $ $

You will need to provide your payment summary or your You will need to provide your payment summary or your
personal income tax return for that year. personal income tax return for that year.
Mod(JY).2003
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22 Read this before answering the following question. 26 Read this before answering the following question.
For more information, read ‘Parental Income Test’ in the Notes. For more information, read ‘Parental Income Test’ in the Notes.

During the relevant tax year, did you pay or do you expect to Are there any other dependent children in your family?
pay any maintenance (including child support)?
Do not include:
Parent/Guardian • the Youth Allowance or ABSTUDY customer
• if the child does not meet one of the criteria of a
BASE tax year CURRENT tax year
dependent child.
No No
Yes How much did Yes How much did/do No Go to 35
you pay? you expect to pay? Yes Go to next question
$ $
27 Read this before answering the following questions.
Parent/Guardian Partner Rent verification is needed to work out the correct rate of
payment for the Youth Allowance or ABSTUDY customer.
BASE tax year CURRENT tax year You may not be eligible to receive Rent Assistance from us
No No but you may need to verify the rent you pay. You will need
to complete a Rent Certificate if one is sent to you.
Yes How much did Yes How much did/do
you pay? you expect to pay? Do you (and/or your partner) pay rent?
$ $ No Go to 30
Yes Go to next question
23 Do you have a child support assessment for the Youth Allowance
or ABSTUDY customer? 28 Do you (and/or your partner) receive Rent Assistance?
No Go to next question No Go to next question
Yes Go to 26 Yes Go to 30

24 Read this before answering the following question. 29 How much rent do you (and/or your partner) pay per day, week,
For more information about maintenance, read ‘Parental fortnight or calendar month?
Income Test’ in the Notes.
$ per
Do you (and/or your partner) receive any maintenance for the
Youth Allowance or ABSTUDY customer?
No Go to 26
Yes Go to next question

25 What is the amount of maintenance you (and/or your partner)

receive for this child per day, week, fortnight, month or
calendar year?
$ per

Date this started

/ /

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 Child 1 Child 2
30 Dependent child’s details 30 Dependent child’s details
Family name Family name

First given name First given name

Date of birth Date of birth

/ / / /

31 Receiving, eligible for, or recently claimed one of these 31 Receiving, eligible for, or recently claimed one of these
payments: payments:
YA / ABSTUDY / AIC Go to 34 YA / ABSTUDY / AIC Go to 34
Family Tax Benefit, as Go to 34 Family Tax Benefit, as Go to 34
fortnightly payments fortnightly payments
None of these payments, or claiming Go to next question None of these payments, or claiming Go to next question
Family Tax Benefit as a lump sum Family Tax Benefit as a lump sum

32 Do you (and/or your partner) share the care of this child with 32 Do you (and/or your partner) share the care of this child with
another person? another person?
Do not include school/day care arrangements. Do not include school/day care arrangements.

No Go to 34 No Go to 34
Yes Go to next question Yes Go to next question

33 Read this before answering the following question. 33 Read this before answering the following question.
If you do not know what percentage of care you have, or if If you do not know what percentage of care you have, or if
the information does not match our records, a shared care the information does not match our records, a shared care
assessment may be required before we are able to include assessment may be required before we are able to include
them in the calculation of the Youth Allowance or ABSTUDY them in the calculation of the Youth Allowance or ABSTUDY
customer’s payment. customer’s payment.

What is the percentage of your (and/or your partner’s) care of What is the percentage of your (and/or your partner’s) care of
this child? this child?
% %

34 Do you have another dependent child? 34 Do you have another dependent child?
No Go to 35 No Go to 35
Yes Go to next question, on the next column Yes Go to next question, on the next page

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 Child 3 Child 4
30 Dependent child’s details 30 Dependent child’s details
Family name Family name

First given name First given name

Date of birth Date of birth

/ / / /

31 Receiving, eligible for, or recently claimed one of these 31 Receiving, eligible for, or recently claimed one of these
payments: payments:
YA / ABSTUDY / AIC Go to 34 YA / ABSTUDY / AIC Go to 34
Family Tax Benefit, as Go to 34 Family Tax Benefit, as Go to 34
fortnightly payments fortnightly payments
None of these payments, or claiming Go to next question None of these payments, or claiming Go to next question
Family Tax Benefit as a lump sum Family Tax Benefit as a lump sum

32 Do you (and/or your partner) share the care of this child with 32 Do you (and/or your partner) share the care of this child with
another person? another person?
Do not include school/day care arrangements. Do not include school/day care arrangements.

No Go to 34 No Go to 34
Yes Go to next question Yes Go to next question

33 Read this before answering the following question. 33 Read this before answering the following question.
If you do not know what percentage of care you have, or if If you do not know what percentage of care you have, or if
the information does not match our records, a shared care the information does not match our records, a shared care
assessment may be required before we are able to include assessment may be required before we are able to include
them in the calculation of the Youth Allowance or ABSTUDY them in the calculation of the Youth Allowance or ABSTUDY
customer’s payment. customer’s payment.

What is the percentage of your (and/or your partner’s) care of What is the percentage of your (and/or your partner’s) care of
this child? this child?
% %

34 Do you have another dependent child? 34 Do you have another dependent child?
No Go to 35 No Go to next question
Yes Go to next question, on the next column Yes
Provide a separate sheet with details.
Go to next question

Mod(JY).2003
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35 Read this before answering the following question. 37 Do you (and your partner) have a tax file number(s)?
Payments are usually paid into your account if the Youth Parent/Guardian
Allowance customer is under 18 years of age.
In the case of ABSTUDY, payments are usually paid into the No Call us on
parent/guardian’s account unless the customer is: 132 490 for Youth Allowance customers or
1800 132 317 for ABSTUDY customers.
• 18 years of age or older
• studying a tertiary or non-school course, or Yes Your tax file number
• undertaking an Australian Apprenticeship.

Where do you want the Youth Allowance or ABSTUDY payment

made? Parent/Guardian Partner
I authorise payment to go into No Call us on
my child’s account 132 490 for Youth Allowance customers or
1800 132 317 for ABSTUDY customers.
Payments are to go into
my account Yes Your partner’s tax file number
The bank, building society or credit union account must be in
your name. A joint account is acceptable.
Do not include an account used exclusively for funding from
the National Disability Insurance Scheme. Checklist
Name of bank, building
society or credit union 38 Which documents have you included with this form?
You must provide original documents, not copies.
Branch number (BSB)
If you are not sure, check the question to see if you should
Account number provide documents.
(this may not be your
card number) Documentary evidence to support the decrease in
Account held in the name(s) of income
(if you answered Yes at question 17)
Your Notice of Assessment issued by the ATO
or other evidence of income
(if required at question 20)
36 Read this before answering the following questions. Your payment summary or personal income tax return
or other evidence of income
You are not breaking the law if you do not give us your (and
(if required at question 21)
your partner’s) tax file number(s), but if you (and your partner)
do not provide them to us, or authorise us to get them from Details of additional other dependent children
the Australian Taxation Office, your child may not be paid. (if you answered Yes at question 34)
In giving us your (and your partner’s) tax file number in
relation to this claim you authorise us to use your (and your
partner’s) tax file number for other social security payments
and services in future where necessary.

Have you (and your partner) given us your tax file number(s)
before?
No Go to next question
Not sure Go to next question
Yes Go to 38

Mod(JY).2003
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 Privacy notice

39 You (and your partner) need to read this

Privacy and your personal information
The privacy and security of your personal information is
important to us, and is protected by law. We need to collect
this information so we can process and manage your
applications and payments, and provide services to you. We
only share your information with other parties where you
have agreed, or where the law allows or requires it. For more
information, go to servicesaustralia.gov.au/privacy
www.

Declaration

40 Parent(s)/guardian(s) declaration
I declare that:
• the information I have provided in this form is complete and
correct.
I understand that:
• Youth Allowance/ABSTUDY payments cannot start until
this statement is signed and all information is provided.
• Centrelink can make relevant enquiries to make sure the
claimant receives the correct entitlement.
• giving false or misleading information is a serious offence.

Signature of Parent/Guardian

On completion of this form,

print and sign by hand

Date
/ /

Signature of Parent/Guardian Partner

On completion of this form,

print and sign by hand

Date
/ /

Returning your form

Return this form and any supporting documents:
• online the Youth Allowance or ABSTUDY customer can submit
these documents online (excluding identity documents) through
their Centrelink online account. For more information, go towww.

servicesaustralia.gov.au/submitdocumentsonline
• by post to
Services Australia
Student Services,
PO Box 7804
CANBERRA BC ACT 2610
• in person at one of our service centres, if you are unable to use
your Centrelink online account.

Print Clear
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