Mobility Allowance Claim for Advance Payment - Australia
Mobility Allowance
Claim for advance payment
Use this form to claim an advance payment of Mobility Allowance.
Purpose of this form
Go to our website at www.humanservices.gov.au/mobilityallowance or call us on 132 717
or visit one of our Service Centres.
To speak to us in languages other than English, call 131 202.
Note: Call charges apply – calls from mobile phones may be charged at a higher rate.
For more information
Check that you have answered all the questions you need to answer and that you have
signed and dated this form.
Return this form online or to one of our Service Centres.
For more information on how to access Online Services or how to lodge documents
online, go to
www.humanservices.gov.au/submitdocumentsonline
Returning your form
Filling in this form
If you need an interpreter or translation of any documents for our business, we can
arrange this for you free of charge.
Interpreters and
translations
TTY service Freecall™ 1800 810 586. A TTY phone is required to use this service.
If you have a hearing or
speech impairment
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MA007T.1403
• Please use black or blue pen.
• Print in BLOCK LETTERS.
• Mark boxes like this
with a or .
• Where you see a box like this
Go to 5
skip to the question number shown. You do
not need to answer the questions in between.
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