SY005.

1005
Notes1 of 4
Claim for Fares Allowance
tertiary students only
Youth Allowance, Austudy, Pensioner Education Supplement
Fares Allowance can help with the cost of fares incurred by eligible tertiary students for
certain travel between their permanent home and an educational institution.
Use this form if you are a student receiving Austudy, Youth Allowance or Pensioner Education
Supplement and you wish to claim Fares Allowance.
You can use this form to claim for up to 3 eligible journeys in a study year. See page 2 for
important information about what journeys are eligible for Fares Allowance.
Important: If you are receiving ABSTUDY, you should claim ABSTUDY Fares Allowance.
Call 13 2317 for more information about how to claim ABSTUDY Fares Allowance.
Claims for Fares Allowance must be lodged before 1 April in the year following the
year of study.
Purpose of this form
Filling in this form Please use black or blue pen.
Mark boxes like this with a or X.
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.
If you have a hearing or
speech impairment
TTY service Freecall 1800 810 586. A TTY phone is required to use this service.
Interpreters and
translations
If you need an interpreter or translation of any documents for Centrelink business, we can
arrange this for you free of charge.
For more information
What else you will
need to provide
This form tells you which other documents you need to provide to support your claim.
Call Centrelink on 13 2490, visit your local Centrelink Customer Service Centre or go to
our website at www.centrelink.gov.au
To speak to Centrelink in languages other than English, call 13 1202.
Note: Calls from your home phone to Centrelink 13 numbers from anywhere in Australia are
charged at a fixed rate. That rate may vary from the price of a local call and may also vary
between telephone service providers. Calls from public and mobile phones may be timed
and charged at a higher rate.
Please keep these Notes (pages 1 to 4) for your information.
Returning your form Check that you have answered all the questions you need to answer and that you have
signed and dated this form.
If you return required documents (and this form):
by post we will photocopy your documents and return originals to you by registered post.
in person we will photocopy your documents and return the originals to you.
Return this form and all additional documents to a Centrelink Customer Service Centre.
Fares Allowance Fares Allowance is only available to Youth Allowance, Austudy and Pensioner Education
Supplement students undertaking an approved tertiary course who are required to live away
from their permanent home for study purposes.
It is not available to secondary students.
Fares Allowance is payable to:
students who are dependent, and who receive the away from home rate of Youth
Allowance
partnered independent students who live away from their partner for study purposes
single parent students who live away from their dependent children for study
purposes, and
students in an approved external course at an Australian institution in Australia, who have
to travel to the institution for a compulsory residential component of the course.
Fares Allowance is not payable for
field excursions or similar journeys
daily travel to and from the institution
travel outside of Australia, or
travel for a reunion with family where this occurs at a place other than at the students
permanent home.
Eligible journeys for Fares Allowance
For external students:
one return journey during the study year, between the educational institution and the
student's permanent home, to attend the institution for a period that is a compulsory
component of the course.
For other students:
a single journey from the students permanent home to the tertiary education institution
to start study for the year, and
one return journey between the institution and the students permanent home during the
year (only if you have received Youth Allowance/Austudy/Pensioner Education Supplement
for 6 months or more), and
a single journey between the institution and the students permanent home on completing
or discontinuing studies.
Amount of Fares Allowance
The amount of Fares Allowance payable is usually calculated using a reasonable route and
the least expensive form of public transport that is reasonable for the journey.
If the student chooses to use a more expensive form of transport, or chooses to use private
transport where public transport is available, the amount of Fares Allowance payable will
still be worked out at the rate for the cheapest reasonable public transport.
Where it is not practicable or reasonable to make all or any part of the journey by public
transport, the use of another vehicle or another form of transport (including taxi) may be
used in calculating the amount of Fares Allowance payable.
Notes2 of 4
SY005.1005
Claim for payment by
a third party
Another person may claim Fares Allowance on behalf of a qualified student if that student
dies after undertaking the journey. Claims for Fares Allowance must be lodged before 1 April
in the year following the year of study.
Notes3 of 4
Pre-booked Fares
Allowance
Where a pre-booked Fares Allowance has been approved, Centrelink will only pay the calculated
amount on behalf of the student to the commercial operator providing the means of travel.
The definition of
permanent home
For a dependent student (Youth Allowance customer only)
the home where a students parent(s)/guardian(s) normally reside. Where 2 homes are
resided in for equal periods, one must be nominated as the permanent home. Where the
parents have separated, the permanent home will be the home of the parent whose
income is used for parental means testing purposes.
For an independent student
the persons usual place of residence.
Privacy and your
personal information
Personal information is protected by law, including the Privacy Act 1988. The authority to
collect this information is contained in social security law.
The information you provide on this form will be used to determine your eligibility for, and
provide payments and services to you, and where relevant, third parties. This information
may also be used to detect or prevent fraud and/or recover overpayments.
Centrelink may disclose limited information (for example, income and assets) about you to
other individuals when your circumstances affect their entitlement to payments and services.
Centrelink can give your information to other persons, bodies or agencies without your
permission in circumstances where Commonwealth legislation requires or authorises the
disclosure.
Where you require Centrelink to pre-book your return travel relevant information will be
provided to Centrelinks approved travel service provider.
You can get more information from the factsheet titled Your Right to Privacy from your local
Centrelink Customer Service Centre, you can call Centrelink on 13 2717 to request a copy
or go to our website at www.centrelink.gov.au
Definition of a partner For Centrelink purposes a person is considered to be your partner if you and the person are
living together, or usually live together, and are:
married, or
in a registered relationship (opposite or same-sex), or
in a de facto relationship (opposite or same-sex)
Centrelink considers a person to be in a de facto relationship from the time they commence
living with another person as a member of a couple.
From 1 July 2009 Centrelink recognises all couples, opposite-sex and same-sex.
Fares Allowance
continued
Payment of Fares Allowance
Fares Allowance is usually paid as a reimbursement after the journey has been made.
In some cases Fares Allowance may be paid before the journey has been undertaken
(pre-booked Fares Allowance).
SY005.1005
SY005.1005
Notes4 of 4
Please keep these Notes (pages 1 to 4) for your information.
This page has been left blank intentionally.
SY005.1005
1 of 4
Your permanent address 4
Your postal address (if different to above) 5
Postcode
Postcode
Your date of birth 2
/ /
Your name
Other
Family name
1
First given name
Second given name
Ms Miss Mrs Mr
Claim for Fares Allowance
tertiary students only
Youth Allowance, Austudy, Pensioner Education Supplement
Your Customer Reference Number (if known) 3
Your semester/term address (the address where you live while
studying, if different to your permanent address)
6
Postcode
Claim for reimbursement Students personal details
7 Do you want to claim REIMBURSEMENT of Fares Allowance?
Yes
No Go to 17
Go to next question
10 Are you claiming reimbursement for a journey on completion/
discontinuation of studies for the year?
Yes
No
Give details below
Travel from
Go to next question
Travel to
Date of travel
/ /
Cost of travel
$
Method of travel (e.g. train, bus, taxi, car)
9 Are you claiming reimbursement for a journey to commence
studies for the year?
Yes
No
Give details below
Travel from
Go to next question
Travel to
Date of travel
/ /
Cost of travel
$
Method of travel (e.g. train, bus, taxi, car)
8 Are you enrolled as an external student?
Yes
No Go to next question
Go to 11
CLK0SY005 1005
SY005.1005
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12 Are you claiming reimbursement for more than one mode of
transport in a journey?
Yes
No Go to next question
Attach a separate sheet giving full details of
each mode of transport in the journey(s).
11 Are you claiming reimbursement for a return journey during the
year?
Yes
No
Give details below
Travel from
Go to next question
Travel to
Date of return travel
/ /
Cost of return travel
$
Method of return travel (e.g. train, bus, taxi, car)
Date of travel
/ /
Cost of travel
$
Method of travel (e.g. train, bus, taxi, car)
13 Did you travel by PUBLIC transport?
Yes
No Go to 15
Go to next question
14 Can you attach tickets/dockets/ticket stubs or other evidence
which give full details of the journey(s) you are claiming for
reimbursement of Fares Allowance?
No Explain why you cannot attach evidence
Attach evidence of all journeys you are claiming
for reimbursement of Fares Allowance.
Yes
Go to next question
Go to next question
15 Did you travel by PRIVATE transport because public transport was
unavailable for your journey(s)?
Yes
No Go to next question
Give details below
Date of travel
1
/ /
Engine capacity of motor
vehicle without rotary engine
(e.g. 16012600)
cubic centimetres
Engine capacity of motor
vehicle with rotary engine
(e.g. 8011300)
Number of kilometres travelled
cubic centimetres
If you have used private transport for more than 3 journeys,
attach a separate sheet with the details as above for the other
journey(s).
Travel from
Travel to
Date of travel
2
/ /
Engine capacity of motor
vehicle without rotary engine
(e.g. 16012600)
cubic centimetres
Engine capacity of motor
vehicle with rotary engine
(e.g. 8011300)
Number of kilometres travelled
cubic centimetres
Travel from
Travel to
Date of travel
3
/ /
Engine capacity of motor
vehicle without rotary engine
(e.g. 16012600)
cubic centimetres
Engine capacity of motor
vehicle with rotary engine
(e.g. 8011300)
Number of kilometres travelled
cubic centimetres
Travel from
Travel to
SY005.1005
Details of your PROPOSED travel
3 of 4
17 Do you want to apply for PRE-BOOKED Fares Allowance?
Yes
No Go to 20
Pre-booked Fares Allowance
Go to next question
18
Travel from
Travel to
Date of travel
/ /
Preferred time of travel
Method of travel (e.g. aeroplane)
Note: Approval of travel will be assessed on the most
appropriate form of public transport available.
19 Do you require Centrelink to pre-book your return travel?
Yes
No
Give details below
Date of return travel
Go to next question
Preferred time of travel
/ /
I declare that:
the information provided in this form is complete and correct.
I understand that:
giving false or misleading information is a serious offence.
Centrelink can make relevant enquiries to ensure I receive the
correct entitlement.
Students signature
Date
/ /
Students statement 21
Full details of each mode of transport in the journey(s)
(If you answered Yes at question 12)
Tickets/dockets/ticket stubs or other evidence which give
full details of the journey(s)
(If you answered Yes at question 14)
Students statement
Checklist
Which of the following documents and other attachments are you
providing with this form?
If you are not sure, check the question to see if you should attach
the documents.
Where you are asked to supply documents, please attach
original documents.
20
Information and statement of the third party
22 Has this form been completed by a third party because the
student has died?
Yes
No
Go to next question
You do not need to provide any more details.
16 Did you travel by TAXI?
Yes
No
Give details below
Travel from
Go to next question
Travel to
Date of travel
/ /
Number of kilometres travelled
Name of taxi company
SY005.1005
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Permanent address of the third party
Postcode
Date of birth of the third party
/ /
Details of the third party.
Family name
23
First given name
Second given name
Customer Reference Number of the third party (if known)
Relationship of the third party to deceased student
I declare that:
the information provided in this form is complete and correct.
I understand that:
giving false or misleading information is a serious offence.
Signature of the third party
Date
/ /
Statement of the third party
Assessors signature
OFFICE USE ONLY
Customer Reference Number
Date
/ /
Login ID
25
Account held in the name(s) of
The bank, building society or credit union account must be in
your name. A joint account is acceptable.
Where do you want your payment made? 24
Name of bank, building
society or credit union
Branch where your
account is held
Account number
(this may not be your
card number)
Branch number (BSB)