Application for Review Form - Administrative …

1 (August 2018) Page 1 Do you disagree with a Centrelink decision? Application for Review form AAT first Review of a Centrelink decision The AAT provides quick, fa ir and independent reviews of Centrelink decisio ns. Contact deta ils Telephone 1800 228 333 International app li cants + 61 2 9276 5101 Website Teletypewriter service (TTY) 13 3 677 Inf ormation in other languages For information in another language, call 13 1 450 from anywhere in Australia and +61 3 92 03 4038 from ou tside of Aus tralia. The Translating and Interpreting Service can call us on you r behalf. The AAT is independent The AAT is no t part of Centrelink, or the Department of Human Services. It is an independ ent tribunal with members who have expertis e in law, welfare, accounting, medicine or public administration.

2 The AAT can change Centrelink decisions The AAT has the po wer to change Centrelin k decis ions, if the decision has bee n reviewed by an Authorised Review Officer (ARO), or in most circumstances a Subject Matter Expert (SME) at Centrelink and the AAT fin ds that the decis ion do es no t accord with the law. For exampl e, the AAT can change decision s involving: Rejectio n of a claim Overpayments and deb t recovery Payment start dates Non-payment of arrears Rate of payment Disabili ty impa irment ratings Rate reductio n Shared care percentages Ca nc ellation/suspension Assessments of living arrang ements Non-payment periods Treatment of income and assets Applying to the AAT is free There is no cost to a person who wishes to have the AAT Review a Centrelink decision.

3 Application for Review form AAT first revie w of a Centrelink decision (August 2018) Page 2 The AAT is inf ormal The hea rin gs are conducted in an infor mal mann er and legal rep resentati on is not necessary. You can choose to be accompanied to the hea ring by friends, famil y or a legal rep resentative if you wish. Usuall y no-on e from Centrelin k attends the hea ring. Do you need help filling in th is form ? Ask a friend , community worker or call the AAT on 1800 228 333. Has the decis ion bee n reviewed by a Centrelink Authorised Review Officer or a Centrelink Subject Matter Expert? Yes Date of decision : .. No A Centrelink Authorised Review Offi cer or Subject Matter Expert mus t Review the de cision before you can apply to the AAT. Please contact Centrelink. Making an Application To make an app lic atio n for Review of a Centrelink decision, simply : Apply online at ; or Call the AAT on 18 00 228 333; or Fil l in thi s form and : - Post it to the AAT (Reply Paid 9955 in your capital city: no stamp required if posted within Australia); or - Fax it to you r nea rest AAT office; - Take it to your nearest AAT office.

4 Your deta ils You r AATID, if known: .. Title: Mr Ms Mrs Miss Ot her .. Last name: .. Fi rst name: .. Date of bi rth: .. Gend er: .. Contact address: .. Postcode: .. Telephone nu mbe r: .. Mobil e telephone nu mber: .. Application for Review form AAT first revie w of a Centrelink decision (August 2018) Page 3 Email address: .. You r Centrelin k referenc e nu mber, if known: .. Your Application What type of payment(s) would you li ke reviewed? Newstart allo wanc e Parenting payment Pension Disabili ty payments Family payments Youth Allowance Aus tudy Paid Parental Leave (PPL) *see below Ot her If other , please state: .. * In PPL reviews you MUST make your appli cation withi n 28 day s of the Centrelin k Au thorised Review Officer or Subject Matter Expert decision, unless th e AAT approves an extension.

5 What decision(s) would you lik e reviewed? Rejectio n of claim Ca nc ellation/suspension Rate of payment Payment start date Rate reductio n Shared care percentage Non-payment perio d PPL payment peri od Overpayment/deb t recovery Ot her If other , please state: .. Name of empl oyer (if making an applicatio n about PPL) .. Plea se pr ovide reasons why you disagree with the de cision. We canno t start your Review if you do not ans wer this question. Y ou may enclose more papers if nee ded.. How do you prefer to have your Review heard? Come to the AAT Telephone Services provided for applicants If nee ded , we can arrange for an interpreter to attend the hearing (at no cost to you ). Do you nee d an interpreter to assist you during the hea ring? Yes No If yes , which language/ dialect?

6 Application for Review form AAT first revie w of a Centrelink decision (August 2018) Page 4 Would you li ke to discuss a dis abil ity-related nee d ( . wheelchair access, sign interpreter)? Yes No If yes, a tribunal officer wil l contact you to discuss how we can best meet you r indivi dual needs . Optional questions Ans wering these qu estions wil l help us match ou r services to the needs of applicants. Are you of Aboriginal or Torres Strait Island er origin? Yes No Were you born oversea s? Yes No Whic h country ?.. What lang uages do you spea k at home? .. Please sign here Signature: .. Date : .. You will also need to sign be low if you have a rep resentative. Support at the hearing You can br ing a friend or family member to the hea ring for support, or may want to be assisted by an advoc ate or legal representative (at you r own cost).

7 Do you have a representative? Do you want letters from the AAT sent to a rep resentative ( a lawyer or community rep resentative)? If so, plea se write their name here: Rep resentative s name: .. Type of rep resentative ( lawyer, family member, welfare worker): .. Their postal address: .. Their telephone nu mber: .. Please sign here to autho rise the AAT to disclose relevant personal informati on to you r no minated rep resentative. Signature: .. Date : .. What we do with information given to us We collect information from you to process your Application and carry out the Review . We may disclose some or all of the information you give us to Centrelink and/or any other relevant person or body for the purpose of the Review . We may also use information about you to improve our services. More information, including our Privacy Policy, is available on our website , or by calling 1800 228 333.

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