188.8.131.52 General Claim Requirements
Requirements of the SS(Admin)Act
- requires that any person wanting to receive a social security payment or a concession card must make a claim, and
- sets out how the claim must be made.
- prescribe the way in which a claim may be made (other than the ways already set out in the Act),
- approve claim forms and define what constitutes lodging a claim for the purpose of the Act, and
- approve new ways in which a claim may be made.
Act reference: SS(Admin)Act section 11 General rule, section 16 How to make a claim
SSAct section 23(1)-'social security payment'
Determining when payment is received
A key outcome of the claims process is determining the day from which a claimant who claims and is qualified for a social security payment begins to receive it. The following table explains the 5 concepts used in the SS(Admin)Act to determine when payment is to be received.
|Day of contact||The day on which a vulnerable claimant contacts Services Australia about a claim for a payment.|
|Day of lodgement||The day on which a claim is given to Services Australia.|
|Day of qualification||The first day on which a claimant is qualified for a payment under the qualification rules in the SSAct.|
|Day a claim is made, or taken to be made||The day established under rules set out in the SS(Admin)Act, which is generally the day of lodgement but may be the day of contact or the day of qualification.|
|Start day for the claim||
Act reference: SS(Admin)Act section 11 General rule, section 36 Obligation of Secretary to determine claim, Schedule 2 Rules for working out start day
Circumstances in which a claim is not necessary
The SS(Admin)Act sets out the circumstances where:
- a claim is NOT required, or
- the day of lodgement of the claim is NOT the day the claim is taken to be made.
No claim is necessary when:
- a delegate transfers a person receiving an income support payment to another income support payment for which the person is also qualified, or
- the claim is an automatic transfer by computer.
Act reference: SS(Admin)Act section 12 Deemed claim in certain cases, section 84 Automatic transfer by computer
SSAct section 23(1)-'income support payment'
The day of lodgement of the claim is NOT the day the claim is taken to be made in the following circumstances:
- if a vulnerable claimant who is qualified for a payment or a concession card contacts Services Australia, the day of the contact is the day the claim is taken to have been made provided the person lodges a claim within 14 days, or within 13 weeks if a medical condition or special circumstances affected the person's ability to lodge the claim earlier.
- Explanation: This is a deemed claim.
- if a claimant claims a social security payment, other than a supplementary payment (1.1.S.427), for which they are not qualified and later claims another payment for which they are qualified, the second payment can in certain circumstances be taken to have been claimed on the day of the first (incorrect) claim.
- Explanation: The original claim is referred to as an incorrect claim.
- if a claimant claims for a pension, allowance or benefit other than a social security benefit or entitlement, but which is similar to a social security payment (the initial claim), and at that time the claimant was qualified for a social security payment, other than a supplementary payment, and the Secretary is satisfied that it is reasonable to do so, the claimant is taken to have made the later claim on the day the initial claim was made.
- if a claimant claims and is qualified for an income support payment and on the day the claimant claims is qualified for another income support payment, and the Secretary is satisfied that it is reasonable to do so, the second payment can be taken to have been claimed on the day the first claim was claimed.
- Explanation: The original claim is referred to as an inappropriate claim.
- if a claimant claims a supplementary payment, but on that day the claimant is qualified for another supplementary payment which the claimant claims later, and the Secretary is satisfied that it is reasonable to do so, the second supplementary payment can be taken to have been claimed on the day the first claim was made.
Act reference: SS(Admin)Act section 12 Deemed claim in certain cases, section 13 Deemed claim-person contacting Department about a claim for a social security payment, section 14 Deemed claim-person contacting Department about a claim for a concession card, section 14A Determination for purposes of sections 13 and 14, section 15 Deemed claim-incorrect or inappropriate claims