Notice Of Withdrawal Of Application For A Child Support Assessment Form
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1
2
3Notice of withdrawal of application
for a child support assessment
Purpose of this form
For more information
humanservices.gov.au/childsupport or call us
Use this form to withdraw an application for assessment of child
Go to our website
www.
support at any time before the Child Support Registrar accepts the
on 131 272.
application.
If you need a translation of any documents for our business, we can
You cannot withdraw an application once it has been accepted.
arrange this for you free of charge.
However, you can end the assessment by completing an
To speak to us in languages other than English, call 131 450.
Ending a child support assessment form (CS1671).
Note: Call charges apply – calls from mobile phones may be charged
IMPORTANT: If you receive Family Tax Benefits (FTB) withdrawing
at a higher rate.
or ending your application may affect your FTB payments. Please
If you have a hearing or speech impairment, you can contact the
contact the Australian Government Department of Human Services on
TTY service on Freecall™ 1800 810 586. A TTY phone is required to
136 150 for more information.
use this service.
Online Services
You can access your Centrelink, Medicare and Child Support Online
Services through myGov. myGov is a fast, simple way to access a
range of government services online with one username, one
password, all from one secure location. To create a myGov account,
go to
my.gov.au
www.
Filling in this form
• Please use black or blue pen.
• Print in BLOCK LETTERS.
• Mark boxes like this
with a 4 or 8.
Returning your form
Check that all required questions are answered and that the form is
signed and dated.
You can return this form and any supporting documents:
• online – you will need to scan this form and all documents and
submit online using a Child Support online message.
my.gov.au to access your Child Support online account.
Go to
www.
• by fax – send us a fax to 1300 309 949.
• by post – return your documents by sending them to:
Department of Human Services
Child Support
GPO Box 9815
MELBOURNE VIC 3001
1 of 3
CS1669.1412
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