Victorian companion card application form 2026

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  1. Click ‘Get Form’ to open the Victorian Companion Card application form in the editor.
  2. Begin by completing Items 1 to 6. Indicate whether this is a new application or a renewal by ticking the appropriate box.
  3. In Item 2, provide your personal details including your title, name, gender, date of birth, and contact information. Ensure all entries are in BLOCK LETTERS.
  4. For Item 3, tick all applicable boxes that describe your disability. You can select multiple options if necessary.
  5. In Item 4, briefly describe your specific diagnosis or condition. If you lack a formal diagnosis, provide relevant details about your condition.
  6. Complete Items 5 and 6 regarding the permanence of your need for attendant care and any services you currently receive.
  7. If applicable, have a health professional complete Item 9 and sign both photographs as required in Item 10 before submitting the form.

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The assessment team may request further information if required. Applications may take between 4 to 6 weeks to be processed. The Companion Card will only be issued in the name of the person with the disability.
Unlike the Companion Card, you can use the Carer Card without your child being with you for discounts on shopping and services, and on public transport. You can get a Carer Card if you receive the Carer Payment or the Carer Allowance.
You can apply for the Companion Travelcard if: You are likely to need a companion on an ongoing basis in order to use public transport. For example, if you are dependent on a wheelchair, have limited mobility, impaired vision, blindness or a cognitive impairment, or if you have a guide dog or assistance dog.
Your application will progress to be data-entered and assessed against the eligibility criteria. An application takes approximately 20 working days to be processed. Incomplete or missing information on an application cannot be processed. The assessment team may request additional information if required.
You can use our online application form, download Victorian Carer Card application form (pdf, 160kb) or call the Victorian Carer Card team on 1800 901 958 and an application form will be sent to you. How long will my application take to process? Applications may take four to six weeks to process.

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The Companion Card brings together state and territory programs to support people with disability who require an attendant care companion. The Companion Card enables eligible people with disability to participate at venues and activities without incurring the cost of a second ticket for their companion.

companion card victoria application form