companion card application vic Preview on Page 1

Victorian companion card application form 2026

Here's how it works

  • 01. Edit your companion card application vic online

    Type text, add images, blackout confidential details, add comments, highlights and more.

  • 02. Sign it in a few clicks

    Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

  • 03. Share your form with others

    Send companion card application via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Victorian Companion Card application form with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  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.

Start filling out your Victorian Companion Card application form online for free today!

be ready to get more

Complete this form in 5 minutes or less

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

People also ask

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

Welfare Management System Workers Guide to Codes

Jun 17, 2018 APPLICATION. 1.1-1 Common Application Form -. DSS 2921. 02/14/2015. 1.1 Card Code (CBIC CC) - 378Read more

Learn more
THE COMPUTER DIRECTORY

Whos Who Entry Form. The form for an entry in tpe Whos Who is as follows: Name (please print)?. . Your AddressRead more

Learn more
Sunny Portugal

We can only charge your credit card for the amount noted if the signature, address and phone number are listed below. Thank you! CREDIT CARD AUTHORIZATION FORM.Read more

Learn more
If you believe that this page should be taken down, please follow our DMCA take down process here