This form can be submitted online.
Use this form if you wish to end an assessment made by Child Support Agency (CSA).
Please read the Information Notes before completing this form.
Do you want to stop the assessment? Yes No
On what date do you want the assessment to end? If you want, CSA will work out a date to ensure there is not an underpayment or overpayment. Do you want the CSA will work out a date? Yes No If no, select your own date you want the assessment to end (dd/mm/yyyy)
If there are any payments still owing to the CSA, do you want the CSA to collect them for you? Yes No
If yes, how much do you want CSA to collect Full amount Lesser amount $
CSA cannot guarantee the security of personal information sent via the Internet.
What it means to end an assessment When you end an assessment you are asking CSA to stop calculating how much child support the paying parent should pay you. You can still receive child support under a private arrangement or agreement. If your circumstances change, you can also reapply to CSA to calculate and collect child support.
Important note If you receive Family Tax Benefit at more than the base rate you cannot end an assessment unless there are exceptional circumstances. Your request to end an assessment will be referred to Centrelink for approval and Centrelink will contact you to let you know whether your request has been accepted or not.
Your privacy
The information requested by CSA is needed for child support purposes and is required by child support law. We don't pass your personal information on to the other parent, except where this is required by law or necessary to make a decision that would affect the other parent.
Some information may be passed to Centrelink, the Australian Taxation Office or to a law enforcement agency. CSA may provide your contact details to people contracted by us to deliver services to separated parents, or carry out research to help improve our services. You are not obliged to participate in any programs or research.
Our guidelines on privacy are in accordance with the Information Privacy Principles of the Privacy Act 1988. For more information about the Privacy Act and privacy generally, see the Privacy Commissioner's website at www.privacy.gov.au. For more information about our collection, use and disclosure of information, see The Guide in the legal section of CSA's website.
Where to send this form Please use the submit button above or send this form to the address shown on CSA letters to you or send to the nearest CSA office. Centrelink customers can lodge this form at a Centrelink Customer Service Centre.
Need help to complete this form? Telephone CSA on 131 272 (local call charge excluding mobile and public phones).
For more information about CSA Ask about our Fact sheets.
Child Support Agency Offices:
If you have a complaint
The Australian Government Services Fraud tip-off line The Australian Government Services Fraud tip-off line provides people with a place to report suspected fraud against Centrelink, Medicare, the Pharmaceuticals Benefits Scheme or the Child Support Agency. If you have information about someone who is misusing government services, call 13 15 24.
CSA 1671-12.2005