Payment options for your in-home care with Care Connect

Centrepay is a free, voluntary bill-paying service. It allows Centrelink recipients to authorise Services Australia to deduct regular amounts from their welfare payments to contribute to their in-home care costs.

Please note: All fields marked with an * are required

Please complete this form to authorise Care Connect to liaise with Centrepay to deduct client contributions

Please note: All fields marked with an * are required

First name*

Last name*

Your CRN number (#)*

(This is your Centrelink reference number)

Authorise Services Australia to deduct each fortnight ($):*

(Enter the amount below for regular fortnightly deduction)

From Centrelink payment:*

(This is your total fortnightly centrelink payment amount)

Date of Birth:

Commencing date:

Your email*

Contact phone number*

I authorise Care Connect to set up Centrepay deductions on my behalf.*

By ticking this box, I confirm that I have read and understood the information provided above, and I consent to Care Connect submitting my Centrepay Deduction Authority to Services Australia using the details I have supplied.

Date:

Australian Privacy legislation protects your personal information. I give permission for Care Connect Limited to disclose my information to Services Australia for the purposes of checking my account number, billing number and amount I want to pay, and reconciling my payment Deduction details. I understand Care Connect will contact me if there is any overpayment of client contribution amount for refund.

I understand that I can change or cancel my Deduction at any time, and further information about Centrepay can be found online at Services Australia.

Need help? Our friendly team is here to answer any questions you may have.

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About

Centrepay

Centrepay is a free, voluntary bill-paying service. It allows Centrelink recipients to authorise Services Australia to deduct regular amounts from their welfare payments to contribute to their in-home care costs.

Please complete this form to authorise Care Connect to liaise with Centrepay to deduct client contributions