Income Certificate Application Form (Fillable PDF)

Need an official income certificate for government benefits, scholarships, or financial assistance? The Income Certificate Application Form (SA369) is the standard document used by Services Australia to verify your income and assets.

What Is the Income Certificate Form?

The SA369 form collects detailed information about your household’s income, assets, and financial circumstances. It is required when you apply for payments such as the Age Pension, Disability Support Payment, Carer Payment, or Farm Household Allowance.

How to Fill Out the Form Online

Instead of printing, scanning, or using a separate PDF editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load instantly, allowing you to complete every field directly in your browser.

• Step 1: Click the button and wait for the filler to appear.
• Step 2: Enter your personal details, income sources, and asset values.
• Step 3: Review the information for accuracy.
• Step 4: Save the completed PDF or submit it directly to Services Australia.

Common Mistakes to Avoid

• Leaving any required field blank – the system will highlight missing entries.
• Using outdated income figures – provide the most recent payslips or tax statements.
• Mis‑typing your name or address – these details must match your official identification.
• Forgetting to sign the declaration – the digital signature in Formize is legally binding.

Download the Official PDF

If you prefer to work offline, you can download the original PDF from Services Australia. The document is fully searchable and compatible with all standard PDF readers.

FAQs About the Income Certificate

Below are the most common questions people ask when completing the SA369 form.