Cardholder Application Form
- Companion Card Cardholder Application Form
(PDF, 503 KB)
- Cardholder Application Form - Accessible Word version (For visually impaired applicants use only) (MS Word, 380KB)
Application forms are available from any Service Tasmania shop or free call 1800 009 501 to have a form posted to you.
* We are currently trialling the new Companion Card application form in an accessible format for internet usage. If you experience any difficulties in accessing this form or if you have any suggestions on how this form can be improved, please call the Companion Card freecall number 1800 009 501 or email companion.card@communities.tas.gov.au