Replacement Card Form | National Assistance Card

Update/Replacement Card Form

This form is for National Assistance Card holders who need to update or replace their Card.

How it Works:

Fill out this form to request an update or replacement.

A National Assistance Card Team member will contact you to confirm details.

You will receive an email with a link to log back into your application and finalise your request.

If you need a new Card and have never applied before, please visit: www.nationalassistancecard.com.au/apply.
For general questions, please use our contact form: www.nationalassistancecard.com.au/contact-us.

First Name (Cardholder)*Surname (Cardholder)*Contact Person Name (Optional)Phone Number*Email Address*What would you like to do? (Please select all that apply.)*
Please note: If you are only updating the information linked to the QR code on your Card, no cost applies. If you require a Card to be printed and posted to you, a cost of $22.00 applies. If you are unable to pay the $22.00 fee, you can let us know. Update the printed information on my Card & receive a replacement CardRequest a replacement Card because my original Card is lost/stolenOrder a second CardUpdate the information linked to the QR code
Additional Comments (Optional)

Next Steps:

A team member will contact you by phone or email to confirm your request.

You will receive an email with a link to log back into your application to complete the process.

📌 Important:

If you do not receive an email within a week, please check your junk/spam folder or contact us at info@nationalassistancecard.com.au.

If you are unable to pay the $22.00 fee, you can let us know in the payment section when finalising your update/replacement.

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Please note: The National Assistance Card Service is owned by the Brain Injury Association of Tasmania.

Update/Replacement Card Form

Next Steps:

Apply for the National Assistance Card