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Form 1194: Certification of Immigration Status

Form 1194 – Certification of Immigration Status is used to request a certification that your Temporary Resident visa has ended, so you can claim a Departing Australia Superannuation Payment (DASP) from the ATO.

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Form Overview

Home Affairs Form 1194 - Certification of Immigration Status

Form 1194 – Certification of Immigration Status is used to request a certification that your Temporary Resident visa has ended, so you can claim a Departing Australia Superannuation Payment (DASP) from the ATO.

The form records your personal details, your parents' details if you arrived as a child, your super fund information, and a declaration that everything you’ve provided is true.

Risk Radar

Scan points
  • 1Common mistake: forgetting to attach the payment receipt.
  • 2Providing false or misleading information
  • 3Omitting visa cancellation evidence
  • 4Leaving out super fund details
  • 5Not attaching the payment receipt

Plain English

If you left Australia on a temporary visa and want to withdraw your super, you need this form to prove your visa is no longer active. The Department will send the certification straight to your super fund.

Submission Date

  • Filing date: Submit the form after your visa has ceased or been cancelled and before you lodge your DASP claim with the ATO.
  • Preparation window: collect IDs, supporting records, and signatures in advance.
  • Final review: verify names, dates, and required fields before submission.

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Glossary Terms

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What this form is for

  • You are applying for a Departing Australia Superannuation Payment (DASP) where the withdrawal amount is less than AUD 5,000.
  • Your Temporary Resident visa has ended (ceased or cancelled) and you have left Australia.
  • You need to provide your own evidence of visa cessation and departure, such as the visa grant or cancellation notice and a passport page showing exit.
  • You are lodging a paper DASP claim and need the Department to certify your immigration status to the superannuation fund.
  • You have an authorised recipient (e.g., migration agent) and need to complete the relevant Question 19 and form 956/956A.

Form selector

Use this form or another form?

Need to appoint a migration agent or legal practitioner

Required to authorise another person to receive communications

✓ Verify Question 19 is completed and the agent signs the appropriate form

Form 956 (or 956A for other authorised recipients)

Requesting a DASP claim directly with ATO (no certification needed)

Department of Home Affairs is not involved

✓ Ensure you are not sending this form to the Department

ATO DASP claim form

Want to update privacy preferences or learn how personal data is handled

Provides details on data collection and disclosure

✓ Review before signing the declaration

Form 1442i Privacy notice

Need to pay the certification fee from outside Australia

ImmiAccount may not be available overseas

✓ Check the website for overseas payment options

Alternative payment method listed on Home Affairs locations page

Deadline or filing window

There is no statutory deadline, but you should submit the form before you lodge your DASP claim to avoid processing delays.

Before you submit

  1. 1Gather copies of visa grant, visa label, or cancellation advice and a passport page showing you left Australia.
  2. 2Create or sign in to ImmiAccount and make the certification fee payment; print the receipt with the payment number.
  3. 3Attach the printed payment receipt to the completed Form 1194.
  4. 4Complete Question 19 if you have an authorised recipient and attach the appropriate Form 956 or 956A with their signature.
  5. 5Read and acknowledge the privacy notice (Form 1442i) in the declaration section.
  6. 6Sign and date the form in the designated signature block.
  7. 7Save a copy of the completed form and all attachments for your records.
  8. 8Email the complete package to [email protected].

How to file this form

  1. 1Collect required evidence of visa cessation and departure.
  2. 2Pay the certification fee via My Payments in ImmiAccount (or use an alternative method if overseas).
  3. 3Complete Form 1194, including Question 19 and any required Form 956/956A.
  4. 4Attach the printed payment receipt and all supporting documents.
  5. 5Email the full package to [email protected].
  6. 6Keep a copy of everything you send.

Known limitations

  1. 1Only applicable for paper DASP applications where the withdrawal amount is under AUD 5,000.
  2. 2The certification fee is generally non‑refundable if the request is unsuccessful.
  3. 3The Department will only send the certification to the superannuation fund(s) you nominate.
  4. 4Fraudulent documents can cause delays or denial of the request.
  5. 5The form does not replace the ATO DASP claim form; those must be sent directly to the ATO or super fund.

Field map

Compact field-by-field guide

7 fields

Applicant

3 items

Full Name

Your name exactly as shown in your passport.

Requiredtext
Date of Birth

Your date of birth (DD/MM/YYYY).

Requireddate
Passport / Document Details

Passport number, country of issue, and expiry date.

Requiredtext

Contact

1 items

Contact and Address

Current residential address, postal address, email, and phone number.

Requiredtext

Request

1 items

Type of Application

The visa, citizenship, or sponsorship request this form relates to.

Requiredselect

Evidence

1 items

Supporting Documents

Certified copies of identity and other documents required for the request.

Requiredtext

Declaration

1 items

Declaration and Signature

Declare that the information is true and correct, then sign and date.

Requiredsignature
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Current form status
HOME_AFFAIRS

Form 1194 (Design date March 2021) is the current version for requesting a Certification of Immigration Status for DASP purposes.

What changed or needs a fresh check

  • Confirm the fee amount on the Department’s website, as fees may adjust on 1 July each year.
  • Verify that payment can be made via the ‘My Payments’ section of ImmiAccount for your location.
  • Check that the email address for submission is still [email protected].
  • Ensure the form still requires evidence of visa cessation and passport exit (design date 03/21).
  • Confirm that the 21‑day overseas post timeframe remains applicable.

Quick Facts

Anyone who held a Temporary Resident visa, has left Australia, and wants to claim a DASP must complete this form.
The form records your personal details, your parents' details if you arrived as a child, your super fund information, and a declaration that everything you’ve provided is true.
Submit the form after your visa has ceased or been cancelled and before you lodge your DASP claim with the ATO.
Email the completed form (with attachments) to [email protected]. Pay the service fee via the ‘My Payments’ section of ImmiAccount and attach the receipt.
Accurate, complete information ensures the Department can issue the certification promptly; errors can delay or deny your DASP claim.
1. Gather your visa grant or cancellation letter and a passport page showing you left Australia. 2. Collect your super fund name, address and email. 3. Pay the fee in ImmiAccount and download the receipt. 4. Fill the form, sign, and attach the visa evidence, passport copy, and payment receipt. 5. Email the package to [email protected] and keep a copy for your records.

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Sources

  • SRCFee must accompany the request and is generally not refunded if unsuccessfulpage 1.
  • SRCPayment method: electronic via ‘My Payments’ in ImmiAccountpages 1 and 5.
  • SRCSubmission email address: [email protected]page 1.
  • SRCCertification will be emailed to nominated super fund(s) and a copy sent to applicantpage 1.
  • SRCOverseas post delivery may take up to 21 dayspage 1.
  • SRCForm 956A used to appoint an authorised recipientpage 2.
  • SRCForm 956 used for migration agents/legal practitionerspage 2.
  • SRCConsent to electronic communication requires signature on Form 956/956Apage 2.
  • SRCPrivacy notice reference: Form 1442ipage 2 and declaration – page 5.

Common confusion points

Sending the ATO DASP claim form to the Department instead of directly to the super fund or ATO.

Using the wrong email address for submission.

Failing to include the payment receipt or paying the fee after sending the form.

Not providing the required visa and passport evidence.

Omitting the authorised recipient’s signature on Form 956 or 956A.

Assuming the fee is refundable if the request is denied.

Believing the form can be used for DASP amounts of AUD 5,000 or more.

Skipping the privacy notice acknowledgement in the declaration.

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