Home > Transfer Your NT Companion Card

Transfer Your NT Companion Card

To transfer your NT Companion Card to another State or Territory, please contact your Health Professional or Service Provider. They will assist you with filling out this form.

You can complete the transfer form by filling in Section 1 of the form at the bottom of this page and clicking “Submit”. Otherwise, you can download and complete a fillable electronic form , or print it to complete, and mail it to:

NT Companion Card Program
Integrated disAbility Action
PO Box 645
NIGHTCLIFF NT 0814

Download the Transfer Form by clicking here.

Please ONLY fill out Section 1.

Section 2 will be completed by the Companion Card Program in the state or territory where your current Companion Card has been issued.

Please note: You are required to attach two colour, passport-sized photographs to this application.

Please read: The NT Companion Card Holder Handbook and the Card Holder Terms and Conditions (below) before completing this application form.

Also note: Not all States and Territories offer a digital version of the Companion Card. If you have a digital version of the NT Companion Card, a different State or Territory may only have a physical card option.

Card Holder Terms and Conditions

1. The Companion Card must only be used when the card holder requires the assistance of a companion to participate at a particular venue/activity.

2. Only the person whose photograph and details appear on the Companion Card can use the card.

3. Companion Tickets cannot be used without the Companion Card holder being present.

4. Companion Card holders must inform the venue/activity operator of their requirement for a Companion Ticket at the time they book or purchase their own ticket.

5. Acceptance of the Companion Card does not indicate that a venue/activity is accessible. Card holders are advised to check accessibility with the venue/activity operator before booking tickets.

6. The minimum expectation of Companion Card affiliates is that they will issue card holders, who require assistance to participate, with one Companion Ticket or admission, at no charge. This ticket will be exempt from all booking fees.

7. Where a card holder has a requirement for more than one companion, the card holder must negotiate this with the venue/activity operator at the time of booking.

8. The Companion Card can be used to obtain admission for any programs, services and sessions run by affiliated venue/activity operators. This will be subject to the usual admission availability and conditions.

9. The Companion Card can be used in conjunction with any recognised concession cards.

10. Card holders must provide their Companion Card details when making telephone bookings, and must present their valid card during ticket collection, and at any time when asked during the activity. If card holders cannot present their card, they may be charged for the Companion Ticket.

11. Affiliated venues/activities must ensure card holders are able to be located physically close to their companions. Companions must remain close to card holders to assist them as required. Card holders with specific seating requirements must inform the venue/activity operator at the time of booking.

12. Some venue/activity operators may charge for participation over and above general admission costs (e.g., a fee for rides in addition to an entry fee at a fun park). Affiliated venues/activities must issue a Companion Ticket for both admission and for additional components, such as rides etc., if the card holder requires assistance in order to participate.

13. Companion Cards may be used to purchase a package deal for the card holder that combines admission costs with ancillary components such as meals etc. When booking a package deal, card holders must check with the venue/activity operator, what is included with the Companion Ticket. It is essential that the companion’s support to the card holder is not disrupted if the ancillary components are not included in the Companion Ticket. For example, if meals are not included, the Companion must be able to bring or access food in a manner that enables them to provide continual support to the card holder.

14. Booking and ticket distribution practices for Companion Tickets should not be more difficult than the standard ticketing practices of the affiliated venue/activity.

15. If an affiliated venue/activity operator suspects that a Companion Card is being misused, they can report this to the Companion Card Program. Proven misuse of the Companion Card may result in the card being cancelled, and the card holder will be ineligible to reapply.

16. It is understood that the applicant accepts the Companion Card Holder Terms and Conditions when they submit a card holder application form.

Privacy

The information on this form will be recorded and used to assess your application for a Companion Card. Personal information disclosed to Integrated Disability Action inc must be used, disclosed, recorded, and secured subject to the Information Act. 

Transfer Your NT Companion Card

Use this form to transfer your NT Companion Card to another State or Territory.

If you need help completing this form please contact the NT Companion Card Program on:
Phone: (08) 8948 5400
Or email: info@ntcompanioncard.org.au

SECTION ONE: Applicant (or Legal Guardian or Agent) to Complete

Name
Address
Are you an Australian resident living in the Northern Territory?
Please note: You must provide proof of residency in the Northern Territory.
Name (as it appears on your current Companion Card)
Date of Birth
Gender
I acknowledge that I have given permission for the NT Companion Card Program on behalf of the Department of Health to receive my personal information from another State or Territory body for the purposes of assessing my eligibility for a Companion Card, if so elected;
I declare that the information provided in this application is complete and correct.
I understand and accept the Cardholder Terms and Conditions; and
Applicant / Legal Guardian / Agent Name
Date
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.
Max. file size: 256 MB.