Form 1194 · Leaving Australia
Certification of Immigration Status
What the form is for and who lodges it. The form itself is the Department's own PDF; nothing is completed or submitted here.
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The official source has changed since these records were last reviewed. Our copy last changed on 30 September 2026. Confirm the current record at the official source. Official source ↗
Source: Australian Government Department of Home Affairs. Creative Commons Attribution 3.0 Australia.
On the Department’s list
- Last updated by the Department
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- Leaving Australia
Form 1194 - Complete this form to request Certification of Immigration Status for the purpose of making a Departing Australia Superannuation Payment claim with the Australian Taxation Office.
Purpose
This form is used to request a Certification of Immigration Status from the Department confirming that a person's Temporary Resident visa has ceased to be in effect and that they have left Australia, for use in making a Departing Australia Superannuation Payment (DASP) claim.
About this explanation
Dated copy · captured
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Source: Australian Government Department of Home Affairs. Creative Commons Attribution 3.0 Australia.
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Who lodges it
The former temporary resident seeking the certification. Each person requesting a certification completes a separate form, and a fee applies to each request.
When it is used
Used when a former holder of a Temporary Resident visa is lodging a paper DASP claim (generally where the superannuation benefit is AUD5,000 or more) and the superannuation fund requires official certification that the visa has ceased and the person has departed Australia.
Official form
Open the Department's own PDF or instructions page.
Open official form 1194 ↗