Home > Replacement Seniors Cards

Request a replacement Seniors Card

Request a replacement Seniors Card online using the form below.

Your request will typically be processed within 48 working hours.
There are no fees associated for issuing replacement Seniors Cards.

For more information or assistance, phone our friendly team on freecall 1800 441 489 during office hours (Mondays to Fridays, 9am to 3pm except public holidays and end of year closure) or visit the Seniors Card offices.

Replacement Card Application

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

Reason for replacement card*

Member Number (if known):

Your details

First name*

Middle initial

Last name*

Date of birth*

Residential address*

Street Address Address Line 2 Suburb State Postcode

Postal address

Same as residential address

Postal address*

Street Address Address Line 2 Suburb State Postcode

Telephone*

Further information

COTA NT is committed to expanding and improving the Northern Territory Seniors Card Program. We will be connecting you to participating NT businesses who provide discounts and special offers to card holders. We will also from time to time send out information that is relevant to senior Territorians.

You may be contacted by Seniors Card via email or post. We will never give your contact details to a business partner without your permission.

If you do not want to receive information please indicate here:

Information from business partners

I do not wish to receive information from Seniors Card business partners

Information from NT Government

I do not wish to receive information from NT Government

Information from COTA NT

I do not wish to receive information from COTA NT

You can unsubscribe at any time by contacting us.

Page updated 19 February 2026