Aged Care Appointment of a Nominee form (AC019)

Use this form to authorise another person to deal with us on your behalf if you are in residential aged care or are receiving a home care package.

The person you authorise is known as a nominee.

 
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Page last updated: 13 October 2016

This information was printed Sunday 4 December 2016 from humanservices.gov.au/customer/forms/ac019 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.