Medicare Compensation Recovery Third party authority form (MO021)

Use this form to give us permission to release your compensation information or to give permission to a third party to sign relevant documentation on your behalf.

Page last updated: 2 June 2016

This information was printed Friday 30 September 2016 from humanservices.gov.au/customer/forms/mo021 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.