Medicare Compensation Recovery Section 23A Statement form (MO023)

Use this form to declare you received no benefits; or received no further benefits since your most recent expired notice, for your compensable injury or illness.

The injured person (or claimant) may give this statement to us only if declaring that a Notice of past benefits has never been issued in relation to the case for compensation or a Notice of past benefits has previously been issued, but had expired at the time of judgment or settlement.

 

Page last updated: 1 August 2016

This information was printed Sunday 25 September 2016 from humanservices.gov.au/customer/forms/mo023 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.