Application to copy or transfer from one Medicare card to another form (MS011)
Complete this form to copy or transfer someone onto your own Medicare card or another Medicare card.
Where the transfer or copy is to another person's Medicare card, that cardholder must also sign the form.
All Medicare benefits are paid directly into your nominated bank account
. Payments by cheque are no longer available. Register your bank account details with us when completing this form to make sure you don’t miss out on receiving your Medicare benefit.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
Page last updated: 14 October 2016