Bank account details collection form (MS013)

Use this form to register and store your bank account details with us.

We will use these details for all Medicare payments where you paid for the service.

Other people listed on your Medicare card, 14 years of age and over, can use this form to consent to use your bank account for their Medicare payments.

 

Page last updated: 24 August 2016

This information was printed Monday 26 September 2016 from humanservices.gov.au/customer/forms/ms013 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.