Register or amend for Aged Care Online Claiming using Web Forms form (AC004)

This form is to be used by residential and home care providers/services registering for, or amending, Aged Care Online Claiming using Web Forms. This form must be completed and signed by an authorised person of the approved provider.

 

Page last updated: 5 February 2016

This information was printed Friday 30 September 2016 from humanservices.gov.au/health-professionals/forms/ac004 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.