Application to add or change Approved Care Service's bank details form (AC015)

Use this form if you want to add or change bank account details for approved residential aged care services, home care services or transition care services.

This form should be completed and signed by the approved provider (for a sole provider) or 2 key personnel (for a service administered by a board on behalf of the approved provider).

Authorised signatories can only sign this form if they are key personnel.

Page last updated: 5 February 2016

This information was printed Thursday 29 September 2016 from humanservices.gov.au/health-professionals/forms/ac015 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.