Online Claiming Provider Agreement form (HW027)

Use this form to register for online claiming for the Australian Government Department of Human Services and the Department of Veterans' Affairs.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 24 October 2016

This information was printed Monday 5 December 2016 from humanservices.gov.au/health-professionals/forms/hw027 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.