Banking details online claiming form (HW052)

Use this form to provide your banking details to us for online claiming.

This form can be completed online. Read more about HPOS.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 3 November 2016

This information was printed Sunday 4 December 2016 from humanservices.gov.au/health-professionals/forms/hw052 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.