Request for pay group link form (HW078)

Use this form to request a pay group link so you can have Medicare benefit cheques made payable to another payee associated with the practice or another address.

Medicare benefit cheques are usually made payable to the provider at their location address.

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

Page last updated: 14 March 2019