Notification of bank account details for a hospital authority form (PB141)

Use this form to register your bank account details for payments made through Medicare Online Claiming for PBS, or make changes to your existing bank account details.

This form is for a hospital authority approved under section 94 or section 100 of the National Health Act 1953.

PBS is the Pharmaceutical Benefits Scheme.

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

Page last updated: 27 August 2017