Application to add or change approved care service's bank details form (AC015)

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

Download and complete the Application to add or change approved care service's bank details form.

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.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 20 August 2022