Medicare Compensation Recovery Third party authority form (MO021)
Use this form to give us permission to release your compensation information and to give permission to a third party to sign relevant documentation on your behalf.
Download and complete the Medicare Compensation Recovery Third party authority form.
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
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 use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.
Page last updated: 11 February 2020
This information was printed 28 November 2020 from https://www.servicesaustralia.gov.au/individuals/forms/mo021. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.