Medicare Compensation Recovery Bank account details collection form (MO024)

Use this form if you would like us to store your bank account details if you are entitled to a refund from your Medicare Compensation Recovery payment.

Download and complete the Medicare Compensation Recovery Bank account details collection form.

You must be the injured person or legal representative for a Medicare Compensation Recovery claim to complete this form.

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 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: 1 May 2023.
QC 33816

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