How to use our forms
You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
Download and complete the COVID-19 Vaccine Claims Scheme – third party payment statement.
Before you complete this form, you must check:
- if you or the person you’re claiming for are eligible under the scheme
- what proof you need.
Find out more about the COVID-19 Vaccine Claims Scheme and third party payments.