If you are unable to do it online, download and complete the application to copy or transfer from one Medicare card to another form.
When the transfer or copy is to another person's Medicare card, that cardholder must also sign the form.
The applicant listed as person one on the form needs to send us both:
- the completed form, signed by all those listed who are 15 years of age or older
- their own identification.
You can send us your form and supporting documents using the email address and postal address on the bottom of the form. To help us process your request please include copy or transfer in the subject line. You don’t need to get your supporting documents certified.
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.