Medicare Compensation Recovery Notice of judgment or settlement form (MO022)

Use this form to tell us about a judgment or settlement for Medicare Compensation Recovery.

Download and complete the Medicare Compensation Recovery Notice of judgment or settlement form.

The compensation payer or their solicitor must complete this form.

You can fill in this form and sign it digitally. You can do this by downloading it on a computer or a device that has Adobe Acrobat Reader. If you don’t have Adobe Acrobat Reader you can print it and sign it by hand.

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 business online services or contact us. We can help you access, complete and submit them.

Page last updated: 22 October 2021