Medicare Compensation Recovery Compensation payer’s Electronic Funds Transfer details collection form (MO025)

Use this form if you would like Medicare to store your bank account details for the purpose of making future compensation recovery refunds to you.

Download and complete the Medicare Compensation Recovery Compensation payer's Electronic Funds Transfer details collection form.

This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.

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Page last updated: 11 February 2020