Register to transmit online or change nominated user's details form (AC005)

Use this form to register, update access levels or deactivate users if you are an aged care provider or service who is already registered for ACOC.

Download and complete the Register to transmit online or change nominated user's details form.

This form must be completed and signed by an authorised person of the approved aged care provider or service.

ACOC is Aged Care Online Claiming.

If you are only deactivating users from the ACOC website, key personnel can send an email to the aged care liaison team with the user’s name, A or RA number, and deactivation date.

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 contact us. We can help you access, complete and submit them.

Page last updated: 12 February 2020