Application to register or amend Approved Billing Agent details form (HW015)

Use this form to register as an Approved Billing Agent, or to amend your details.

Download and complete the Application to register or amend Approved Billing Agent details form.

You must submit this form with all of the required documents as outlined in the Approved Billing Agent registration process.

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: 10 February 2020