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. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 4 February 2020