Provider registration for Electronic Funds Transfer payments form (HW029)
Use this form to nominate bank account details you would like us to record for 1 or more of your current provider numbers.
Download and complete the Provider registration for Electronic Funds Transfer payments form.
This PDF is fillable. You can fill it out on your device, or print it and complete it by hand.
You can upload or complete this form online through HPOS. Read more about form upload in HPOS.
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: 20 February 2020
This information was printed 23 October 2020 from https://www.servicesaustralia.gov.au/organisations/health-professionals/forms/hw029. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.