Get Claim Form - Police Health

Filling out the Claim Form - Police Health online ensures that you can submit your claim efficiently and securely. This guide provides comprehensive instructions on completing each section of the form, making the process straightforward for all users.

Follow the steps to successfully complete your claim form

1. Press the ‘Get Form’ button to retrieve the Claim Form - Police Health and open it in an online editor.
2. Fill in the Member (Contributor) details, including surname, membership number, given names, postal address, postcode, and contact information (home phone, work phone, mobile, and email). Ensure all information is accurate and up-to-date.
3. Complete the Claim Details section by providing the patient’s given name, date of birth, and the name of the service provider or doctor. Remember, claims must be lodged within two years of the date of service.
4. Indicate your payment preferences. If you have not paid for the services, Police Health will direct the benefit payment to the service provider. If the payment needs to go to a different person or address, specify this in the provided fields.
5. Add banking details if the payment should be processed through your account. Include the BSB, account number, and account name. Confirm if the payment has been made and if you would like to use PromptPay.
6. Sign the declaration section. This includes answering questions related to accident treatment and third-party claims. Confirm your agreement to the statements about personal information and consent from other persons, if applicable by ticking the box if submitting online or signing if mailing.
7. Review all the provided information for accuracy. Once everything is complete, you can save changes, download the filled form, print it, or share it as needed.

Complete your Claim Form - Police Health online today to ensure a smooth processing of your claim.