Get Au Medical Cooling And Heating Electricity Concession Scheme Application Form 2020-2025

This guide assists users in completing the AU Medical Cooling And Heating Electricity Concession Scheme Application Form online. It provides step-by-step instructions for each section, ensuring a smooth application process for those seeking financial assistance due to specific medical conditions.

Follow the steps to fill out the application form accurately.

1. Click the 'Get Form' button to obtain the application form and open it in your online editor.
2. Complete Section A, 'Applicant details.' Enter your personal information exactly as it appears on your concession card. Include your title, given name(s), surname, residential address, postal address (if different), email address, phone number, and date of birth.
3. If applicable, fill out Section B, 'Details of a dependent child.' Provide the child’s name, surname, date of birth, and Health Care Card number.
4. In Section C, 'Energy usage,' indicate whether there is an air conditioning unit at your address and confirm if you are responsible for a portion of the energy bill. Select 'Yes' or 'No.'
5. Move to Section D, 'Bank account details.' Provide your bank account information for electronic transfer of the concession, including account holder's name, bank and branch, BSB number, and account number. Attach a copy of your bank statement or have your financial institution stamp this section.
6. Complete Section E, 'Authority and declaration.' Read the statements carefully, then provide your name, signature, and date while indicating whether you are the applicant, power of attorney, or legal guardian.
7. In Section F, 'Medical certification,' have a medical practitioner complete the required details based on the applicable medical conditions. Ensure that it is signed and dated by the practitioner.
8. After filling out all necessary sections, review the form for any errors or omissions. Once satisfied, save your changes. You can download, print, or share the completed form as needed.

Complete your application online today to ensure you receive the necessary assistance.