Follow the steps to complete the application form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by completing the applicant details section. This includes confirming that you hold a current Pensioner Concession Card or Health Care Card by entering the card number in the appropriate box.
3. Enter your personal details exactly as they appear on your concession card, including title, full name, residential address, and contact information.
4. If applicable, provide details of a dependent child under 18 years with a medical condition, including the child’s name and date of birth.
5. In the energy usage section, confirm whether there is an air conditioning unit at your address and if you are responsible for a part of the energy bill.
6. Move to the bank account details section where you must enter your bank information for electronic funds transfer and attach a copy of your bank statement showing your BSB and account numbers.
7. Complete the authority and declaration section. Here, you will confirm the accuracy of your information and consent to various disclosures needed for the processing of your application.
8. Arrange for a medical practitioner to complete the medical certification section. They must provide their details and sign off on the required medical information.
9. Review all sections of the form to ensure they are correctly filled out and complete.
10. Save the changes, download, print, or share the completed form as needed. Remember to return the application form to the specified address.

Get started on your application and complete your form online today!