Get Ahfoz Application Form

Filling out the Ahfoz Application Form online is a straightforward process that helps service providers in healthcare renew their payee numbers efficiently. This guide provides a step-by-step approach to ensure that users complete the form accurately and fully.

Follow the steps to complete the Ahfoz Application Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your personal details, including your title, initials, first names, surname, and identification number. Ensure that all information is accurate and matches your official documents.
3. Complete the HPA Practicing Certificate number and its expiry date. If you have a dispensing license, include that number along with the effective and expiry dates.
4. In the practice details section, enter your Ahfoz Payee number, the name of your practice or institution, and the HPA premises registration number. Include the effective and expiry date for each detail where applicable.
5. Provide your current contact details, including your postal address, physical address, telephone number, fax number, email address, and cell phone number. Make sure that all contact information is up-to-date.
6. Fill out the provider banking details section, including your bank name, account number, account name, and branch code and name.
7. Review your information to ensure everything is complete and correct. Misleading or incorrect details may affect your application.
8. Complete the declaration section by confirming that all information provided is accurate and that you are enclosing all relevant copies of certificates. Sign and date the form.
9. Save your changes, then download or print the form. Afterward, you can share it as necessary, along with photocopies of relevant certificates and your payment.

Begin filling out your Ahfoz Application Form online today to ensure timely renewal of your payee number.