Get Au Mo050 2022-2026

Filling out the AU MO050 form is essential for those who wish to act on behalf of an incapacitated person regarding Medicare services. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently, ensuring the needs of the individual are met.

Follow the steps to complete the AU MO050 form online.

1. Click the ‘Get Form’ button to access the AU MO050 form and open it in your preferred digital editor.
2. Provide the Medicare customer’s details, including their Medicare card number, full name, date of birth, and both permanent and postal addresses where applicable.
3. Fill in the authorised representative’s details, ensuring to include your own Medicare card number (if known), relationship to the customer, date of birth, addresses, and contact phone number.
4. Attach the required documentation: proof of identification, a statutory declaration of your relationship and responsibility, evidence of a similar arrangement, and documentation of the customer's medical condition.
5. Review the privacy notice and consent to the terms, confirming your understanding and agreeing to the responsibilities outlined in the form.
6. Complete the declaration by signing and dating the form to affirm that the information provided is accurate.
7. Submit the completed form and any supporting documents via email or post to Services Australia as detailed in the instructions.

Complete your AU MO050 form online today for seamless assistance with Medicare.