Medicare Compensation Recovery Third party authority (MO021)
This form authorizes a third party (such as a lawyer) to act on behalf of an injured person in Medicare compensation recovery matters.
When do you need this form?
You need this form when you want to authorize someone else, like a lawyer or legal representative, to handle your Medicare compensation recovery claim on your behalf. This is commonly used when you're injured and seeking compensation, but want professional representation to deal with Services Australia and sign documents for you.
What you'll need
- Medicare card number (if applicable)
- Personal details of the injured person including date of birth and address
- Date of injury or illness
- Compensation case or claim reference numbers (if known)
- Details of the third party you're authorizing
Where to send it
Submit the completed form to Services Australia through their Medicare compensation recovery service. Contact them on 1800 777 653 or visit www.servicesaustralia.gov.au/medicarecompensationrecovery for submission details.
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