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Centrelink proxy form 2026
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- Click ‘Get Form’ to open the centrelink proxy form in the editor.
- Begin by filling in your family name and given name(s) in the designated fields. Ensure that the names match those on your identification documents.
- Enter your date of birth, gender, and select the appropriate checkbox for your gender identity.
- Provide details about your Commonwealth benefit card, including the type of card, CRN/concession card number, issue date, name of cardholder, and expiry date.
- In the authorization section, clearly print your name and sign to consent to MASS using Centrelink Confirmation eServices for eligibility verification.
- If applicable, indicate whether you are signing as a customer representative and provide their details along with any required documentation.
- Once completed, save your changes and choose to email or post the form to a MASS Service Centre as indicated at the bottom of the document.
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