Centrelink proxy form 2026

1. Click ‘Get Form’ to open the centrelink proxy form in the editor.
2. 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.
3. Enter your date of birth, gender, and select the appropriate checkbox for your gender identity.
4. Provide details about your Commonwealth benefit card, including the type of card, CRN/concession card number, issue date, name of cardholder, and expiry date.
5. In the authorization section, clearly print your name and sign to consent to MASS using Centrelink Confirmation eServices for eligibility verification.
6. If applicable, indicate whether you are signing as a customer representative and provide their details along with any required documentation.
7. 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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