Centrelink proxy form 2026

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The document is a consent form for the Medical Aids Subsidy Scheme (MASS) in Queensland, allowing applicants to authorize MASS staff to access Centrelink Confirmation eServices to verify their eligibility for assistance. It outlines the process for providing personal information, the role of customer representatives, and the confidentiality of the data shared. The form must be completed by either the concession card holder or an authorized representative.

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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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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (58 Votes)
2018	4.1 Satisfied (28 Votes)
2015	3.9 Satisfied (51 Votes)

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How do I Authorising someone to act on my behalf Centrelink?

You can use a form to add someone to act for you. For Centrelink, complete the Authorising a person or organisation to enquire or act on your behalf form. The person you choose to act for you must complete their section of the form before you send it to us. There are instructions on the form about how to send it to us.

What is a 484 form for Centrelink?

Compensation Recovery Statement of Financial Circumstances form (SS484) Use this form to tell us when youre in financial hardship and want a review of your compensation payments. You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms.

What is a SA330 form for Centrelink?

Use this form to request your income stream provider or trustee/administrator of a Self Managed Superannuation Fund (SMSF) or Small Australian Prudential Regulation Authority (APRA) Fund (SAF) to provide information about your income stream.

What supporting documents do I need for Centrelink?

What common documents are bank account details. savings, term deposits, mortgage offsets or overseas bank account details - the documents must detail account names, account number, name of financial institution and the current account balance. investments. insurance agreements.

What is an SS313 form for Centrelink?

Authorising a person or organisation to enquire or act on your behalf form (SS313) Use this form to authorise a person or organisation in Australia to be your nominee so they can enquire or act on your behalf with Centrelink.

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What is the form sa369 for Centrelink income and assets?

What is a sa369 form? Use this form if youre claiming a payment and need to tell us about your income and assets. Download and complete the Income and Assets form. Complete this form and the relevant claim form if you want to claim any of the following payments: Age Pension.

Who needs to fill out the SS313 form?

The Australia Human Services SS313 is a form used to authorize a representative to act on behalf of a person in relation to their social security benefits. This form is essential for individuals who need assistance with their claims or inquiries regarding services provided by the Australian government.

How to make someone a nominee in Centrelink?

The page layout will look different if youre using a mobile device. Step 1: get started. Sign into myGov and select Centrelink. Step 2: check any nominees you have. On the Nominee arrangements page view both your: Step 3: add a nominee. Step 4: review and submit. Step 5: sign out.

Centrelink proxy form 2026

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