ACFI Claim for Appraisal form - Medicare Australia - medicareaustralia gov 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, entering the particulars of the person being appraised. Fill in their surname, given names, date of birth, and sex. If known, include the care recipient number.
3. Indicate the reason for this application by selecting from options such as 'New Admission' or 'Mandatory Re-Appraisal'. Provide relevant dates as required.
4. Proceed to Section 2 and enter the service number and service name associated with the care recipient.
5. In Section 3, complete the declaration by providing your name in block letters, position held, telephone number, and signature. Ensure you date this section accurately.
6. Review all sections for accuracy before submitting. Utilize our platform’s features to save your progress or share it directly with relevant parties.

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