Medicare late lodgement form 2025

1. Click ‘Get Form’ to open the Medicare late lodgement form in the editor.
2. Begin by filling in your provider details. Select your title (Dr, Mr, Mrs, etc.) and enter your full name, mailing address, postcode, provider number, and location ID/Minor ID.
3. In section 5, clearly state your claim number and provide reasons for late lodgement in section 6. If you need more space, attach a separate statement detailing your reasons.
4. Review the declaration in section 7. Ensure that all information is accurate and sign the form. Include the date of signing.
5. Once completed, send the signed form along with any necessary attachments to Medicare Australia via mail or fax as indicated on the form.

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