fbpx

Application for Medicare Entitlement Statement

Do you have a current or expired Medicare card?*
NoYes

-
-
Ref:


Residential Address*





Postal Address*





Is the postal address a tax agent’s address?

NoYes

How long did you live in this country before coming to Australia?*

Do you hold current or expired health or medical insurance in Belgium, Italy, the Netherlands, Norway or Slovenia (for example European Health Insurance card, Tessera Sanitaria or AIRE registration)?*
NoYes

Are you from Finland, Malta or Norway?*
NoYes

Did you enter Australia on a student visa?*
NoYes

Have you lodged an application for permanent residency (other than a parent visa) with the Department of Home Affairs, this includes applications for Spouse Combined visas (subclass 820/801) and (subclass 309/100)?*
NoYes


Is the application for permanent residency that is being considered by the Department of Home Affairs, still ongoing?*
YesNo

Have you lodged an appeal against that decision?*
NoYes



Have you lodged more than one Permanent residency application?*
NoYes


Is the application for permanent residency that is being considered by the Department of Home Affairs, still ongoing?*
YesNo

Have you lodged an appeal against that decision?*
NoYes



Have you lodged an application for permanent residency with the Department of Home Affairs under parent category (Aged parent or Contributory parent)?*
NoYes

Aged parentContributory parent

Are you leaving Australia permanently before end of the current financial year?*
NoYes