Provider registration and change of EFT forms

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For existing health and service providers – use the EFT form to register your banking details with us, so that your payments can be transferred direct to your bank account, or to change the account details you had registered previously.

If you would like to provide your services to our clients, please register using our online registration form.

Online provider registration form

Manually completed provider registration forms can be returned to the TAC via:

Email: info@tac.vic.gov.au
Fax: 03 9656 9533
Post: Data Maintenance, Transport Accident Commission,
GPO Box 2751 Melbourne, Victoria, 3001

Provider Registration Form

( .docx - 209.8 KB )

Change of EFT details form

( .docx - 204.9 KB )