Update provider bank details

Complete the form below to update the bank details you have registered with the TAC
As a security measure you will be asked to provide your current bank details
To update a joint account we need the names of both account holders

Provider details

First name *

Last name *

Company name (if invoices payable to a company)

Email *

Phone *

Medicare provider number (if applicable)

Business address *

Suburb *

Postcode *

Additional service locations or Medicare numbers (Please supply any additional service locations or Medicare numbers that use this new bank account)

Do you want to *

Update bank details
Add bank details for the first time

New bank details

Name of bank or financial institution *

How many account holders are there? *

Name of account holder 1 *

Name of account holder 2

Name of account *

BSB *

Account number *

Current bank details For your security, please confirm your current bank details with the TAC.

Name of bank or financial institution

How many account holders are there?

Name of account holder 1

Name of account holder 2

Name of account

BSB

Account number

Disclaimer *

I declare that the details I have provided on this form are true and correct. I understand that it is an offence under the legislation to provide false or misleading information.

Your signature *

Your privacy

The TAC will use this information in accordance with the Privacy and Data Protection Act 2014. Without this information, we will not be able to make EFT payments to you.

For more information, please see our Privacy policy.