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Download printable forms: (requires Adobe Acrobat Reader)

Application and Change of Details Form

Claim Form
(35K)
Direct Debit - Service Agreement (24K)
Federal Government 30% Rebate (36K)
Payment and Direct Credit Authority (31K)
Payroll Deduction (29K)
Transferring from another Fund (25K)
 
 

CHECKLIST FOR NEW APPLICATIONS
Before sending your application to us, please ensure that you have completed all of the required forms.

No Prior Cover Transferring from another fund Altering your current cover
• Application Form Application Form Application Form
• 30% Rebate Form(if applicable). 30% Rebate Form(if applicable). • Direct Credit Authority OR

• Direct Credit Authority OR

• Direct Credit Authority OR Payroll Authority (if either is your preferred payment method)
• Payroll Authority(if either is your preferred payment method) Payroll Authority(if either is your preferred payment method)  
  • Clearance Certificate Request (Transferring from another fund)

 

 

 
 
Druids Customer Service Promise...
Find out more about Druids Customer Service Promise...
Parkglen Retirement Village
Find out more about Parkglen Retirement Village
Find out more about the Government's 30% rebate on Private Health Insurance...
Find out more about the Government's 30% rebate on Private Health Insurance...
Find out more about Druids Gap cover...
Find out more about Druids Gap cover...
Find out more about Lifetime Health Cover...
Find out more about Lifetime Health Cover...

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