Forms
Let us take the burden out of doing paperwork! Find the form you need from the list below, print it out and post or fax back to us. It's that easy.
All forms are available as PDFs.
Membership changes
Dependent Extension Registration [PDF, 193k]
If your unmarried children are no longer full-time students and are under 25, they can still be included under your cover. But you must let us know by filling out this form.
MBF Healthcare Cover Guidelines [PDF, 146k]
Important information for you to know.
Partner authority/application for legal authority [PDF, 68k]
As the Primary Member, you can authorise your partner or other nominee to undertake membership and/or claims transactions on your behalf.
Student Dependent Registration [PDF, 54k]
If your unmarried children are full-time students and are under 25, they can still receive cover with you. But you must let us know by filling out this form.
Suspend/Recommence Membership [PDF, 57k]
Are you about to go on a holiday of two months or more? Just returned home? Fill out this form to ensure you're only paying for cover when you're in Australia.
Claiming forms
Accident/injury report [PDF, 63k]
Are you making a claim for a service that was caused by an accident or injury? Complete this form and send to us with your accounts and receipts and we will be in touch to advise you how to progress your claim.
Claim Form [PDF, 90k]
Ready to make a claim? Here's the form for you.
LivingWell Programs approval form [PDF, 48k]
Want to claim on gym membership fees? From 1 July 2005, members with a level of cover that includes MBF LivingWell Programs must print out this form and have it completed by a GP or MBF Recognised Provider before gym, yoga or pilates benefits are payable.
MBF Accident Cash Benefit Claim Form [PDF, 468k]
If you have an MBF Choices Product and have had an Accident and fractured your arm or worse then you may be entitled to make a claim under the MBF Accident Cash Benefit. Complete this form and we will be in touch to give you an update on the progress of your claim.
Medical Certificate [PDF, 55k]
Require a hospital admission and have held your level of hospital cover for less than 12 months? Take this form to your Doctor to complete because you may be subject to the waiting period for pre-existing conditions.
Payment modifications
AutoPay and Direct Credit Authority [PDF, 217k]
Use this form to authorise MBF to automatically deduct membership payments from a nominated account and credit benefits to your account.
Federal Government Rebate Application [PDF 17k]
If you would like to receive the Federal Government Rebate as a reduced premium from MBF, please fill out this form.
Application forms
Emergency Ambulance Application [PDF, 259k]
Looking for emergency ambulance cover only? Fill out this form for better peace of mind.
MBF Membership Application Form
Ready to join? These application forms include our Healthcare Cover Guidelines, providing you with the information you need to join MBF.
- MBF Choices membership application form [PDF, 794k]
- General MBF membership application form [PDF, 189k]
Transferring from another fund [PDF, 73k]
Transferring from another fund? If you would like to authorise MBF to receive your Clearance Certificate for continuity purposes, and cancel your membership with your previous fund, please use this form.