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. If it's extras you need to claim back, you can now do this online. It's that easy.
All forms are available as PDFs.
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.
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.
Claim Form [PDF, 90k]
Ready to make a claim? Here's the form for you.
Acute Care Certificate [PDF, 72k]
Are you a Member or a Hospital making a hospital claim where you or our Member were an 'in patient' for more than 35 continuous days? If so, please complete this form which is to be signed by both the Member and the medical practitioner and then send it to us with your account(s) and/or receipt(s) so that we can consider and process the claim.
Dependant 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.
Emergency Ambulance Application [PDF, 259k]
Looking for emergency ambulance cover only? Fill out this form for better peace of mind.
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.
LivingWell Programs approval form [PDF, 48k]
Want to claim on gym membership, yoga and pilates 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. Click here for the Update to Product Disclosure Statement.
MBF Policy Terms & Conditions [PDF, 174k]
Important information for you to know.
MBF Membership Application Form
Ready to join? These application forms include our MBF Policy Terms & Conditions, providing you with the information you need to join MBF.
- MBF Choices membership application form [PDF, 304k]
- General MBF membership application form [PDF, 251k]
Information Request [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.
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 Dependant 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.
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.
Important notice - Please note that effective 16 June 2008 MBF Australia Limited changed its name to MBF Australia Pty limited. Its Australian Company Number ('ACN'), Australian Business Number ('ABN'), address and all other details remain the same. Accordingly on any form that you download from this page where MBF Australia Limited appears you should take it to read MBF Australia Pty Limited. For further details contact MBF on 132 623.