Dependant pension payments electronic funds transfer (EFT) information form

Use this form to allow an authorised WorkSafe Agent to deposit dependency pension payments directly into an injured worker's nominated bank or financial institution account.

Shape
 
Published: 01 Mar 2017
 
File type: PDF
 
File size: 101.78 kB
 
Length: 2 pages
 
Reading level: Medium

What it contains

Blank form with supplementary notes and information.