Service provider electronic funds transfer (EFT) application form

What it contains

This form is for registered service providers* to nominate their bank details to receive payments electronically.

By electing to receive payments via EFT you also agree to receive remittances electronically (by email).

If you have more than 1 provider number you need to complete a separate EFT application form for each number.

* If you are not yet registered with WorkSafe, complete the Application for registration to provide services to workers.