Service provider electronic funds transfer (EFT) application form

A form for service providers to nominate bank details to receive electronic payments.

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What it contains

This form is for 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.