Authority form

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Enable an authorised person to manage your membership

This form is for primary members of Nurses & Midwives Health who wish to grant another person the authority to manage their policy.

This may be helpful if you need a friend or relative to make changes on your behalf, such as:

Adding or removing people
Changing the payment details
Adjusting your level of cover

Or if you need them to access info on those included in your cover, such as:

Financial details
Personal info
Claims history

If you have couple or family cover, you can also use this form to give your partner increased access to the membership.

One thing the authorised person won’t be able to do is cancel your membership. Only the primary member can do this.

To get started, simply complete and submit the following form. We'll then get back to you (within 4 business days) to let you know your authority person has been added. Note, you can remove them at any time by contacting us.

Primary member

Full name of primary member *

Membership number *

Date of birth *

Address *

Person being given authority

Their full name *

Their date of birth *

Their address *

Their email address *

Their mobile number *

Relationship to member *

Your privacy

Nurses & Midwives Health respects your privacy and is committed to managing and protecting your personal and health-related information in accordance with relevant legislation in Australia. Learn more about our privacy policy.