If you wish to appoint an Authorised Representative or Advocate to deal with Caremobile on your behalf, please complete the form below. Alternatively, you may provide Caremobile with a letter or authorisation or other reasonable form of authorisation as may be reasonably required by Caremobile.
If you wish to appoint an Advocate or Authorised Representative to deal with us on your behalf, please:
Please note that only account holders can appoint an Authorised Representative. If you wish to appoint more than one Authorised Representative, please complete one Authorised Representative Form for each person you wish to appoint.
For security reasons we require you to submit the completed Authorised Representative Form to us as a signed original and witnessed by one of the following persons below:
Please contact us on 1300 725 999 (Option 4) if this proves too difficult or inconvenient for you, and we will work with you to find an alternative way of appointing an Authorised Representative.