Application to copy or transfer from one Medicare card to another form (MS011)

Complete this form to copy or transfer someone onto your own Medicare card or another Medicare card.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

If you are 15 years or older the quickest and easiest way to get your own Medicare card or add someone to your card is online.

If your myGov account is linked to Medicare you can sign in now to manage your Medicare card.

Sign in to myGov

You can also use the Express Plus Medicare mobile app.

If you are unable to do it online, download and complete the application to copy or transfer from one Medicare card to another form.

When the transfer or copy is to another person's Medicare card, that cardholder must also sign the form.

The applicant listed as person one on the form needs to send us both:

  • the completed form, signed by all those listed who are 15 years of age or older
  • their own identification.

You can send us your form and supporting documents using the email address and postal address on the bottom of the form. To help us process your request please include copy or transfer in the subject line. You don’t need to get your supporting documents certified.

Page last updated: 24 July 2024.
QC 34626