Application to copy or transfer from one Medicare card to another Completed Form Examples and Samples

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Filled sample of the Australian Application to copy or transfer from one Medicare card to another

Source document used: Client Request Email

Subject: Urgent: Moving my Medicare details to my partner's card - Assistance needed

Hi Medicare Support team, my name is Sarah Jane Miller, and I am currently looking to finalize my Medicare records. I have been living at 42 Banksia Street, Glen Waverley, VIC 3150 for the past three years. Since my recent change in circumstances, I need to consolidate my coverage. Specifically, I would like to copy my current details to an existing Medicare card held by my husband, David Thomas Miller. 

My current Medicare card number is 4920 1845 22, and my reference number is 3. I have never used any other name, and I do not identify as being of Aboriginal or Torres Strait Islander descent, nor do I have any South Sea Islander background. My birthday is 14/05/1988, and I am female. You can reach me for any clarification at 0412 345 678 or via email at [email protected]. 

Regarding my husband, David, he is also looking to streamline things; he is happy to have his details copied over to the same card as part of this request. He was born on 22/09/1985 and is male. His card details are 8832 9941 05, with reference number 1. He confirms he is not of Indigenous descent. We both agree to these changes and have signed our declarations as of today, May 15th, 2026. Please let us know if you require any further documentation or digital copies of our current cards to finalize this transfer request.