Employer electronic funds transfer (EFT) application forms

Employers can use these forms to request EFT refunds.

Employer EFT form

All employers can use the ‘employer’ form to request to receive claims reimbursements and/or premium refunds by EFT.

Published 09 Dec 2024

Workplace EFT form

Employers with multiple workplaces can use the ‘workplace’ form to request to receive EFT claims reimbursements into different workplace accounts. You will need to complete a separate form for each workplace.

Published 09 Dec 2024

Employer electronic funds transfer (EFT) application forms

Employer EFT form

Employer electronic funds transfer (EFT) application form

File information

Workplace EFT form

Workplace electronic funds transfer (EFT) application form

File information

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Employer electronic funds transfer (EFT) application forms

Employer EFT form

Employer electronic funds transfer (EFT) application form

File information

Workplace EFT form

Workplace electronic funds transfer (EFT) application form

File information

WorkSafe Victoria