PREMIUM VERIFICATION FORM

Please complete the form below to verify that you are a student, emergency services or FIFO worker. You can attach PDF proof by way of a copy of a student ID etc or provide appropriate details in the comments section.

After submitting the verification form you will be redirected to the ezidebit membership sign-up form.

Please note: The field marked ‘Your Reference*’ in the ezidebit form, you can put any sort of ‘username’ in it.