D1341 - Essential Medical Equipment Payment - Medical Confirmation Form

Form ID
For providers

The purpose of the Essential Medical Equipment Payment (EMEP) is to cover the additional costs of running essential medical equipment that will arise from the introduction of a carbon price.

As a health care provider you can use this form to confirm your patient's need for medical equipment.

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.

How can I access this form?
Form (PDF or Word)