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Central Provident Fund Board's Form
Direct Debit Authorisation Form
Direct Credit Authorisation Form
Documents for preparing the DOI with Central Provident Fund Board
A letter to Central Provident Fund Board
Central Provident Fund Board's Form
Direct Debit Authorisation Form
1.  Form is required for Central Provident Fund (CPF) Board to deduct funds from medical institution’s account arising from Medisave refunds due to amendment or cancellation of Medisave and/or MediShield Life claims, interest payable and administrative fees for service request or for wrongful deduction.
2. Please DO NOT use correction fluid or correction tape on the form. If you need to make an amendment on the form, please cancel and sign against the change.
3. Please state the name of the debiting bank account under “My/Our Name” on the form and sign as per your bank records.
4. Please complete Part 1 of the form and send it to CPF Board. The Board will send the form to the bank for approval after the hospital code has been assigned by MOH.
 
Direct Credit Authorisation Form
1.  Form is required for CPF Board to credit funds into the medical institution’s account.
2. Please DO NOT use correction fluid or correction tape on the form. If you need to make an amendment on the form, please cancel and sign against the change.
3. Please state the name of account and sign as per your bank records when completing Part I of the form.
4. Please bring the form to the bank for the bank’s certification on Part II of the form BEFORE sending it to CPF Board.
 
Documents for preparing the DOI with Central Provident Fund Board
1.  Central Provident Fund Board signs a DOI with each clinic making Medisave claims.
2. The DOI is a legal document and is not attached as a form here.
3. Depending on the business entity type of the clinic, Central Provident Fund Board requires different documents to prepare a DOI.
 
A letter to Central Provident Fund Board
1.  Please provide the following information:
(i)  Centre Name (restricted to 30 characters, including spaces) to be reflected on members’ Medisave Deduction Statements;
(ii) Centre Address; and
(iii) Authorised Personnel handling the bank account
2. This is to help Central Provident Fund Board identify the correct institution to be reflected on deduction statements sent to CPF members, and to identify the correct personnel handling the finance matters.