IMPORTANT NOTICE

Before making recommendations, we have a legal obligation to ask you about your borrowing objectives, financial commitments, and overall financial position and analyse your particular financial needs. The information requested in this online form will be used strictly for that purpose. You MUST fully and accurately complete this form and disclose your full financial position in order for us to make appropriate recommendations. PLEASE READ OUR MEDICAID HEALTH FINANCE PRIVACY POLICY.

* We value your privacy and you can be assured that the information you submit and process online is protected on our secure site. Your data is protected by 256-bit SSL encryption security system.

Please read our Medicaid Finance Policies

Medicaid Privacy Policy and Medicaid Disclaimer and Terms and Conditions of Use

FINANCIAL DATA

We need 24 months of financial data to complete the finance assessment. The following four sections relate to your current business financial position and applicant ID.

1. Banking Business Transaction History (last 12 month only)

2. Profit & Loss Statement for 2016 and 2017 and

3. Balance Sheet for 2016 and 2017

4. The applicant and or all Directors Identification documentation

We will verify your business financial details from the files you upload/provide as referenced above and conducting searches with ASIC databases.

You have completed the online finance request form. Simply click on 'SUBMIT' to complete this form.

A Medicaid Health Private Manager will contact you to discuss your business finance requirements in more detail within the next 24 hours.