Option 3 - Other Dependent Person Options

Thank you. Your details have been sent to the Emergency Services Health Member Services Team.

I declare that

  ^ Where the requested evidence is not provided, the dependent will not be eligible to be covered under your policy. 

  ^ Where the requested evidence is not provided, the dependent will not be eligible to be covered under your policy. 

Our Member Services Team will provide written confirmation of any changes or updates.

Our Member Services Team will provide written confirmation of any changes or updates.