Purpose
Form RA04 is used by registered agents to request activation of direct debit.
How to lodge this form
Lodge online
Not applicable.
Lodge by post
You can download the form and send by post.
Download Form RA04 (PDF 155 KB)
(PDF last updated: 19/11/2014)
Postal address
We recommend you check Australia Post delivery times to allow suitable time for the delivery of your documents.
Post completed form to:
Australian Securities and Investments Commission
PO Box 4000
Gippsland Mail Centre VIC 3841