Application Form B – Inborn Errors of Metabolism (Fillable PDF)

Application Form B is the Australian Government’s official form for individuals with Inborn Errors of Metabolism (excluding Group 1 conditions) who are applying for financial assistance. The form is now available as a fillable PDF that can be completed directly in your browser using the Formize PDF Filler app.

What is Application Form B?

This form collects detailed medical, demographic, and financial information required to assess eligibility for the Inborn Errors of Metabolism (IEM) program. It replaces the older paper‑only version, allowing faster processing and reduced errors.

Who Needs to Use This Form?

• Patients diagnosed with any IEM condition listed under "Conditions other than Group 1" (e.g., Maple Syrup Urine Disease, Homocystinuria, etc.).
• Parents or legal guardians applying on behalf of a minor.
• Healthcare providers assisting a client with the application.

How to Complete the Form Online with Formize

Instead of downloading the PDF and opening a separate editor, simply click the "Fill out this form" button on this page. The Formize PDF Filler will load in a secure window, letting you type directly into each field.

Common Mistakes to Avoid

• Leaving required fields blank – the filler highlights missing information before you can submit.
• Using outdated medical terminology – refer to the latest diagnosis code provided by your specialist.
• Submitting unsigned forms – the digital signature field must be completed before saving.

Download the Fillable PDF

If you prefer the traditional method, you can still download the original PDF from the Australian Department of Health. The file is fully searchable and printable.

Download Application Form B (PDF)