Funding influenza vaccines for all Victorians
      Pharmacy invoice template
      Please complete all fields of both pages of this template. 
      Incomplete invoices will not be accepted and need to be resubmitted, delaying payment. 
      TAX INVOICE
      Invoice to:
      Department of Health
      50 Lonsdale St
      Melbourne
      Victoria, 3000
      Invoice number: 
      Invoice date: 
      Invoice period:
      Business trading name:
      Onelink number:
      ABN:
      Site address:
      State:
      Postcode:
      Contact number:
      Account Payable details
      Bank name:
      Account name:
      BSB:
      Account number:
      Reference:         Funding influenza vaccines for all Victorians
      Item Description                    Quantity   Rate       Amount
                                     OFFICIAL
         Influenza vaccine (insert reporting period, e.g., 1                    $25.00ea
         June to 30 June)
                                                                                Subtotal:
                                                                                GST (10%):
                                                                                TOTAL:
         Please review your invoice and ensure you have completed all fields of this invoice, but 
         especially:
               Date of invoice 
               Correct ABN as listed on your service agreement
               GST of $2.50 per vaccine
               Correct total monetary amount of invoice (per vaccine cost plus GST) 
               The one-off grant does not appear on the invoice
              To receive this document in another format, email the Immunisation Unit 
              .
              Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne.
              © State of Victoria, Australia, Department of Health, June 2022.
              Available at Funding influenza vaccines for all Victorians 
              
                                                        OFFICIAL