Epic Military Pass Australian Military Verification

Please complete all fields in this form and upload approved forms of identification.

First Name*

Please enter first name.

Last Name*

Please enter last name.

Date of Birth*

Please select.

Email Address*

Please enter an email address.

Looks good!

Confirm Email Address*

Please enter an email address.

Emails should match.

Pass Confirmation Number (or Transaction ID Number)*

Please enter.

Current Military Status*

Please select.

Pass Type Purchased*

Please select.

Do you need to submit documents for any additional family members?

Yes No

Family Member 4

First Name:

Last Name:

Date of Birth:

Pass Type Purchased*

Please select.

Perisher Blue Pty Limited request, collects and uses personal information, including health information, as part of an Epic Coverage cancellation request to review and process your request. It is possible to gain access to this personal information held by us. Our Privacy Policy Statement sets out our policies on the management of personal information. To obtain a copy, please write to The Privacy Officer, Perisher Blue Pty Limited, PO Box 42, Perisher Valley, NSW 2624, you can visit our website at www.epicaustraliapass.com.au or send an email to privacy@perisher.com.au