Practice Incentives Program Service Incentive Payments banking details form (IP011)

Use this form to tell us about new or amended bank account details for the Practice Incentives Program (PIP) Service Incentive Payments.

You should use this form for the Practice Incentives Program (PIP) Service Incentives Program and the General Practitioner (GP) Aged Care Access Incentive Service Incentive Program.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
This information was printed Tuesday 21 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/forms/ip011 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 14 September 2018