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.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 14 September 2018

Was this page useful?
Why?
Why not?

Thank you for your feedback.