Practice Incentives Practice closure or withdrawal form (IP007)

Use this form to notify us if your practice or additional practice branch has closed or if you’d like to withdraw from the PIP or the WIP – Practice Stream.

Download and complete the Practice Incentives practice closure or withdrawal form.

PIP is the Practice Incentives Program.

WIP – Practice Stream is the Workforce Incentive Program – Practice Stream.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please contact us. We can help you access, complete and submit them.

Page last updated: 10 December 2021