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.

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: 3 February 2020