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.

Download and complete the Practice Incentives Program Service Incentive Payments banking details form.

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. You can fill it out on your device, or print it and complete it by hand.

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: 9 November 2020