Voluntary Acknowledgement of incorrect payments form

Use these forms to acknowledge overpayments you received due to incorrect claiming under the Pharmaceuticals Benefits Scheme or the Medicare program.

Page last updated: 18 April 2017

Pharmaceutical Benefits Scheme (PBS) Voluntary Acknowledgement

If you have claimed incorrectly against the PBS you can repay the money by completing a PBS Voluntary Acknowledgement form and either posting or emailing it to the Department of Health at the address indicated on the form.


Voluntary Acknowledgement

If you have claimed incorrectly for benefits and other payments made to you by Medicare you can repay the money by completing a Voluntary Acknowledgement form and either posting or emailing it to the Department of Health at the address indicated on the form.