Application for a Variation of a Provisional Allocation of Places Form

Approved aged care providers use this form to apply for a variation of a provisional allocation of places.

 A variation of a provisional allocation may be a reduction in the number of places, a variation of any of the conditions to which the allocation is subject, or the movement of places to a different region within the same state or territory. 

The application should be submitted at any time before the end of the provisional allocation period.

Please email the completed form and any attachments, with scanned copies of the endorsement page, to the state or territory office where the service is located.

Application for a Variation of a Provisional Allocation of Places Form

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