Application to Extend a Provisional Allocation Period – Exceptional Circumstances


Application for an Extension of the Provisional Allocation Period Due to Exceptional Circumstances Form

We aim to provide documents in an accessible format. If you're having problems using a document with your accessibility tools, please contact us for help.

Publication date: 
March 2017
Last updated: 
19 May 2021
Publication type: 
Intended audience: 
Health sector

The application should be submitted at least 60 days before the end of the current 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.