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Application for an Extension of the Provisional Allocation Period Form

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Publication date: 
March 2017
Publication type: 
Form
Intended audience: 
Health sector
Description: 

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.