Publications

Compliance Audit – Exceptional Circumstances Statutory Declaration

Use this form to provide details about any circumstances which prevent you from substantiating claimed Medicare or Child Dental Benefits Schedule (CDBS) services.

Downloads

Compliance Audit – Exceptional Circumstances Statutory Declaration 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:
Date last updated:
Publication type:
Form
Language:
English
Tags: 

Help us improve health.gov.au

If you would like a response please use the enquiries form instead.