Flexible Payment System application form

Doctors use this form to apply for a payment under the Flexible Payment System of the Workforce Incentive Program Doctor Stream.


Flexible Payment System application form

Please note this form requires handwritten signatures and is therefore intended to be paper based. We recommend doctors download, print, complete and submit the PDF version.

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.

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Health sector

This form contains guidance on how to submit an application under the Flexible Payment System (FPS) of the Workforce Incentive Program (WIP) Doctor Stream. It is effective from 1 January 2020.

It contains 7 parts:

  • Part 1 – Information regarding the FPS for the WIP – Doctor Stream
  • Part 2 – Pre-application checklist
  • Part 3 – Definitions of key terms
  • Part 4 – Flexible Payment System – application
  • Part 5 – GP training confirmation
  • Part 6 – Documentation and declaration
  • Part 7 – Pre-submission checklist.

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