Publications

Voluntary acknowledgement of incorrect payments (PBS)

Use this form to notify us that you are acknowledging that you were not entitled to receive Pharmaceutical Benefits Scheme (PBS) payments in relation to the PBS claims.

Scroll down to access downloads and media.

This form can be used to acknowledge incorrect payments of PBS payments made to you by Services Australia.

Voluntary Acknowledgement (PBS) form

Voluntary acknowledgement of incorrect payments (PBS) [PDF - 334 KB]

About this resource

Publication date:

20 October 2025

Publication type:

Form

Language:

English

Tags:

Medicare

Sub menu

Voluntary acknowledgement of incorrect payments (PBS)

Voluntary Acknowledgement (PBS) form

About this resource

Help us improve health.gov.au