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Forms for Practice Incentives Program (PIP) and Workforce Incentive Program (WIP) - Practice Stream 012-10010070

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This document outlines information about forms for the PIP and WIP - Practice Stream.

Mandatory form fields

Table 1

Form field

Action

Form Version number

Check if the form version number on the bottom left corner of the form is acceptable in the Practice Incentives forms list. See link on the Resources page.

If the form is unacceptable, return it with a letter requesting the current form version.

Do not address missing or incorrect information except for the following:

  • invalid or missing practice ID
  • the declaration not signed by an owner or authorised contact person. Note: do not check if the practice ID is missing or incorrect

Practice ID

If the practice does not provide the practice ID, the practice ID is incorrect or the practice cannot be identified:

  • return the form to the practice using the name and address details on the form. If there is no name, use ‘Practice Manager’
  • do not check the practice details (including address and contact information) on PIP/WIP – Practice Stream Online or other search options
  • upload the letter to PaNDA
  • key the Practice Name on the form in the Practice ID field in PaNDA
  • finalise the Work Item as Complete, Request rejected in PaNDA

Note: if the practice can not be identified or the Practice details page is missing, finalise the work item as complete in PaNDA. Include a processing note ‘no further action can be taken as practice cannot be identified’.

Practice details

  • Practice name
  • Main practice address

The practice must provide these details.

Check if the practice name and address on the practice profile match the details on the form. An address variance may be accepted.

If these details are missing or incorrect, return the form to the practice

Declaration details

  • Owner/authorised contact person’s name
  • Owner/authorised contact person’s signature
  • Declaration date

Each individual form will indicate the signatory requirements. See Signatory Requirements on the Resources page.

See Enquiry management for PIP and WIP – Practice Stream to check if a signatory must be the owner or can be an owner or authorised contact person.

If there are no name details, check the signature. Accept the form if the name can be identified from the signature.

If the name is not identifiable and/or the declaration does not have a valid declaration date, return the form to the practice.