Overview
Use this form to surrender or suspend your accreditation.
How to complete this form
You can fill in this form online before downloading it as PDF document, or print a blank form.
Submitting the form
Due to the current uncertainties with the outbreak of COVID-19 (Coronavirus), to avoid applications being delayed, we ask that you DO NOT post your application to AMSA.
Please send you application via e-mail to dcvsurvey@amsa.gov.au
This will be an interim arrangement during the COVID-19 crisis.
Access the form
Last updated:
27 March 2020