Overview
You can use this form to notify us of a change to your accreditation including:
- change in place of employment
- change of address and/or contact details
- change of name or any other change that may result in confusion as to your identity
- membership of a professional association revoked, suspended or involuntarily cancelled.
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:
12 December 2022