Use this form to notify the regulatory authority of voluntary surrender of provider approval (National Law s38) or voluntary surrender of service approval (National Law s86).
Before beginning the application to surrender provider or service approval
- Applicant Declaration
You will need to attach a completed Applicant Declaration, which you can download and complete in advance. You may scan or photograph the completed forms to upload during the application.
Start application to surrender provider or service approval
When submitting this form, refer to your legal requirements under the Education and Early Childhood Services (Registration and Standards) Regulations 2025 (SA). Providing false or misleading information may attract a penalty.
Download ()