Use this form to apply for voluntary suspension of provider approval (National Law s37) or service approval (National Law s85) for residual providers and services.
Before you begin the application to suspend provider or service approval
- Applicant declaration
You will need to attach the Applicant Declaration to your which you can download and complete in advance. You may scan or photograph the completed form for upload during the application.
Apply for voluntary suspension of 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.

