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 (Regulation and Standards) Regulations 2011 (SA). Providing false or misleading information may attract a penalty.
Note: We encourage you to use the online form above. If you have any questions about using the form, please call 1800 882 413 or email educationstandardsboard [at] sa.gov.au for assistance.
The pdf version below will remain available until late April 2023. If using the pdf form, you will need to print, complete, scan and send via email to educationstandardsboard [at] sa.gov.au.
