H. To the ATO – proforma for variation of debt due to administrative error

This form is only for variations of debts due to administrative error that were incurred before 1 January 2005 for HECS, PELS, BOTPLS and OLDPS. This form can be sent to IncomeContingentLoanProduct@ato.gov.au or TCSIsupport@education.gov.au

The student named above has completed and signed a HECS Payment Options Declaration form or PELS Loan Request Form or BOTPLS Loan Request Form prior to the semester census date, and provided their tax file number or an ATO Certificate of application.

Higher education provider:

Signature of authorised person:

Date: