IM017 AIR Ceasing Correspondence Form: Fill In Online

What is IM017 AIR ceasing correspondence and release of information?

The Australian Immunisation Register (AIR) records vaccinations given in Australia. Form IM017, Ceasing correspondence and release of information, lets you tell the AIR that you don't want to receive information from it about your record — or the record of a child under 14 in your care — and/or that you don't want the AIR to share that information with third parties such as vaccination providers. You tick whichever of the four choices apply.

One form covers you and up to three children under 14 in your care; there's room on a separate piece of paper for more. A child on your Medicare card who is 14 or older and wants to keep an existing arrangement completes their own IM017. The form can't be used to update personal details — it only identifies you and establishes your authorisation to update the AIR for this purpose.

FileIt guides you through IM017 and prints your answers into the Services Australia PDF — dates and Medicare card numbers in their boxes, names with accents printed correctly, and Medicare card numbers checked before you print. It saves the finished form to your vault. You sign it and post it yourself; FileIt never submits anything.

Who fills it: You, for yourself and up to three children under 14 in your care
Children 14 and over: Complete their own IM017
Returned by: Post to Services Australia, Australian Immunisation Register, PO Box 7852, CANBERRA BC ACT 2610
Signatures: You sign and date the declaration
Enquiries: The form gives servicesaustralia.gov.au/air and 1800 653 809
Edition: IM017.2510

Who needs to fill out IM017 AIR ceasing correspondence and release of information?

People who don't want to receive letters or statements from the Australian Immunisation Register about their own record.
People who don't want the AIR to share their immunisation information with third parties such as vaccination providers.
Parents and carers making the same choices for children under 14 in their care.
Young people aged 14 or over who were previously withdrawn and want to continue that arrangement on their own form.

When to use IM017 AIR ceasing correspondence and release of information

Whenever you decide you don't want AIR correspondence or sharing for yourself or a child under 14.
When a child on your Medicare card turns 14 and wants to keep an existing arrangement — they complete their own form.
Not for updating your name, address or other personal details — the form says it can't be used for that.

What you need before you start

Your title, name, date of birth, Medicare card number and reference number, and permanent address.
For each child under 14: their name, date of birth, Medicare card number and reference number, and home address.
A pen to sign the declaration, and an envelope to post the form.

What’s on IM017 AIR ceasing correspondence and release of information

The 2025 edition has 2 pages. FileIt asks for it in 7 parts, and it is signed by You (the person, or the parent or carer of children under 14):

Reason for completing this form (question 1)You (the person, or the parent or carer of children under 14)
Your details (questions 2–5)You (the person, or the parent or carer of children under 14)
Children under 14 in your care (question 6)You (the person, or the parent or carer of children under 14)
Child 1You (the person, or the parent or carer of children under 14)
Child 2You (the person, or the parent or carer of children under 14)
Child 3You (the person, or the parent or carer of children under 14)
Declaration (question 9)You (the person, or the parent or carer of children under 14)

How to fill out IM017 AIR ceasing correspondence and release of information, step by step

1 Reason for completing the form (question 1)

Tick all that apply: you don't want to receive information about your record from the AIR; you don't want the AIR to share your information with third parties; and the same two choices for a child under 14 in your care.

2 Your details (questions 2 to 5)

Your title, family and given names, date of birth, Medicare card number with your reference number, and permanent address.

3 Children under 14 in your care (questions 6 and 7)

Say whether you have children under 14 in your care. If yes, give each child's name, date of birth, Medicare card number and reference number, and home address — up to three on the form.

4 Declaration (question 9)

Declare that the information is complete and correct, then write your full name, sign and date.

Common mistakes to avoid

Including a child aged 14 or over — they need their own form.
Ticking a child option without giving the child's details at question 7.
Giving the wrong reference number — it's the number next to the person's name on the Medicare card.
Trying to update an address or name on this form — the form says personal details can't be updated with it.

After you fill it out

Sign and date the declaration, by hand or with FileIt's optional e-signature.

Post the form and any supporting documents to Services Australia, Australian Immunisation Register, PO Box 7852, CANBERRA BC ACT 2610.

FileIt keeps the completed PDF in your vault with your family's Medicare and immunisation records.

Fill out IM017 AIR ceasing correspondence and release of information online with FileIt

Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 49 fields in all. Your answers save as you go.
Check the live preview. Watch your answers land on the real Services Australia (Medicare) form, and let FileIt do any worksheet arithmetic.
Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault. Sign it, or send it for e-signature.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start IM017 AIR ceasing correspondence and release of information now — it’s free

IM017 AIR ceasing correspondence and release of information: frequently asked questions

What is the IM017 form?

It's the Services Australia form for telling the Australian Immunisation Register (AIR) that you don't want to receive information from it, and/or don't want it to share your information or your child's with third parties such as vaccination providers.

Can I include my children?

Yes — children under 14 in your care, up to three on the form (attach a separate piece of paper for more). A child aged 14 or over completes their own IM017.

Can I change my address with IM017?

No. The form says your personal details can't be updated with it, and points you to servicesaustralia.gov.au/air and Medicare online instead.

Where do I send IM017?

By post to Services Australia, Australian Immunisation Register, PO Box 7852, CANBERRA BC ACT 2610.

Can I fill in IM017 online?

Yes. FileIt guides you through the questions and prints your answers into the official PDF, ready to sign and post.

Official sources

Blank form (PDF), published by Services Australia (Medicare): https://www.servicesaustralia.gov.au/sites/default/files/2025-10/im017-2510en-f.pdf
Official instructions and guidance: https://www.servicesaustralia.gov.au/im017
Edition shown on this page: IM017.2510 (checked 2026-10-01).

FileIt is not affiliated with or endorsed by Services Australia (Medicare) or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-10-01.