Plumbers and drainers forms

Forms for the Plumbing and Drainage Act 2002 - Effective 3 November 2008 Type and size
1 Application for compliance assessment PDF icon 51 KB
1 Application for compliance assessment Word icon 136 KB
2 Proposed plumbing, drainage and on-site sewerage work PDF icon 52 KB
2 Proposed plumbing, drainage and on-site sewerage work
Word icon 303 KB
3 Verification of covered work PDF icon 41 KB
3 Verification of covered work Word icon 116 KB
4 Notifiable minor work PDF icon 116 KB
4 Notifiable minor work Word icon 102 KB
5 Application for compliance assessment - remote area PDF icon 48 KB
5 Application for compliance assessment - remote area Word icon 129 KB
6 Notice of compliance - remote area PDF icon 42 KB
6 Notice of compliance - remote area Word icon 118 KB
7 Notification of responsible person PDF icon 55 KB
7 Notification of responsible person Word icon 123 KB
8 Notice of compliance on-site sewerage work PDF icon 42 KB
8 Notice of compliance on-site sewerage work Word icon 118 KB
9 Report on inspection and testing of backflow prevention devices, registered air gaps and registered break tanks PDF icon 46 KB
9 Report on inspection and testing of backflow prevention devices, registered air gaps and registered break tanks Word icon 134 KB
10 Application for Chief Executive Approval PDF icon 75 KB
10 Application for Chief Executive Approval Word icon 136 KB
21 Application for a licence  PDF icon 173 KB
22 Application for renewal or restoration of a licence
Contact the secretary of the plumbers and drainers Board to obtain this form
The form provided will contain your current licence details 
 
23 Application for review of licence conditions
 PDF icon 241 KB
23 Application for review of licence conditions  Word icon 175 KB
24 Application for replacement of a licence
 PDF icon 241 KB
24 Application for replacement of a licence  Word icon 201 KB
25 Application for a review of a board decision
Both form and explanatory notes are provided
PDF icon 241 KB
26 Notice of change in circumstances PDF icon 60 KB
26 Notice of change in circumstances DOC icon 130 KB
27 Proof of identity and document declaration form PDF icon 60 KB
27 Proof of identity and document declaration form DOC icon 135 KB
28 Mutual recognition declaration notice PDF icon 112 KB
28 Mutual recognition declaration notice DOC icon 135 KB
29 Trade experience form - plumbing PDF icon 92 KB
29 Trade experience form - plumbing DOC icon 150 KB
30 Trade experience form - drainage PDF icon 93 KB
30 Trade experience form - drainage DOC icon 150 KB
31 Trade experience form - water plumbing - irrigation PDF icon 91 KB
31 Trade experience form - water plumbing - irrigation DOC icon 150 KB
32 Trade experience form drainage - on-site sewerage facilities PDF icon 93 KB
32 Trade experience form drainage - on-site sewerage facilities DOC icon 150 KB
33 Declaration of plumbing qualifications and experience PDF icon 75 KB
33 Declaration of plumbing qualifications and experience Word icon 177 KB
34 Declaration of drainage qualifications and experience PDF icon 74 KB
34 Declaration of drainage qualifications and experience DOC icon 172 KB
35 Declaration_of_fire_protection_qualification_and_experience PDF icon 75 KB
35 Declaration_of_fire_protection_qualification_and_experience DOC icon 176 KB

Schedule of feesType and size
Schedule of fees - last updated July 2009 Word icon 26 KB

Templates for the Plumbing and Drainage Act 2002Type and size
Compliance certificate Word icon 28 KB
Compliance permit Word icon 28 KB
Enforcement notice (licensee) Word icon 164 KB
Enforcement notice (owner) Word icon 166 KB
Information notice (compliance permit on conditions) Word icon 33 KB
Show cause notice (licensee) Word icon 154 KB
Show cause notice (owner) Word icon 153 KB

Blackwater reuse trialsType and size
Blackwater reuse trials - guidelines PDF icon 241 KB
Appendix 8 - Trial application PDF icon 85 KB
Last Updated ( Thursday, 05 November 2009 )