These forms and templates have been created for use with respect to plumbing and drainage assessment process under the Plumbing and Drainage Act 2002.

Forms 1-9 must be lodged with local government

Forms for the Plumbing and Drainage Act 2002	Type and size
1 Application for compliance assessment	59 KB
1 Application for compliance assessment	250 KB
3 Verification of covered work	64 KB
3 Verification of covered work	220 KB
4 Notifiable minor work	103 KB
4 Notifiable minor work	266 KB
5 Application for compliance assessment - remote area	74 KB
5 Application for compliance assessment - remote area	237 KB
6 Notice of compliance - remote area	55 KB
6 Notice of compliance - remote area	249 KB
7 Notification of responsible person	77 KB
7 Notification of responsible person	235 KB
8 Notice of compliance on-site sewerage work	67 KB
8 Notice of compliance on-site sewerage work	231 KB
9 Report on inspection and testing of backflow prevention devices, registered air gaps and registered break tanks	64 KB
9 Report on inspection and testing of backflow prevention devices, registered air gaps and registered break tanks	233 KB

Form 10 must be lodged with the department

Forms for the Plumbing and Drainage Act 2002	Type and size
10 Application for chief executive approval	73 KB
10 Application for chief executive approval	227 KB

Forms 21-35 must be lodged with the Plumbing Industry Council

Forms for the Plumbing and Drainage Act 2002	Type and size
21 Application for a licence	414 KB
22 Application for renewal or restoration of a licence	497 KB
23 Application for review of licence conditions	486 KB
26 Notice of change in circumstances	133 KB
26 Notice of change in circumstances	267 KB
27 Proof of identity and document declaration form	134 KB
27 Proof of identity and document declaration form	269 KB
28 Mutual recognition declaration notice	119 KB
28 Mutual recognition declaration notice	245 KB
29 Trade experience form - plumbing	483 KB
33 Declaration of plumbing qualifications and experience	431 KB
34 Declaration of drainage qualifications and experience	436 KB
35 Declaration of fire protection qualification and experience	428 KB

Templates for the Plumbing and Drainage Act 2002	Type and size
Compliance certificate	29 KB
Compliance permit	29 KB
Enforcement notice (licensee)	40 KB
Enforcement notice (owner)	43 KB
Information notice (compliance permit on conditions)	33 KB
Show cause notice (licensee)	28 KB
Show cause notice (owner)	29 KB
Site induction form - Plumbers and drainers	47 KB
Site induction form - Fire protection	46 KB