Notice from an Interstate Licensee of Intention to Work in the ACT
About this form
This form is to be used to notify WorkSafe ACT under Sections 488 and 490 of the Work Health and Safety Regulation 2011 of an interstate licensed asbestos licence holder's intention to work in the ACT.
There is no fee for this notification.
Lodging your Notification
This notification must be provided to WorkSafe ACT at least 5 days before the work commences. This notification is submitted once prior to commencement of work in the ACT.
Your personal information
The personal information on this form is provided to Access Canberra of the ACT Government to enable the processing of your application. If all or some of the personal information is not collected, Access Canberra cannot process your application.
The personal information you provide may be disclosed to the other ACT Government Directorates, and third parties external to the ACT Government, as required by specific legislation administered by Access Canberra.