Application for Approval to Supply Syringes
About this form
This form is to be used to apply for approval to supply syringes under the Public Health Act 1997.
If the applicant is a Health Worker a training certificate must be attached, showing completion of an approved course of instruction on appropriate health counselling and the hygenic distribution, use, collection and disposal of syringes as determined under Section 66B of the Act.
Your personal information
Access Canberra uses this form to collect information which is necessary to allow the ACT Government to provide services to you. Personal Information may be used or disclosed in accordance with the Information Privacy Act 2014.