Change of name for electrical licence declaration

Information status

All documents issued prior to 1 July 2017 were issued by the former Department of Commerce. Documents listed here are the latest versions available. For more information on this document, please contact online@dmirs.wa.gov.au.

This form is used to notify EnergySafety of a change of name to an electrical worker's licence, permit, or certificate of registration and obtain an updated licence card.

EnergySafety
Form – application
Last updated 05 May 2014

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