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

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.

Form – application
Last updated 05 May 2014

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