Principal Executive Officer declaration form (Charities)

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, but may be subject to review. For more information on this document, please contact

This publication is for: 
Not for profit

This form is an integral part of any application for, or renewal of, a Charitable Collections Licence, and may also be used to advise of a change in office bearers or director of a licence holder.

Part of the responsibility of the Charitable Collections Advisory Committee is to ensure all licence holders, and those administering any organisation holding a licence, are fit and proper persons to deal with public collection monies. To assist with the exercise of this responsibility, all those persons who have been identified as a Principal Executive Officer are required to provide an original Police Certificate (no older than six months).

Consumer Protection
Form – notification
Last updated 22 Mar 2017

Share this page:

Last modified: