Request for a copy of the register

The information you are seeking may be available via the department's online licence and registration search

What do I need to complete a request

To request a copy or an extract of the register, you must:

  • Complete all of the relevant sections of the correct application form.
  • Attach/pay the correct fee. This is payable at the time of lodging the application.

Should you require assistance with completing the application, please contact the Licensing Branch by telephone on 1300 304 064 (within Australia) or email cplicensing@dmirs.wa.gov.au.

Lodging your application

The fees and forms page contains further details about:

  • how to lodge your application;
  • relevant fees; 
  • other licensing forms; and 
  • how to contact us

Please note: If you have issues opening this form in your chosen browser try saving the document to your computer and opening it with compatible PDF viewing software.

Consumer Protection
Form – application
Last updated 30 Nov 2021

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