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Plumbing Licence - Application Form

Application . FORM. Plumbing Licence . HERE'S WHAT YOU NEED TO DO. SAVE AND COMPLETE THIS FORM ON YOUR COMPUTER. DO NOT HANDWRITE. Checklist Please tick once you have completed these sections of the Application form: Part A: What we need to know about you Part B: Let us know the class in which you seek to be licensed Part C: Let us know your qualifications Part D: Let us know your experience Part E: Confirmation of your experience from your employer or supervisor Part F: Declaration Part G: Your signature Part H: Application fee and payment method Part I: Photo Identification Form Part J: National Police Check Please tick once you have certified copies of your supporting document (do not send originals): Remember, every supporting document that you submit with this Application for parts C and D must be certified as a true photocopy of an original.

Thermostatic Mixing Valve work Backflow Prevention work Type A Appliance Conversion work Type A Appliance Servicing work * Type B Gasfitting Advanced work *Restricted Electrical Workers Licence issued by Energy Safe Victoria is a requirement for these classes. 4 / 15 Plumbing Licence - Application SD-APP-0 16 V 3.0

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