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Identification Form - Non-Individual

  • Identification Form - Non-Individual (PDF 113kb)
    Document Type: Form
    Keycode: FOR644/01/03.05
    Category: Licensing and Registrations, 
    Publication Date: 11 October 2006
    Date First Published: 11 October 2006
    Summary: This form should be used to provide proof of identification as part of your licence application (usually required for explosives or dangerous goods). This form applies to companies, trusts or other legal entities.

About this form

Use this form if you are required to provide Proof of Identification to WorkSafe and you are a company or Non-Individual. For a list of people who can witness statutory declarations refer to the List of Authorised Verifiers.

Related information

Proof of Identification has been introduced as a key fraud prevention measure. WorkSafe wants to establish that only people with the right training, experience and qualifications can obtain authorisation, approvals, licences and certificates of competency.

How to complete the form

Non-individuals - must provide all the information and supporting material required in the AuthorityÂ's Identification form – Non-Individual and submit the form to the Authority. Completion of the Identification form – Non-Individual is a once only requirement. The information provided is maintained on a register by the WorkSafe Licensing Branch and referenced for any future applications.

Where to send the form

Send this form with your application form to WorkSafe. Identification forms should not be sent to WorkSafe without an accompanied application form.

Further information


Contact WorkSafe's Licensing Branch Telephone 1300 852 562 Facsimile 1800 060 727 Email licensing@workcover.vic.gov.au