Application for change of personal details - natural person

Use this form to change your name, address or contact details.

Published: 01 Jun 2017

File type: PDF

File size: 188.38 kB

Length: 4 pages

Reading level: Easy

What it contains

Complete this form to notify WorkSafe to changes in personal and/or contact details.

This form also provides general information and instructions for guidance on completing and submitting the form.