Identification form – 100 point ID check

A form to provide proof of identity to support a WorkSafe licence application.
Last updated

Oct 2020

Reading level


File type and size

PDF, 145.4 kB

Document length

2 pages

About this form

You need to confirm your identity with the 100 point ID check form when applying for:

  • blasting explosives licence
  • driver transporting explosives licence
  • high consequence dangerous goods (HCDG) permit
  • pyrotechnician licence

You can also use this form if you can't complete the online identity check as part of your dangerous goods driver or engineered stone licence application. It can also be used for high risk work interstate transfers, but cannot be used for high risk work new, renewal or add a class applications.

Download the 100 point ID check form and provide the completed form, two passport size photographs and at least 3 identification documents to WorkSafe Victoria.

A reference check must also be completed if you have not provided one previously.

High risk work licence applicants

If you are applying for a high risk work licence, you need to complete an identity check online, or at Australia Post.

Important: Please download this PDF to your computer. You can fill it in using Adobe Reader but it will not save if you attempt to fill it in using your web browser.