Published: 20 Jul 2022
Identity check
A form to provide proof of identity to support WorkSafe applications.
'%3e%3cpath%20fill-rule='evenodd'%20clip-rule='evenodd'%20d='M18%2036C22.7739%2036%2027.3523%2034.1036%2030.7279%2030.7279C34.1036%2027.3523%2036%2022.7739%2036%2018C36%2013.2261%2034.1036%208.64773%2030.7279%205.27208C27.3523%201.89642%2022.7739%200%2018%200C13.2261%200%208.64773%201.89642%205.27208%205.27208C1.89642%208.64773%200%2013.2261%200%2018C0%2022.7739%201.89642%2027.3523%205.27208%2030.7279C8.64773%2034.1036%2013.2261%2036%2018%2036ZM20.0925%2014.823L14.94%2015.4688L14.7555%2016.3237L15.768%2016.5105C16.4295%2016.668%2016.56%2016.9065%2016.416%2017.5658L14.7555%2025.3687C14.319%2027.387%2014.9918%2028.3365%2016.5735%2028.3365C17.7998%2028.3365%2019.224%2027.7695%2019.8698%2026.991L20.0677%2026.055C19.6178%2026.451%2018.9607%2026.6085%2018.5243%2026.6085C17.9055%2026.6085%2017.6805%2026.1742%2017.8403%2025.4093L20.0925%2014.823ZM18%2012.375C18.5967%2012.375%2019.169%2012.1379%2019.591%2011.716C20.0129%2011.294%2020.25%2010.7217%2020.25%2010.125C20.25%209.52826%2020.0129%208.95597%2019.591%208.53401C19.169%208.11205%2018.5967%207.875%2018%207.875C17.4033%207.875%2016.831%208.11205%2016.409%208.53401C15.9871%208.95597%2015.75%209.52826%2015.75%2010.125C15.75%2010.7217%2015.9871%2011.294%2016.409%2011.716C16.831%2012.1379%2017.4033%2012.375%2018%2012.375Z'%20fill='black'/%3e%3c/g%3e%3c/mask%3e%3cg%20mask='url(%23mask0)'%3e%3crect%20x='-3'%20y='-3'%20width='42'%20height='42'%20fill='white'/%3e%3c/g%3e%3cdefs%3e%3cclipPath%20id='clip0'%3e%3crect%20width='36'%20height='36'%20fill='white'/%3e%3c/clipPath%3e%3c/defs%3e%3c/svg%3e)
Download the PDF before filling it in
Important: Please download this PDF to your computer. You can fill it in using Adobe Reader as it may not save if you attempt to fill it in using your web browser.