Review of a licence decision

Use this form to request a review of a licence decision made by WorkSafe Victoria.

Last updated

Jun 2017

Reading level

medium

File Type and Size

PDF, 42.2 kB

Document Length

4 pages

What it contains

Use this form to apply for review of a licence decision made by WorkSafe Victoria. Your application will be considered by a Review Officer who was not involved in the original decision.

The application is deemed to have been received once it has been completed in full, and received by WorkSafe Victoria.