Review of a licence decision (PDF version)

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

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Published: 01 Jun 2007
 
File type: PDF
 
File size: 42.2 kB
 
Length: 4 pages
 
Reading level: Medium

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.