(1) This section applies to an application for a high risk work licence.
(2) The application must include the following information:
(a) the applicant's name and home address;
(b) a photograph of the applicant in the form required by the regulator;
(c) evidence of the applicant's age;
(d) any other evidence of the applicant's identity required by the regulator;
(e) the class of high risk work licence to which the application relates;
(f) a copy of a certification—
(i) that is held by the applicant in relation to the specified VET course, or each of the specified VET courses, for the high risk work licence applied for; and
(ii) that was issued not more than 60 days before the application is made;
(g) a declaration that the applicant does not hold an equivalent licence under a corresponding WHS law;
(h) a declaration as to whether or not the applicant has ever been convicted or found guilty of any offence under the Act or this regulation or under any corresponding WHS law;
Note A conviction does not include a spent conviction (see href="http://www.legislation.act.gov.au/a/2000-48" title="A2000-48">Spent Convictions Act 2000
, s 16 (c) (i)).
(i) details of any conviction or finding of guilt declared under paragraph (h);
(j) a declaration as to whether or not the applicant has ever entered into an enforceable undertaking under the Act or under any corresponding WHS law;
(k) details of any enforceable undertaking declared under paragraph (j);
(l) if the applicant has previously been refused an equivalent licence under a corresponding WHS law, a declaration giving details of that refusal;
(m) if the applicant has previously held an equivalent licence under a corresponding WHS law, a declaration—
(i) describing any condition imposed on that licence; and
(ii) stating whether or not that licence had been suspended or cancelled and, if so, whether or not the applicant had been disqualified from applying for any licence; and
(iii) giving details of any suspension, cancellation or disqualification.
Note 1 A fee may be determined under the title="A2011-35">Act
, s 278 for this provision.
Note 2 If a form is approved under the title="A2011-35">Act
, s 277 for this provision, the form must be used.
Note 3 It is an offence to make a false or misleading statement, give false or misleading information or produce a false or misleading document (see
title="A2002-51">Criminal Code, pt 3.4).