Forms
Authority
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Applicants for the following NT WorkSafe licences/certificates/permits
need to complete the Authority to Release Criminal History (PF165)
form:
1 |
Drivers Authorisation |
Fingerprint check required |
2 |
Shotfirers Certificate |
Fingerprint check required |
3 |
Security Sensitive Substances |
Fingerprint check required |
4 |
Explosives |
Fingerprint check required |
5 |
Renewal Shotfirers Certificate |
Name check required after confirmation
that fingerprint check was conducted
at
the time the original Certificate was
issued
|
Where it states on PF165 'Name and Postal Address the
Criminal History result is to be forwarded to:' applicants are
required to put the following address:
Director
NT WorkSafe
GPO Box 4821
Darwin NT 0801
Where it states on PF165 'For the purpose of:' applicants
are required to use one or more from the above list 1–5.
For example, if you are applying for Drivers Authorisation and
Security Sensitive Substances you would write in:
Drivers Authorisation
Security Sensitive Substances
|
