Forms
Authority
Applicants for the following NT WorkSafe licences/certificates/permits
need to complete the Criminal History - Application (PF095)
form:
1 |
Drivers Authorisation / Bulk Driver |
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 PF095 'Section D - Employer Organisation / Licensing Authority details' applicants are
required to put the following:
Director
NT WorkSafe
GPO Box 1722
Darwin NT 0801
Where it states on PF095 'Section C - Purpose of check' applicants
are required to use one or more from the above list 1–5.
For example, if you are applying for Drivers Authorisation / Bulk Driver and
Security Sensitive Substances you would write in:
Drivers Authorisation / Bulk Driver
Security Sensitive Substances
Where it states on Form Authority to Release Traffic Infringement and Traffic Conviction History 'Name and postal address of person, organisation or agency requiring information' applicants are required to put the following:
Manager, Territory Business Centre
GPO Box 9800
Darwin NT 0801
|
