Renewal of registration Building surveying contractor (individual) Form 63

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1 Government of Western Australia Department of Commerce Renewal of registration Building surveying contractor (individual) Form 63 Use of this form This form is to be used by building surveyors who are currently registered as practitioners and who are registered as contractors with the Building Services Board and are applying for their contractor registrations to be renewed. If you decide that you no longer require contractor registration, please advise the Board. Combined practitioner/contractor, practitioner, partnership and company registration renewals cannot be made on this form. Please contact the Building Commission for the correct form. Registration as a building surveying practitioner In Western Australia a building surveyor who wishes to act as a nominated supervisor for a registered building surveying contractor or wishes to use a prescribed title such as registered building surveying practitioner must be registered as a building surveying practitioner. Registration as a building surveying practitioner does not authorise a person to provide services as a contractor. Registration as a building surveying contractor A person, partnership or company must be registered as a building surveying contractor to: contract with others to provide building surveying services; issue compliance certificates; or use a prescribed title such as registered building surveying contractor. Change of recorded details Inform the Board if any information shown on the renewal form is incorrect or out of date. Mark corrections on this form. Financial capacity Building surveying contractors must inform the Board if they have been an insolvent in the last three years. Duration of registration The Building Services Board offers you a choice of two renewal periods of either 18 months or three years. Registration renewal fee The registration renewal fee is: $ for a period of 18 months; or $ for a period of three years. GST is not payable on this fee. If the Board refuses your application the registration fee will be refunded. Registration expiry You must make your application to renew registration no later than the expiry date shown on your registration certificate. Your application should be complete including attachments and payment. You are encouraged to lodge your application well before the expiry date to avoid your registration expiring. If you do not have the required attachments, you should still lodge your application form and make payment by the expiry date. Please provide all outstanding information within 28 days of lodging this form. Your application will be finalised after receipt of the outstanding information. If you do not provide outstanding information in 28 days, the Board may not consider your application and your registration will expire. Late applications Avoid making a late application. If you do not lodge your application by the expiry date, you can still lodge a late application but it may not be accepted by the Board. A late application will incur a late fee and will require additional processing steps. For assistance call the Building Commission on before making a late application. A Form 63 Page 1

2 Lodging your application Please complete and sign your application. Lodge it with your supporting documents and payment no later than the expiry date. Applications and payments can be made: By post Pay by credit card using the payment slip on the form or pay by cheque or money order made payable to the Building Commission. Building Commission Locked Bag 14 Cloisters Square WA 6850 In person Pay by cash, cheque, money order, credit or debit card at the Building Commission counter. Building Commission Level 1/ 303 Sevenoaks Street Cannington WA 6107 Office hours are: Mon Fri 8:30 am to 4:30 pm. By Pay by credit card using the payment slip on the form. Scan and your renewal form to: Scan and attachments or mail attachments separately to the Building Commission at the mailing address shown above. National Police Certificates if required must be original or certified copies and must be mailed. Do not . By fax Pay by credit card using the payment slip on the form. Fax your renewal form to the Building Commission: Fax attachments or mail attachments separately to the Building Commission at the mailing address shown above. National Police Certificates if required must be original or certified copies and must be mailed. Do not fax. BPAY and online payment are not available for this renewal. Return of documents The Building Commission does not return documents lodged in renewal applications. If you need a copy of the application or attached documents, please make a copy before you lodge your application. After your application is lodged When the Building Commission is satisfied that your application is complete and payment is received the Building Commission will assess your application. More information If you need more information about the status of your application or about registration generally please call or A Form 63 Page 2

3 Government of Western Australia Department of Commerce OFFICE USE Renewal of registration Form 63 Building surveying contractor (individual) Your application cannot be assessed unless all sections are completed and all information is provided. Personal details Office use Registration no Expiry date Level 1 Level 2 Salutation Mr Mrs Ms Other please specify Family name First name Other name(s) Date of birth Date of birth helps to identify registered practitioners Principal place of business address required for publication in the register. It cannot be a post office box number. Street Suburb State Postcode Postal address address for correspondence from the Building Commission. Street or PO Box State Postcode Suburb Residential address this address will be used on the register if a Principal place of business address is not provided. Street Suburb State Postcode Contact details Phone (home) Phone (mobile) Phone (work) Fax A Building surveying contractor individual renewal Form 63 Page 1 of 4

4 MANAGEMENT AND SUPERVISION 1 Can you confirm you have arrangements in place to ensure that building surveying services are managed and supervised in a proficient manner? Confirmed Not confirmed Office use For guidance, as an individual contractor your arrangements could be that you will personally manage and supervise the building surveying work you or your employees undertake. INELIGIBLE PERSON 2 Are you currently declared an ineligible person by the State Yes No Administrative Tribunal? If the State Administrative Tribunal cancels or suspends the registration of a building service contractor the Tribunal may declare an officer of the contractor to be an ineligible person. FINANCIAL CAPACITY 3 Have you been a bankrupt in the last three years? Yes No If you answered yes to question 3, please identify your status: Still bankrupt Discharged Date discharged: 4 Do you have the capacity to pay your debts as and when they fall due? Yes / / No PROFESSIONAL INDEMNITY INSURANCE Building surveying contractors are required to have professional indemnity insurance with a minimum level of indemnity of $1,000,000 in any one claim and $2,000,000 in aggregate in any one period of insurance. Please state your insurance cover below. Insurer Policy number Expiry date Cover for any one claim $ Aggregate of cover in any one period of $ insurance It is expected that every building surveying contractor will renew and maintain their insurance cover for their period of registration. Sections 33(1) and (2) of the Building Services (Registration) Act 2011 require a registered building service provider to give the Board written notice of any change in circumstances that affect eligibility to remain registered. A change in the contractor s insurance arrangements could constitute such a change in circumstances. The notice to the Board must be given within seven days after the change in circumstances. The penalty for the offence of not notifying the Board is a fine of $10,000. A Building surveying contractor individual renewal Form 63 Page 2 of 4

5 NOMINATED SUPERVISOR Each building surveying contractor is required to have at least one nominated supervisor who is a registered practitioner. As an individual practitioner/contractor you are required to be registered as a practitioner to perform the supervisory function. Can you confirm you are currently registered as a building surveying practitioner? Yes No Office use DECLARATION BY APPLICANT False and misleading information Section 99 of the Building Services (Registration) Act 2011 provides for penalties of up to $25,000 where a person makes a false or misleading statement or provides false or misleading information or particulars as part of an application for registration or renewal of registration. Declaration I Full name of applicant 1 authorise the Building Services Board, the Building Commission or persons acting on behalf of the Board or the Commission to make enquiries considered necessary to assess this application. My general consent includes the specific consent to the acquisition of copies of my criminal records. I agree that the Board can use any or all information received pursuant to this authority for the purposes of the assessment or audit of this application. 2 sincerely declare that this application is true and correct. Signature Date A Building surveying contractor individual renewal Form 63 Page 3 of 4

6 Checklist Use this checklist to ensure that you complete all parts of your application and attach all necessary supporting documents. Form complete and details correct Questions 1 to 3 answered and professional indemnity insurance document attached Declaration signed and dated Period of renewed registration selected and correct payment made PAYMENT Choose one period to renew your registration 18 months $ Three years $ Payment method Cash Cheque Money order Credit card Card authorisation Building Commission ABN: Visa Mastercard Card number / / / Expiry date / Name on card Amount payable $ Cardholder s signature Date Cardholder s contact phone number Department of Commerce Building Commission Level 1, 303 Sevenoaks Street, Cannington WA 6107 Locked Bag 14, Cloisters Square, WA 6850 Telephone Facsimile (08) A Building surveying contractor individual renewal Form 63 Page 4 of 4

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