Building Regulation 2021 (Queensland) – Section 143A(3) – Form 18 (Version 6, March 2023), Notice to the owner (where owner is not the client) that a private certifier has been engaged Instructions
This form contains 41 fields organized into 11 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Description of proposed building work | ||
| Description of proposed building work | Text |
Enter a concise description of the proposed building work to be carried out, including the purpose, scope and key elements or changes planned.
|
| General | ||
| Signature1 | Signature | |
| Inspections/stages to be covered (fee payable) - stages and other details | ||
| Foundation/excavation stage | Checkbox |
Check this box if the engagement and fee cover inspections of the foundation or excavation stage.
|
| Footings stage | Checkbox |
Check this box if the engagement and fee cover inspections of the footings stage.
|
| Slab stage | Checkbox |
Check this box if the engagement and fee cover inspections of the slab stage.
|
| Frame stage | Checkbox |
Check this box if the engagement and fee cover inspections of the frame (structural framing) stage.
|
| Final stage | Checkbox |
Check this box if the engagement and fee cover the final completion inspection.
|
| Other stages / aspects (please indicate) | Checkbox |
Check this box if other stages or specific aspects not listed are to be inspected, and provide the details in the space provided.
|
| Inspections/stages to be covered — details | Text |
Enter the inspections, stages and any other relevant details that are covered by the fee payable (for example: foundation/excavation, footings, slab, frame, final and any other specific stages or aspects). Fill only if 'Other stages / aspects (please indicate)' is 'Yes'.
Depends on:
Other stages / aspects (please indicate)
|
| Local government area | ||
| Local government area | Text |
Enter the name of the local government area (LGA) in which the land/property is located.
|
| Lot and plan details | ||
| Lot and plan details | Text |
Enter the lot and plan identifier(s) for the property (for example SP/RP or title reference); include previous lot/plan details if the plan is not registered and attach an additional list if more space is required.
|
| Notify owner (send to owner) - selection | ||
| Notify the owner that a private certifier has been engaged (send to owner) | Checkbox |
Check this box when you are notifying the building owner (who is not the client) that a private certifier has been engaged and you are sending Form 18 to the owner.
|
| Owner's details | ||
| Owner name (in full) | Text |
Enter the owner's full legal name for official correspondence.
|
| Company name (if applicable) | Text |
Enter the registered company or business name of the owner if the owner is a company; leave blank if not applicable. Fill only if 'Owner name (in full)' is a company.
Depends on:
Owner name (in full)
|
| Contact person | Text |
Enter the full name of the person to contact about this application. Fill only if 'Owner name (in full)' is a company.
Depends on:
Owner name (in full)
|
| Business phone number | Text |
Enter the business telephone number where the owner or company can be reached, including area or country code if needed.
|
| Mobile phone number | Text |
Enter the owner's mobile phone number, including country code if applicable.
|
| Email address | Text |
Enter the owner's primary email address for correspondence and notices.
|
| Postal address | Text |
Enter the full mailing address (street number, street name and unit or PO box) for correspondence.
|
| Suburb / Town | Text |
Enter the suburb, town or city for the postal address.
|
| Postcode | Number |
Enter the postcode for the postal address.
|
| State / Territory | Combobox |
Enter the state, territory or region for the postal address (e.g., NSW, VIC).
VIC
NSW
SA
TAS
WA
QLD
ACT
NT
|
| Private certifier details (name, company, date of engagement) | ||
| Private certifier name | Text |
Enter the full name of the private certifier who has been engaged to assess and inspect the proposed building work.
|
| Company name (if applicable) | Text |
Enter the certifier's company or business name, if they are representing a company; otherwise leave blank or enter 'N/A'.
|
| Date of engagement | Date |
Provide the date on which the private certifier was engaged to undertake the certifying functions.
|
| Private certifier's details | ||
| Name of building certifier (in full) | Text |
Enter the private building certifier's full legal name as it should appear on the form.
|
| Company name (if applicable) | Text |
Enter the certifier's company or firm name if they work for a company, or leave blank if not applicable. Fill only if 'Name of building certifier (in full)' is a company.
Depends on:
Name of building certifier (in full)
|
| Contact person | Text |
Enter the full name of the contact person at the company responsible for correspondence, if different from the certifier. Fill only if 'Name of building certifier (in full)' is a company.
Depends on:
Name of building certifier (in full)
|
| Business phone number | Text |
Enter the certifier's business phone number for contact about this application.
|
| Mobile number | Text |
Enter the certifier's mobile phone number for direct contact.
|
| Email address | Text |
Enter the certifier's or company contact's email address for electronic correspondence.
|
| Postal address (line 1) | Text |
Enter the primary postal or street address where correspondence should be mailed.
|
| Postal address (line 2 / suburb) | Text |
Enter additional address information such as unit, building, suburb or locality for the postal address.
|
| Postcode | Text |
Enter the postcode for the certifier's postal address.
|
| State | Combobox |
Enter the state, territory or region for the certifier's postal address.
VIC
NSW
SA
TAS
WA
QLD
ACT
NT
|
| Licence number | Text |
Enter the certifier's registration or licence number issued by the relevant authority.
|
| Private certifier's signature (Date) | ||
| Private certifier signature date | Date |
Enter the date on which the private certifier signed this form.
|
| Street address (number, street, suburb/locality, state, postcode) | ||
| Street number and street name | Text |
Enter the property's street number and street name, including unit/lot/level details if applicable.
|
| Suburb / locality | Text |
Enter the suburb or locality where the property is located.
|
| State / territory | Combobox |
Enter the state or territory in which the property is situated (for example QLD, NSW, VIC).
VIC
NSW
SA
TAS
WA
QLD
ACT
NT
|
| Postcode | Number |
Enter the postcode for the property's location.
|