QBCC Licence Application Form – Company (Application made under section 33, Queensland Building and Construction Commission Act 1991) Instructions

Check this box when you have provided the company’s full contact details on the form, including the company name, ACN, phone contact number and email address.

Check this box when you have supplied the company’s business, registered and postal address details on the form.

Check this box when you have attached a copy of the Australian Securities and Investments Commission (ASIC) Current and Historical Company Extract that will be no more than 30 days old when QBCC receives it.

Check this box when the company’s office holders have read the declaration and signed the form no more than 30 days before QBCC receives the application.

Check this box if you have attached a completed and signed Authority to Act – Nominated Representative – Company form that gives a nominated representative authority to act on the company’s behalf.

Check this box when you have reviewed the application fees schedule and identified the total amount payable, including any optional certificate fee if applicable.

Check this box if you are submitting the application by post and have completed the credit card details in full, including the total amount payable section.

Check this box to confirm you acknowledge that if the application is unsuccessful, the application fee is non‑refundable.

Check this box if you have attached a certified copy of current and valid photo ID for all directors, secretaries and office holders listed on the company's ASIC Current and Historical Company Extract.

Check this box only if the company office holder(s) are current QBCC licence holders and you have supplied their QBCC licence number(s).

Check this box if any company office holders have changed their legal names and you have attached certified official documentation proving those name changes.

Check this box if you have attached a certified copy of current and valid photo identification for every nominee.

Check this box if you have provided the full name of each nominee listed on the application.

Check this box if you have provided the QBCC licence number for each nominee (where applicable).

Check this box if you have indicated each nominee's role within the company and attached the required documentary evidence to support those roles.

Check this box if each nominee has signed the nominee consent form.

Check this box after you have selected/ticked the specific licence class(es) on the form that the company wishes to apply for.

Check this box if you have attached a copy of the company's Current Business Name Extract from the Australian Securities and Investments Commission (ASIC) (only if you have a registered business name).

Check this box if you have attached a signed copy of QBCC’s Partner Declaration form that has been completed and signed by the company’s business partner (only if you have a partnership).

Check this box if you have attached a copy of the company’s partnership agreement or have included a copy of QBCC’s Statutory Declaration for Partnership Agreement (only if you have a partnership).

Check this box if the company holds PI insurance and you have attached either a certificate of currency or a broker's receipt showing payment as evidence of the company's current PI insurance policy. Fill only if 'Section 4 - I have ticked the licence classes that the company wishes to apply for' indicates the company is applying for any of these licence classes: Builder—project management services, Building design, Completed residential building inspection, Fire protection—certify and design, Hydraulic services design, Site classifier or Termite Management—Chemical.

Check this box if the company holds PI insurance and you have attached a Statutory Declaration signed by an office holder of the company confirming the insurance complies with the minimum standard. Fill only if 'Section 4 - I have ticked the licence classes that the company wishes to apply for' indicates the company is applying for any of these licence classes: Builder—project management services, Building design, Completed residential building inspection, Fire protection—certify and design, Hydraulic services design, Site classifier or Termite Management—Chemical.

Check this box if you are applying for Building design, Fire protection—design, Hydraulic services design or Site classifier licences and you have attached a completed Estimated Maximum Revenue Declaration form. Fill only if 'Section 4 - I have ticked the licence classes that the company wishes to apply for' indicates the company is applying for any of these licence classes: Building design, Fire protection—design, Hydraulic services design or Site classifier.

Check this box if the company does NOT hold PI insurance and you are requesting an exemption and have attached the completed Professional Indemnity Insurance Declaration – Exemption request form. Fill only if 'Section 4 - I have ticked the licence classes that the company wishes to apply for' indicates the company is applying for any of these licence classes: Builder—project management services, Building design, Completed residential building inspection, Fire protection—certify and design, Hydraulic services design, Site classifier or Termite Management—Chemical.

Check this box when you have reviewed the Minimum Financial Requirements (MFR) information on the QBCC website for the financial category and licence class the company is applying for.

Check this box when you have selected/ticked the appropriate maximum revenue category based on the company’s financial information.

Check this box when you have attached a copy of the company’s MFR report and signed financial statements (only required if you have selected Categories 1–7 with maximum revenue exceeding $800,000). Fill only if 'Section 7 - Ticked relevant maximum revenue category' indicates Categories 1–7 (maximum revenue exceeding $800,000) were selected.

Check this box if you have answered every question in Section 8 with either 'Yes' or 'No'.

Check this box if you have attached a National Police Certificate from an Australian State or Federal Police service that is no older than 30 days.

Check this box if you have attached copies of any relevant infringement notices or proceedings documents relating to building work.

Check this box if you have attached copies of any decisions handed down by a tribunal, board, commission or authority.

Check this box if you have attached copies of any court or tribunal orders, adjudication decisions, or SPER debt statements (including any payment arrangements).

Check this box if you have attached evidence of discharge from bankruptcy or finalisation of a debt agreement (from the trustee/debt agreement administrator or an AFSA search).

Check this box if you have attached evidence that a personal insolvency agreement has been finalised (either from the trustee or an AFSA search).

Check this box if you have attached all reports to creditors relevant to the matters disclosed in this section.

Check this box if you have answered the questions about whether the company, its office holders or nominees currently hold, or have previously held, any interstate or New Zealand licences.

Check this box if you have provided details of all interstate or New Zealand licences held by the company, its office holders or nominees and attached any additional documentation required to support those details.

Check this box if any of the interstate or New Zealand licences are, or have been, suspended or cancelled and you have attached copies of the relevant decisions or proceeding documents.