Plumbing and drainage forms and templates
Forms and templates for the Plumbing and Drainage Act 2018
Use these forms for permit applications lodged after 1 July 2019.
All are effective as at 1 July 2019.
Forms to be lodged with local government
- 1—Permit work application for plumbing drainage and on-site sewerage work (PDF, 140KB) or (DOCX, 101KB)
- 2—Application to amend a permit including an extension of time (PDF, 133KB) or (DOCX, 866KB)
- 3—Covered work declaration (PDF, 148KB) or (DOCX, 135KB)
- 5—A testing or commissioning report (PDF, 188KB) or (DOCX, 892KB)
- 6—Remote area compliance notice (PDF, 142KB) or (DOCX, 891KB)
- 7—Notification of responsible person (PDF, 275KB) or (DOCX, 868KB)
- 8—An on-site sewage work declaration (PDF, 160KB) or (DOCX, 892KB)
- 9—Registration and report on inspection and testing of testable backflow prevention devices (PDF, 245KB) or (DOCX, 81KB)
- 11—Service report treatment plant (PDF, 135KB) or (DOCX, 866KB)
- 12—Compliance statement for specialised work (PDF, 161KB or (DOCX, 868KB)
- 14—Compliance declaration (PDF, 119KB) or (DOCX, 59KB)
Forms to be used by local government
- 17—Permit or amended permit (PDF, 161KB) or (DOCX, 866KB)
- 18A—Inspection certificate (PDF, 111KB) or (DOCX, 857KB)
- 18B—Inspection certificate - fit for use (PDF, 116KB) or (DOCX, 857KB)
- 19—Final Inspection certificate (PDF, 88KB) or (DOCX, 858KB)
Form to be lodged with the department
- 10—Application for a treatment plant approval (PDF, 160KB) or (DOCX, 148KB)
Forms to be lodged with the Queensland Building and Construction Commission
Templates for the Plumbing and Drainage Act 2018
- Action notice – notifiable work not under permit (DOCX, 37KB)
- Action notice – work under a permit (DOCX, 40KB)
- Decision notice (DOCX, 36KB)
- Enforcement notice (licensee) (DOCX, 38KB)
- Enforcement notice (owner) (DOCX, 37KB)
- Information notice – permit issued with conditions (DOCX, 33KB)
- Information notice – refusal of permit (DOCX, 35KB)
- Show cause notice (licensee) (DOCX, 59KB)
