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Skip Navigation LinksDepartment of Housing and Public Works > About us > Reports and publications > Forms and templates > Approved plumbing and drainage forms

Approved plumbing and drainage forms

If the application for the permit for plumbing and drainage work is lodged after 1 July 2019, use the forms for the Plumbing and Drainage Act 2018.

If the applic​ation for the permit for plumbing and drainage work is lodged before 1 July 2019, use the forms for the Plumbing and Drainage Act 2002.

Forms for the Plumbing and Drainage Act 2018

Use these forms for permit applications lodged after 1 July 2019.

Forms to be lodged with local government

Forms for the Plumbing and Drainage Act 2018​​​​​

Effective date​

1—Permit work application for plumbing drainage and on-site sewerage work (PDF, 140KB) or (DOCX, 101KB)

1 July 2019

2—Application to amend a permit including an extension of time (PDF, 133KB) or (DOCX, 866KB)

1 July 2019

3—Covered work declaration (PDF, 148KB) or (DOCX, 135KB)

1 July 2019

5—A testing or commissioning report (PDF, 188KB) or (DOCX, 892KB)

1 July 2019

6—Remote area compliance notice (PDF, 142KB) or (DOCX, 891KB)

1 July 2019

7—Notification of responsible person (PDF, 275KB) or (DOCX, 868KB)

1 July 2019

8—An on-site sewage work declaration (PDF, 160KB) or (DOCX, 892KB)

1 July 2019

9—Registration & report on inspection and testing of backflow prevention devices, registered air gaps and registered break tank (PDF, 135KB)​ or (DOCX, 64KB)

1 July 2019

11—Service Report Treatment Plant (PDF, 135KB) or (DOCX, 866KB)

1 July 2019

12—Compliance Statement for specialised work (PDF, 161KB) or (DOCX, 868KB)

1 July 2019

14—Compliance declaration (PDF, 119KB) or (DOCX, 59KB)

1 July 2019

Forms to be used by local government

Forms for the Plumbing and Drainage Act 2018​​​​​

Effective date​​

17—Permit or amended permit (PDF, 161KB) or (DOCX, 866KB)

1 July 201​​​9

18A—Inspection certificate (PDF, 111KB) or (DOCX, 857KB)

1 July 2019

18B—Inspection certificate — fit for use (PDF, 116KB) or (DOCX, 857KB)

1 July 2019

19—Final Inspection certificate (PDF, 88KB) or (DOCX, 858KB)

1 July 2019

Form to be lodged with the department

Forms for the Plumbing and Drainage Act 2018​​​​​

Effective date​

10—Application for a treatment plant approval (PDF, 160KB)​ or (DOCX, 148KB)​

1 July 2019

Forms to be lodged ​​​with the Queensland Building and Construction Commission

Please visit the QBCC website for these forms.

Templates for the Plumbing and Drainage Act 2018

Forms for the Plumbing and Drainage Act 2002

Use these forms for permit applications lodged before 1 July 2019.

Forms to be lodged with local government

Forms for the Plumbing and Drainage Act 2002​

Effective da​​te​

1—Application for compliance assessment (PDF, 158KB) o​r (DOC, 165KB)

​November 2014

3—Verification of covered work (PDF, 88KB) or (DOC, 130KB)

​November 2014

6—Notice of compliance—remote area (PDF, 148KB) or (DOC, 135KB)

​​November 2014

7—Notification of responsible person (PDF, 153KB) or (DOC 140KB)

​​November 2014

8—Notice of compliance on-site sewage work (PDF, 90KB) or (DOC, 137KB)

​​November 2014

9—Report on inspection and testing of backflow prevention devices, registered air gaps and registered break tanks (PDF, 127KB) or (DOC, 152KB)

​​​March 2013

Form to be lodged with the department

Forms for the Plumbing and Drainage Act 2002​​

Effective date​

10—Application for chief executive approval (PDF, 160KB) or (DOC, 148KB)

​November 2014

Forms to be lodged with the Queensland Building and Construction Commission 

QBCC forms for the Plumbing and Drainage Act 2002​​​​​

Effective date​

Form 4​—This form must either be lodged online in myQBCC​ or using a manual Form 4 from a triplicate book which are individually numbered and assigned to a licensee. Only licensees (or public sector entities for Form 4As) should submit these forms. 


Please contact the QBCC on 139 333 or refer to notifiable work resources for more information.

​November 2014

4A—​Notifiable work for a public sector entity (PDF, 138KB)
Please note that this is only to be used when a plumbing or drainage work categorised as notifiable work is undertaken by, or on behalf of, a public sector entity. Please contact 139 333 for further information.

March 2015

21—Application for a licence (PDF, 127KB)

​November 2014

22—Application for renewal or restoration of a licence (PDF, 151KB)

​November 2014

23—Application for review of licence conditions (PDF, 167KB)

​November 2014

26—Notice of change in circumstances (PDF, 154KB)

​November 2014

28—Mutual recognition declaration notice (PDF, 140KB)

​November 2014

29—Trade experience form—plumbing (PDF, 121KB)

​November 2014

33—Declaration of plumbing qualifications and experience (PDF, 142KB)

​November 2014

34—Declaration of drainage qualifications and experience (PDF, 172KB)

​November 2014

35—Declaration of fire protection qualification and experience (PDF, 172KB)

​November 2014

 Templates for the Plumbing and Drainage Act 2002

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Last updated 25 August 2019    Creative Commons Attribution 4.0 International (CC BY 4.0)


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