I believe that the statements in this declaration are true in every particular, and I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an …

If completing form by hand: Print clearly using a black or blue pen only Use BLOCK LETTERS Do not use correction fluid or tape

This form is the approved form that must be used in accordance with sections 74 and 77 of the Building Regulation 2021 (appointed competent person statement that an aspect of work has …

This declaration is true and I know that it is an offence to make a declaration knowing that it is false in a material particular.

If you have been assisted in completing this form, you should only sign the Declaration if the information is true and correct and has been included with your full knowledge, consent and …

Please review the completed section B of this form. Are the impairments described consistent with your clinical opinion and observations? ☐ Yes ☐ No (If no, please explain the discrepancy in …

How to use: This form can only be used to declare your authority to transact on behalf of a company for registration transactions.