Form 34 "Client Notice to the Private Certifier That the Owner's Details Have Changed" - Queensland, Australia

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Download Form 34 "Client Notice to the Private Certifier That the Owner's Details Have Changed" - Queensland, Australia

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Client notice to the private certifier that the
Form 34
owner’s details have changed
This form is applicable where a private certifier is engaged by a client and not the owner to perform private certifying functions
for a building or building assessment work.
Section 143A(5) of the Building Act 1975 requires the client to give notice to the private certifier of any changes to the owner’s
name or contact details within five business days of becoming aware of the changes.
This Form 34 may be used by the client to notify the private certifier that the owner’s name or contact details have changed.
Street address (include number, street, suburb/locality and postcode)
1. Property description
The description must identify all land
the subject of the application.
State
Postcode
The lot and plan details (e.g. SP/RP)
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Lot and plan details (attach list if necessary)
are shown on title documents or a
rates notice.
If the plan is not registered by title,
Local government area the land is situated in
provide previous lot and plan details.
Name (in full)
2. Owner’s previous details
If the owner is a company, a contact
person must be shown.
Company name (if applicable)
Contact person
All correspondence will be mailed to
this address.
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Name (in full)
3. Owner’s new details
Identify the new owner’s details
where appropriate.
Company name (if applicable)
Contact person
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
\
Building Act 1975  •  Section 143A(5)  •  Form 34  •  Version 1  •  October 2020
Page 1 of 2
Client notice to the private certifier that the
Form 34
owner’s details have changed
This form is applicable where a private certifier is engaged by a client and not the owner to perform private certifying functions
for a building or building assessment work.
Section 143A(5) of the Building Act 1975 requires the client to give notice to the private certifier of any changes to the owner’s
name or contact details within five business days of becoming aware of the changes.
This Form 34 may be used by the client to notify the private certifier that the owner’s name or contact details have changed.
Street address (include number, street, suburb/locality and postcode)
1. Property description
The description must identify all land
the subject of the application.
State
Postcode
The lot and plan details (e.g. SP/RP)
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Lot and plan details (attach list if necessary)
are shown on title documents or a
rates notice.
If the plan is not registered by title,
Local government area the land is situated in
provide previous lot and plan details.
Name (in full)
2. Owner’s previous details
If the owner is a company, a contact
person must be shown.
Company name (if applicable)
Contact person
All correspondence will be mailed to
this address.
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Name (in full)
3. Owner’s new details
Identify the new owner’s details
where appropriate.
Company name (if applicable)
Contact person
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
\
Building Act 1975  •  Section 143A(5)  •  Form 34  •  Version 1  •  October 2020
Page 1 of 2
Name of building certifier (in full)
4. Private certifier’s details
(client to complete)
Company name (if applicable)
Contact person
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Licence number
Signature
Date
Name (in full)
5. Client’s details
Company name (if applicable)
Contact person
Business phone number
Mobile number
Email address
Postal address
State
Postcode
QLD
NSW
VIC
TAS
SA WA
NT
ACT
Licence number
Signature
Date
6. Client’s signature
Building Act 1975  •  Section 143A(5)  •  Form 34  •  Version 1  •  October 2020
Page 2 of 2
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