Plumbing Compliance Certificate Template

PLUMBING COMPLIANCE CERTIFICATE

1. CERTIFICATE DETAILS Certificate Number: [CERTIFICATE_NUMBER] Date of Issue: [DATE_OF_ISSUE] State or Territory: [STATE_TERRITORY]

2. PROPERTY DETAILS Property Address: [STREET_ADDRESS] Suburb: [SUBURB] Postcode: [POSTCODE] Lot/DP Number: [LOT_DP_NUMBER] Local Government Area: [LGA_NAME]

3. PROPERTY OWNER DETAILS Owner Name: [OWNER_NAME] Owner Phone: [OWNER_PHONE] Owner Email: [OWNER_EMAIL]

4. LICENSED PLUMBER DETAILS Plumber Name: [PLUMBER_NAME] Business Name: [BUSINESS_NAME] License Number: [LICENSE_NUMBER] ABN: [ABN] Contact Phone: [PLUMBER_PHONE] Contact Email: [PLUMBER_EMAIL]

5. WORK DESCRIPTION Date Work Commenced: [START_DATE] Date Work Completed: [END_DATE]

Type of Work (Tick applicable boxes): [ ] Sanitary Plumbing [ ] Water Supply [ ] Drainage [ ] Roofing (Stormwater) [ ] Gas Fitting (if applicable in state) [ ] Mechanical Services (Type B)

Detailed Description of Work: [DETAILED_DESCRIPTION_OF_WORK]

Value of Work (Excl GST): $[WORK_VALUE]

6. COMPLIANCE DECLARATION I, [PLUMBER_NAME], certify that: a) I am the holder of License Number [LICENSE_NUMBER]. b) The plumbing work described above was carried out in accordance with the Plumbing Code of Australia and [STATE_NAME] legislation. c) The work complies with Australian Standards AS/NZS 3500. d) All required inspections and tests have been completed.

Signature: __________________________ Date: __________________________

7. PAYMENT RECEIPT Compliance Certificate Fee: $[FEE_AMOUNT] Total Amount Paid: $[TOTAL_AMOUNT]

8. IMPORTANT INFORMATION FOR OWNER Please keep this certificate with your property records. A copy of this certificate has been lodged with the [STATE_AUTHORITY_NAME].