Complete this form if you want your personal information removed from the SafeWork licence register. You can only request that information be removed from the public register if you believe your personal safety or well-being is impacted due to the information being available.

For further information see the guidelines for changing, removing or suppressing information from the public register. Required fields are marked with an asterisk (*).

Date of birth *
What information do you want removed from the public register? *
I declare I am the authorised licence/card holder and the information supplied is true and correct in every particular *

Back to top