Complete this form to request suppression of your SafeWork NSW licence or authorisation information from the public register on Verify NSW.
You may request the suppression of information from the public register if the publication of the information adversely affects your personal safety or wellbeing. Read more about requesting suppression of your information.
Requests will be assessed in accordance with the Work Health and Safety Regulation 2025 and the Privacy and Personal Information Protection Act 1998.
Before you start the form, read the licensing and registration privacy collection notices to learn how SafeWork NSW collects, uses and protects your information.
Applicants will be advised of the outcome of their request and the reasons for the decision. This may include circumstances where legislation requires information to be published or limits the Regulator's ability to change or remove information from the register.
Required fields are marked with an asterisk (*).
