Referee'S Statement

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REFEREE’S STATEMENT
FAIR TRADING – HOME BUILDING SERVICE
GENERAL BUILDING WORK (BUILDER)
This Referee's Statement is for applicants applying for a General Building Work (Builder) licence (Q) or certificate
to do or supervise residential building work. Residential building work refers to activities such as a new
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dwelling construction, making alteration, additions, repairing or renovating a building or portion of a building
used as a dwelling. It also includes work to other structures such as swimming pools and garages.
1. Purpose of Referee’s Statement
When applying for a licence (Q) or a certificate for the category of Builder it must be accompanied by supporting statements from the applicant's building
work supervisor verifying the applicant's experience in carrying out the work in accordance with relevant standards and codes.
2. Responsibility of Person Providing Referee Statement
The person providing this statement must have:
held a
Qualified Supervisor Certificate or Individual Contractor Licence (Q) issued by NSW Fair Trading during the period of time of the stated experience.
The holder of a company or partnership licence cannot provide a referee statement,
held that Certificate or Licence (Q) in the category of General Work Builder (Builder) during the period of time of the stated experience.
supervised and directed the applicant carrying out the work that is the subject of this referee statement
Your attention is also drawn to the penalties outlined in the Declaration that may be imposed on any person found to be providing false or misleading information.
Note: Please refer to the detailed definition of “Experience” as provided for on the Fair Trading webpage for the licence qualification
requirements in the category of General Building Work (Builder).
3. Details of Applicant
Surname of Applicant
First Names (full legal name)
Full Time
Part Time
Term of Employment:
(Provide details of part time arrangement, eg. 2 days pw over 12 months which equates to 20 weeks overall experience)
Nature of Employment: (
tick applicable)
/
/
Employee
- where any employment claimed includes an apprenticeship, please provide apprenticeship completion date
Sub-Contractor
4. Referee’s Details (Supervisor)
Surname of Referee
Given Names (full legal name)
Date of Birth
/
/
Address (Not PO Box)
Postcode
Contact Telephone Number
Mobile Number
(
)
Contractor Licence (Q)/QSC (issued by NSW Fair Trading)
Category of Work
Email address
In accordance with section 12 of the Licensing and Registration (Uniform Procedures) Act 2002 this
referee statement document and any supporting attachments are part of the application form
submitted by the applicant making application for an authority under the Home Building Act 1989.
HB030
PAGE 1
12-2015

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