Application for a 
Replacement Licence or Registration Card

Why do you require a replacement licence or registration card?

 Stolen				 Lost					 Damaged

What type of card do you require to be replaced?

  Construction Occupation Licence card issued under the Construction Occupations (Licensing) Act 2004	
		
  Architects registration card issued under the Architects Act 2004. 

Please fill in your personal details.*
*Please note, only the individual who holds the licence or registration can request a replacement card. If the replacement card is for a Company, a valid Director or Nominee must apply for the replacement card.

Section A — Personal Details
Title 		 Surname 									 

Given Names							Date of Birth	    /	  /	

Postal Address 											           

Suburb 					State				Postcode 		

Phone Number (Business Hours) 				Fax 					

Mobile Number* 				Email*							

Signature of Applicant 							Date 	       /           /    	  

*Please ensure that a mobile number and an email address are provided as these will be the primary methods of communication from EPD.
Section A — Licence/Registration Details
Licence /Registration Number				Expiry Date 	       /           /    	  

Individual /Entity Name										
Section B — Payment Details
Upon lodgement of your application you will be required to pay a replacement fee. This fee is $46.00.
Section C — Lodgement and Contact Information
Access Canberra Environment Planning and Land Shopfront 
GPO Box 1908, Canberra City 2601 
16 Challis Street, Dickson ACT 2602 
Business Hours: 8.30am to 4.30pm weekdays (excluding Public Holidays) 

Phone: (02) 6207 1923 
Email: epdcustomerservices@act.gov.au