Wall cladding or wall
4. What are your details?
Complete all fields or enter N/A where not applicable
Classes licensed in: Plumbers, Gasfitters
and Drainlayers Board
registration number (if
Street address or
name of Licensed Building Practitioner
], carried out or supervised the
restricted building work recorded on this form.
u can add a digital signature to this document, either using Adobe or your existing digital signature.
Once you have filled out the form, including signatures, please save the application to your computer. You can then
submit the application with supporting documentation to your local council.
If you are unsure about what information to include in your application, a guidance document is available (click here).
GoShift LBP Record of Work
Page 2 of 2
click to sign
click to edit