PSPLA - Details of employed certificate holders form [pdf, 402 KB]
Enter the names and certificate numbers of all your employees in the fields below Are there any changes to the following employee details? If so, please enter these in the fields below. Certification Are there any changes to the details of certificate holders employed by you? (Yes or No) Date Certificate Expires Certificate Number Full Name House/Unit Number, Street, Suburb, City, Postcode Contact Phone Number Email address In the last 12 month