Overview and section help for Queensland Form 12 specialist work compliance statements
QLD Plumbing
Queensland Government
Compliance statement for specialist plumbing or drainage work under section 45(2)(b) of the Plumbing and Drainage Regulation 2019.
Open this form QLD PDR Form 12 is the compliance statement for specialist plumbing or drainage work under section 45(2)(b) of the Plumbing and Drainage Regulation 2019.
Open the form when the permit application and specialist documentation are ready.
This statement supports the permit application. It is not a declaration that completed work has passed an inspection.
Have these ready:
Site street address and local government area
Description of the specialist work covered by the statement
Basis for the statement and standards or publications relied upon
Local government reference and supporting documentation references
Suitably qualified person details
Declaration qualification, signature, and date
Attach the finished PDF and referenced documentation to the permit application as required by the local government.
Preview the property, work scope, basis, references, qualified person and declaration. Download the signed PDF and provide it with the permit application and referenced documents through the local government process.
Tradie Forms prepares the statement. It does not decide whether a person is suitably qualified or approve the specialist work.
Identify all land the subject of the application.
Street address (number, street, suburb, state, and postcode)
Shop, tenancy, or level where relevant
Local government area
Use address search on Solo or Team to start the address, then check the local government area field.
Check the property details match the permit application and the work site.
Clearly describe the extent of work covered by this compliance statement.
A full description of the specialist plumbing or drainage work
Keep the description specific enough that council can match it to the permit and supporting plans.
Check the work description matches the permit application and any referenced documentation.
Detail the basis for giving the statement and the extent to which tests, specifications, rules, standards, codes of practice, and other publications were relied upon.
Standards, specifications, test results, and other publications relied upon
Check the basis matches the work described and any referenced plans or engineer sign-off.
Record the local government reference and any supporting documentation referenced by the statement.
Local government reference (e.g. permit or application reference)
Reference documentation (plan numbers, engineer sign-off, and other supporting documents)
The name and original signature of the suitably qualified person must be on any relevant documentation, such as numbered structural engineering plans.
Check references match the permit file and attached plans.
Enter the details of the suitably qualified person giving this compliance statement.
Name in full
Company name if prepared on behalf of a corporation
Occupational licence number and contractor licence number where applicable
Phone number and email address
Save qualified person details as a saved detail on Solo or Team to prefill your next Form 12.
Check licence numbers and contact details are current.
The local government may determine whether a person is competent to prepare and give this statement. Confirm that basis before signing.
Complete the declaration after checking the compliance statement.
Your qualification as a suitably qualified person (select one option)
Signature
Date
Check property, work, basis, references, and qualified person details before signing.
