# QLD PDR Form 12 (/docs/form-guides/plumbing/qld/qld-form-12-specialised-work)



**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](/forms/qld-form-12-specialised-work) 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.

## Before you start [#before-you-start]

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.

<span id="after-export" />

## After download [#after-download]

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.

<Callout type="warn" className="docs-callout-warn my-4">
  Tradie Forms prepares the statement. It does not decide whether a person is suitably qualified or approve the specialist work.
</Callout>

<span id="property" />

## Property [#property]

Identify all land the subject of the application.

### What to enter [#what-to-enter]

* Street address (number, street, suburb, state, and postcode)
* Shop, tenancy, or level where relevant
* Local government area

### Tips [#tips]

Use address search on Solo or Team to start the address, then check the local government area field.

### Before download [#before-download]

Check the property details match the permit application and the work site.

<span id="work" />

## Work [#work]

Clearly describe the extent of work covered by this compliance statement.

### What to enter [#what-to-enter-1]

* A full description of the specialist plumbing or drainage work

### Tips [#tips-1]

Keep the description specific enough that council can match it to the permit and supporting plans.

### Before download [#before-download-1]

Check the work description matches the permit application and any referenced documentation.

<span id="basis" />

## Basis [#basis]

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.

### What to enter [#what-to-enter-2]

* Standards, specifications, test results, and other publications relied upon

### Before download [#before-download-2]

Check the basis matches the work described and any referenced plans or engineer sign-off.

<span id="references" />

## References [#references]

Record the local government reference and any supporting documentation referenced by the statement.

### What to enter [#what-to-enter-3]

* Local government reference (e.g. permit or application reference)
* Reference documentation (plan numbers, engineer sign-off, and other supporting documents)

### Tips [#tips-2]

The name and original signature of the suitably qualified person must be on any relevant documentation, such as numbered structural engineering plans.

### Before download [#before-download-3]

Check references match the permit file and attached plans.

<span id="qualified-person" />

## Qualified Person [#qualified-person]

Enter the details of the suitably qualified person giving this compliance statement.

### What to enter [#what-to-enter-4]

* 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

### Tips [#tips-3]

Save qualified person details as a **saved detail** on Solo or Team to prefill your next Form 12.

### Before download [#before-download-4]

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.

<span id="declaration" />

## Declaration [#declaration]

Complete the declaration after checking the compliance statement.

### What to enter [#what-to-enter-5]

* Your qualification as a suitably qualified person (select one option)
* Signature
* Date

### Before download [#before-download-5]

Check property, work, basis, references, and qualified person details before signing.