# QLD Form 3 (/docs/form-guides/plumbing/qld/qld-form-3-covered-work-declaration)



**QLD Form 3** records a covered work declaration in either of two situations:

* an action notice requires the declaration after work was covered before inspection
* an inspection was requested, the inspection did not start within the required period, and the local government allows the declaration instead

[Open the form](/forms/qld-form-3-covered-work-declaration) only after confirming the declaration is allowed or required for the job.

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

Have these ready:

* Site address and local government area
* Permit number and issue date
* Action notice reference if one applies
* Stage of work covered and work description
* Agreed inspection date and time
* Responsible person details
* Contractor details if different from the responsible person
* Signature and declaration date

Complete the Action Notice section only when a notice applies. Have the inspection request and agreed inspection details ready for the delayed-inspection pathway.

<span id="after-export" />

## After download [#after-download]

Preview the work stages, inspection details and declaration, then download the PDF and give it to the local government using the required process. Keep the declaration and the local government's response with the permit file.

<Callout type="warn" className="docs-callout-warn my-4">
  Tradie Forms prepares the PDF. It does not authorise work to be covered or decide that Form 3 can replace an inspection.
</Callout>

<span id="property" />

## Property [#property]

Identify the land where the covered work was carried out.

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

* Street address
* Lot and plan details where relevant
* 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 manual fields. Lot and plan details usually need to come from title, rates, or permit documents.

### Before download [#before-download]

Check the property details match the permit and the work location.

<span id="permit-details" />

## Permit [#permit]

Enter the compliance permit details for the work.

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

* Permit number
* Date the permit was issued, if known

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

Check the permit number matches the permit authority records for the job.

<span id="action-notice-details" />

## Action Notice [#action-notice]

Complete this section only when an action notice has been issued under section 66(2)(a) of the Plumbing and Drainage Regulation 2019.

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

* Action notice reference number
* Date the notice was issued, if known

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

Leave this section blank if no action notice applies and the local government has allowed the delayed-inspection pathway under section 67.

<span id="stage-of-work" />

## Stage of Work [#stage-of-work]

Identify the stage of work covered and subject of the inspection request.

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

* One or more stage of work options that match the covered work
* A brief description of the work and specific location

### Tips [#tips-1]

Select every stage that applies. Use the work description to explain the location if the checkboxes alone are not enough.

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

Check the selected stages and description match the work that was covered on site.

<span id="inspection-arrangements" />

## Inspection [#inspection]

Record the agreed inspection arrangements and when the work was covered.

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

* Date and time of the agreed inspection
* Date the work was covered

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

Check the inspection date and time match what was agreed with the local government.

<span id="responsible-person" />

## Responsible Person [#responsible-person]

Enter details for the responsible person named on the declaration.

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

* Full name
* Occupational licence number
* Contractor licence number if applicable
* Phone and email
* Postal address

### Tips [#tips-2]

Save responsible person details on Solo or Team to prefill your next Form 3.

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

Check licence numbers and contact details are current.

<span id="contractor" />

## Contractor [#contractor]

Complete this section if the responsible person is not the contractor for the work.

### What to enter [#what-to-enter-6]

* Company or individual name
* Contractor licence number
* Phone and email

### Before download [#before-download-6]

Leave this section blank if the responsible person is also the contractor.

<span id="declaration" />

## Declaration [#declaration]

Sign and date the declaration as the responsible person.

### What to enter [#what-to-enter-7]

* Signature
* Date

### Before download [#before-download-7]

Read the declaration wording on the PDF and confirm the details in the form are accurate before signing.