This section is for the details of the person who performed the installation. The information you provide here is a legal declaration of your identity and qualifications.
Working with an expired licence is a serious offence. Always ensure your licence details and expiry dates are correct on every CCEW you issue.

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Installer contact information

Required fields

First Name and Last Name are mandatory fields that must be completed.

Optional fields

Email, Mobile Number, and Office Number are optional but recommended for complete records.

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Field descriptions

  • First Name: The installer’s first name. This is a required field.
  • Last Name: The installer’s last name. This is a required field.
  • Email: The installer’s email address.
  • Mobile Number: The installer’s mobile phone number.
  • Office Number: The installer’s office phone number.

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Installer licence

Providing accurate licence details is crucial. This information is used by regulatory bodies to verify your qualifications.

Required fields

Contractor’s Licence No. and Licence Expiry are mandatory fields.

Optional fields

Qualified Supervisor’s No. and Supervisor’s Licence Expiry are optional.

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Field descriptions

  • Contractor’s Licence No.: The installer’s contractor’s licence number.
  • Licence Expiry: The expiry date of the contractor’s licence.
  • Qualified Supervisor’s No.: The qualified supervisor’s number, if applicable.
  • Supervisor’s Licence Expiry: The expiry date of the supervisor’s licence.

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Installer address

Required fields

Either Street Number or Lot/RMB, Street Name, Suburb, State, and Post Code are required.

Optional fields

Floor, Unit, and Nearest Cross Street are optional.

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Installer address fields

  • Floor: Enter the floor number if the address is in a multi-storey building (e.g. “Level 2”). Leave blank if not applicable.
  • Unit: Enter the unit, apartment, or flat number if the property is part of a larger complex (e.g. “Unit 5”, “Apt 12B”). Leave blank for standalone houses or properties without a unit number.
  • Lot / RMB: Enter the lot number (for new developments or rural land without a formal street number) or the RMB (Roadside Mailbox) number if used in rural areas.
  • Street Number: Enter the street number of the property (e.g. “24”). For properties with multiple numbers, use formats such as “24–26” or “24A”.
  • Street Name: Enter the full name of the street (e.g. “George Street”). Do not abbreviate the street type here (e.g. don’t use “St”, use “Street)
  • Nearest Cross Street: Enter the name of the nearest cross street. This helps confirm the location, especially in rural areas or where street numbering is unclear.
  • Suburb: Enter the suburb or locality of the property (e.g. “Parramatta”).
  • State: Select the Australian state or territory for the address. For NSW forms, this will usually be NSW, but the field allows for others if needed (e.g. ACT, VIC).
  • Post Code: Enter the 4-digit Australian postcode for the property (e.g. “2150”). Double-check this matches the suburb for accuracy.