WHS CMP Order Form

Please enter all required details to order your WHS Compliance Management Plan.
For Your Records: After submitting your order here, please print the response page. (File » Print on a computer)

Building Details…

Building Name(required)

C.T.S. Number(required)

Number of Lots - Accommodation

Number of Lots - Commercial

Building Street Address(required)

Suburb(required)

Post Code(required)

Details of Person Authorised to Act on Behalf of the Building Owner…

WHS CMP Requested By (Name)(required)

Title(required)

Phone Contact(required)

Email Contact(required)

Postal Address(required)

Suburb(required)

Post Code(required)

Tax Invoice to be made out to(required)

Email Address for Tax Invoice

Email Address for Report

Details of Person Authorised to Act as Building Manager on behalf of the Building Owner… (i.e. whomever issues Work Orders for works on common property)

Contact Name(required)

Title(required)

Phone Contact(required)

Email Contact(required)

I confirm I am authorised to order a Diverse FMX WHS Compliance Management Plan on behalf of the building owner(required)

Mandatory documents to be supplied with application
(Currently to be supplied by posting hard-copies to Diverse FMX, WHS Department, PO Box 3498, South Brisbane Q. 4101 or email to reception@diversefmx.com)

Survey Plan
Certificate of Classification
Building Owner Public Liability Insurance Certificate of Currency
Building Manager Public Liability Insurance Certificate of Currency

For Your Records: After submitting your order here, please print the response page. (File » Print on a computer)

WHS CMP Order Form

Share this:

Like this: