Replacement Card - Individual - WHS Foundation - Work Health & Safety Foundation

If you require a replacement High Risk Work Licence (HRWL) you will need to contact WorkSafe WA directly.

Complete this form if you require a replacement white card, FOET or BOSIET card.

A fee of $55 (including GST) per item will be applicable. Payment must be made prior to replacement record/s being issued.

Please allow up to 3 working days for processing. If you require it sooner please advise the required date and reason.

Reason for Replacement:(Required)

Date Required:

Full Name:(Required)

Date of Birth:(Required)

Postal Address:(Required)

Street Address City State / Territory Post Code Country

Email:(Required)

Phone Number:(Required)

Please indicated which you require:(Required)

White Card

FOET

BOSIET

Other

Card No. (If known)

Expiry Date:

Individual Replacement Card

Total

Credit Card(Required)

American Express

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Replacement Card – Individual