AMSA 899

Application to surrender or suspend accreditation


Use this form to surrender or suspend your accreditation.

How to complete this form 

You can fill in this form online before downloading it as PDF document, or print a blank form.

Submitting the form 

You can email or post your application form to us.

Email applications can be sent to:

Postal applications can be addressed to:

Australian Maritime Safety Authority
Attention: Surveyor Accreditation
PO Box 16001 
Collins Street West 
Melbourne VIC 8007 

Last Updated: 

2 December 2019