AMSA 740

Notification of a change to accreditation


You can use this form to notify us of a change to your accreditation including:

  • change in place of employment
  • change of address and/or contact details
  • change of name or any other change that may result in confusion as to your identity
  • membership of a professional association revoked, suspended or involuntarily cancelled.

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