Published on Australian Maritime Safety Authority (

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

Due to the current uncertainties with the outbreak of COVID-19 (Coronavirus), to avoid applications being delayed, we ask that you DO NOT post your application to AMSA. 

Please send you application via e-mail to

This will be an interim arrangement during the COVID-19 crisis.

Access the form