White Card Replacement Request

White Card Replacement Request

(Construction Induction Training Card)
All fields marked with an * must be completed in order for this form to be submitted. You can sign this form using your mouse on a computer or using your finger on your mobile phone in the signature pad provided.

You must supply valid photo ID and a verified USI number.

If you did not undertake your original White Card training with Asset College/Asset Training Australia then you will need to provide your statement of attainment (for course CPCCWHS1001 or CPCCOHS1001A) issued by the RTO you completed your original training with.

The fee for a replacement White Card is $50. We will send you an invoice on receipt of this completed form.
Personal Information
First Name*
Surname*
Date of Birth*

DayMonthYear
Date
Unique Student Identifier (USI)*
Email*
Mobile Phone Number*
Address Details
Street Address*
Suburb*
State*
Postcode*
Is your postal address the same as your residential address?*

YesNo
Postal Address
Suburb
State
Postcode
Card Details
Who issued your original White Card?*

Asset CollegeAnother RTO
Was your card lost or stolen?*

LostStolenDestroyed
Date of your original White Card training*

MonthDayYear
Date
Your original White Card was completed over 2 years ago, have you carried out construction work in the last 2 years?*

YesNo
Details *
Please provide a detailed description regarding the circumstances of how and when your white card was lost, stolen or destroyed.
Statement of Attainment (SOA)

Please upload a copy of your Statement of Attainment (SOA) to verify you have successfully completed CPCCWHS1001 or CPCCOHS1001A
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Evidence of identity (EOI) is required before a replacement white card will be issued. The identification documents that we can accept MUST meet the criteria outlined in this Evidence of Identity Requirements Document from Workplace Health and Safety Queensland.

Record Retention Requirements by Asset College
We must keep records of all aspects of GCIT for 5 years. This includes but is not limited to:
- the serial number of each GCIT card issued
- the name, date of birth, residential address and contact details of each person that has been issued a GCIT card
- the date of issue of each GCIT card
- any evidence supporting the issue of a replacement GCIT card
- all student training and assessment materials
- evidence of resources used in GCIT assessment activities
- student EOI
- decisions by us to refuse to issue or replace a GCIT card.
If requested, Asset College must provide the Regulator with any GCIT record as outlined above.
These conditions apply to every organisation that issues GCIT White Cards in QLD.

General Construction Industry Training (GCIT) means the GCIT course delivered face-to-face either in a classroom or by connected real time delivery, for the purpose of issuing a GCIT card.
Evidence of identity (EOI) Documents *

Please upload a copy of valid identification documents (eg. drivers licence + birth certificate + medicare card). This can be a photo or a scan of the back and front of your identification.
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Student Signature *

Clear
THIS SIGNATURE WILL BE AFFIXED TO YOUR WHITE CARD
Date*

DayMonthYear
Should be Empty:

White Card Replacement Request

Personal Information

Address Details

Card Details