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.