Gas or Electrical Practitioner Application · WorkSafe New Zealand

Note | You must complete the fields that are marked with an asterisk *. The company details on the second page are not mandatory unless the application is for an Employer Licence.

1Personal Information
2Company Details
3Confirmation

Personal Details

Given Name

Primary Number

Last Name

Secondary Number

Email Address

Confirm Email Address

Gas Roles

Certifying Gasfitter

Registration Number

Registration number must be entered as a numeric value only. Please omit any characters, spaces and the first leading zero, e.g. 2348.

Gas Employer License Holder

Registration Number

Enter the full Employer Licence number including the first characters, e.g. E000009.

Gas Exemption Holder

Registration Number

Registration number must be five numeric characters. Please omit any characters, spaces and the first leading zero.

Electrical Roles

Electrical Inspector

EW ID Number

EW ID numbers are mandatory and must start with EW and there must be no space between EW and the number, e.g. EW056432.

Registration Class

Registration Number

Registration number must be entered as a numeric value only. Please omit any characters, spaces and the first leading zero, e.g. 2348.

Electrical Worker

EW ID Number

EW ID numbers are mandatory and must start with EW and there must be no space between EW and the number, e.g. EW056432.

Registration Class

Registration Number

Registration number must be entered as a numeric value only. Please omit any characters, spaces and the first leading zero, e.g. 2348.

Electrical Employer License Holder

Registration Number

Enter the full Employer Licence number including the first characters, e.g. ORG001739.

Electrical Exemption Holder

Registration Number

Exemption holders must supply a unique identifier to enable searching and reporting.