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How do I fill this out?
To fill out the form, ensure that you complete all the required sections with accurate information. Use black or blue pen. Make sure to enclose a passport-sized photo and the application fee.

How to fill out the Provisional Electrical Licence Application Form?
1
Fill in personal details including your name, address, contact information, and date of birth.
2
Specify the type of registration class you are applying for.
3
Provide details of your safety training and its completion dates.
4
Attach a passport-standard photograph and enclose the application fee.
5
Sign and date the declaration, then submit the form via mail.
Who needs the Provisional Electrical Licence Application Form?
1
Electricians needing to register for a provisional electrical licence.
2
Individuals who have completed safety training for electrical work.
3
Employers requiring employees to be provisionally licensed for specific electrical tasks.
4
Those previously holding an electrical licence now applying for a provisional one.
5
Applicants needing temporary licensing to work under supervision.
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1
Upload the PDF form to PrintFriendly.
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Click on the field you need to edit.
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Type in your information or make necessary adjustments.
4
Upload your passport photo where required.
5
Save the edited PDF and download it for submission.

What are the instructions for submitting this form?
Submit the completed provisional licence form to the Electrical Workers Registration Board at PO Box 1473, Wellington 6140, New Zealand. Ensure all sections are filled, your photo and payment details are included. For assistance, call 0800 661 000.
What are the important dates for this form in 2024 and 2025?
The important dates for this form in 2024 and 2025 include the submission deadlines for provisional licence renewal and the periodic training updates. Check the Board’s guidelines for exact dates.

What is the purpose of this form?
The purpose of this provisional licence application form is to facilitate the registration of electrical workers in a temporary capacity. Applicants must provide detailed personal information, specify the type of licence required, and verify their completion of safety training. By completing and submitting this form, individuals can legally work in specified electrical roles while under supervision, ensuring compliance with the regulatory standards of the Electrical Workers Registration Board (EWRB).

Tell me about this form and its components and fields line-by-line.

- 1. PERSONAL DETAILS: Includes fields for Last Name, First Name, Middle Name(s), Preferred Name, Date of Birth, Street Address, Postal Address, Email, Home Phone, Work Phone, and Mobile.
- 2. REGISTRATION CLASS: Allows the applicant to specify the type of provisional licence they are applying for, such as Electrician, Electrical Appliance Serviceperson, etc.
- 3. SITE DETAILS: Captures information about the applicant’s safety training, including where it was completed and the respective dates for Safe Working Practices, Testing, First Aid, and CPR.
- 4. ID CARD PHOTO: Instructions for submitting a passport-standard photograph and options for making the photo available online.
- 5. FIT AND PROPER PERSON: Contains questions to establish whether the applicant meets the Board’s criteria, including history of licence refusals, cancellations, convictions, and other relevant issues.
- 6. DECLARATION: Requires the applicant’s signature and date to confirm the accuracy of the provided information.
- 7. CHECKLIST: A list to ensure all necessary components of the form are completed and included before submission.
- 8. PAYMENT DETAILS: Instructions for paying the provisional licence fee, including options for credit card payments and information for receipts.
What happens if I fail to submit this form?
Failure to submit the provisional licence form can result in the inability to legally perform electrical work. This may affect employment opportunities and lead to non-compliance with regulatory standards.
- Employment Impact: Without a provisional licence, you may not be able to secure or maintain employment in the electrical field.
- Regulatory Non-Compliance: Failure to hold a valid licence can lead to non-compliance with EWRB regulations, which may result in legal consequences.
- Work Supervision: You will not be permitted to work under supervision without a valid provisional licence, limiting your ability to gain practical experience.
How do I know when to use this form?

- 1. New Applications: For individuals applying for a provisional licence for the first time.
- 2. Renewals: For individuals renewing their existing provisional licence.
- 3. Training Verification: To provide proof of completed safety training.
- 4. Identification: To submit a photo for the ID card associated with the provisional licence.
- 5. Payment Submission: To include payment information for the provisional licence fee.
Frequently Asked Questions
How do I fill out this provisional licence application form?
Use our PDF editor to fill out all required fields with accurate information, upload your photo and ensure you sign the form.
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How do I ensure my photo meets the requirements?
Ensure your photo is a face, head, and shoulders shot, in full color, and less than 6 months old. Check the specific criteria listed in the form.
What payment methods are accepted for the application fee?
The accepted payment methods are credit cards such as MasterCard and Visa.
Where should I send the completed form?
Return the completed form to the Electrical Workers Registration Board, PO Box 1473, Wellington 6140, New Zealand.
What if I need help filling out the form?
For assistance, you can call the helpline on 0800 661 000 between 8.30am and 5pm Monday to Friday.
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