# QLD PDR Form 12 (https://dev.tradieforms.com.au/docs/form-guides/plumbing/qld/qld-form-12-specialised-work) Form 12 is the compliance statement for specialist plumbing or drainage work under section 45(2)(b) of the Plumbing and Drainage Regulation 2019. A suitably qualified person gives it to support a permit application, so the local government can read the specialist scope, basis and references without chasing loose notes. It is not a declaration that completed work has passed an inspection, and it is not the building Form 12 aspect certificate. This is the current Queensland Form 12. Tradie Forms follows the official section order and maps your answers onto the official PDF layout. Need the building aspect inspection certificate rather than this plumbing specialist statement? Use [QLD Form 12](https://dev.tradieforms.com.au/docs/form-guides/building/qld/qld-building-form-12-aspect-inspection) Declaring that completed work under an action notice is compliant, rather than supporting specialist work on a permit application? Use [QLD Form 14](https://dev.tradieforms.com.au/docs/form-guides/plumbing/qld/qld-form-14-compliance-declaration) Certifying final inspection of completed permit work rather than a specialist statement for the application? Use [QLD Form 19](https://dev.tradieforms.com.au/docs/form-guides/plumbing/qld/qld-form-19-final-inspection) > **Warning** > > Tradie Forms prepares the statement. It does not decide whether a person is suitably qualified, approve the specialist work, or lodge the permit pack. ## Before you start [#before-you-start] Almost every Form 12 problem comes from filling it after the permit pack has already closed. Have these open before you type. - **The current permit application pack** - Land details, specialist drawings, specifications and any amendments the statement will support. - **Current drawing and report revisions** - Title, revision and issue date checked on each document you will name. - **Local government correspondence** - Source for the local government reference when one has already been allocated. - **Standards, codes and publications relied on** - The real technical basis for this specialist work, not a generic paste list. - **Suitably qualified person details** - Full name, company if preparing for an entity, licence numbers and contact details for the person who will sign. - **A decision on which declaration option applies** - Occupational plumber or drainer, local-government competent person, QBCC licensee, registered engineer, or other. Nine fields gate the download: street address, suburb, postcode, local government area, description of work, basis of statement, name in full, suitably qualified person option, and date. Sign after the finished statement matches the pack. ## Property [#property] Identifies all land the statement covers. This has to match the permit application, not the delivery gate or a previous stage. The form is used for the purposes of section 45(2)(b) of the Plumbing and Drainage Regulation 2019, and completion of all applicable sections is mandatory. - **Street address (Address, Required)** - The site street line from the current permit material. Address search is limited to Queensland and fills the street line, suburb, state and postcode. Check the result against the permit pack, because search returns the current postal address and a permit can predate a street renaming or a subdivision. State defaults to `QLD` if you skip it. - **Suburb (Address, Required)** - The suburb or locality on that same permit material. Do not take it from a supplier docket or a builder's estimate, which often carry a nearby but different site. - **Postcode (Address, Required)** - The postcode that belongs with the street and suburb above. Confirm it when the job sits near a postcode boundary. - **Shop / Tenancy Number (Text, Optional)** - Fill this on multi-tenancy or fit-out work so the statement is tied to the unit it covers. Without it, a specialist statement for one tenancy can be read as covering the whole building. - **Storey / Level (Text, Optional)** - Fill this on anything above one storey, for the same reason. - **Local Government Area (Text, Required)** - The council area for the land, not the builder's office. Address search may fill this. Confirm it near a boundary, because the LGA is who receives the permit pack and assesses the statement. On a staged or multi-building site, check the street line, tenancy or level, and LGA against the application land before you move on. The official form also notes that lot and plan details appear on title documents or a rates notice; use those sources when you need to confirm which parcel the application covers. ## Work [#work] Describes the specialist plumbing or drainage work this statement covers. Council will compare this line to the drawings and the rest of the permit pack. - **Description of Work (Text, Required)** - Name the system or specialist work and the part of the job covered, in the same language as the current drawings. Project labels such as `shop fit-out` or `plumbing works` push the whole job onto the drawings and leave the statement empty. The PDF has about three lines (roughly 86 characters each); overflow is cut, so keep the scope bounded and put long publication lists in Basis instead. - **Useful** - Trade waste pre-treatment system to tenancy 4, as shown on hydraulic drawings H12 to H15, Rev B - **Too vague** - Shop fit-out If the installed scope changed on site, describe the work as carried out rather than as first designed. A statement that matches an old plan but not the installation is harder to defend later than one that records the variation. ## Basis [#basis] Records why the suitably qualified person can give the statement, and which tests, specifications, rules, standards, codes of practice and other publications were relied on. - **Basis of Statement (Text, Required)** - List the real technical basis for this job: current drawing set, specification, approval documents, and the laws, codes or standards actually used. Include enough title, revision and date detail that an older issue cannot be mistaken for the current one. A short accurate list beats a long generic block of standards nobody used. The PDF has about four lines (roughly 86 characters each); overflow is cut, so prioritise the publications that matter. Do not reuse a basis block from a previous job without checking every named document against this pack. If you are unsure whether a publication applies, resolve that with the right person before anyone signs. ## References [#references] Links the statement to the local government file and the supporting documents that carry the suitably qualified person's name and original signature. - **Local Government Reference (Text, Optional)** - Copy it from current local government correspondence or permit paperwork, not from memory. This matters most when several jobs share a street name, when an application has been amended, or when the office is preparing more than one stage. If no reference has been allocated yet, leave the field blank and keep the statement as a draft rather than inventing a number that later reads as a lodged file reference. - **Reference Documentation (Text, Optional)** - Plan numbers, engineer sign-off, specifications and other supporting documents the statement relies on. The official form says the name and original signature of the suitably qualified person must be on any relevant documentation, such as numbered structural engineering plans. The PDF has about three lines (roughly 86 characters each); name the documents and revisions clearly enough that the pack can be matched without a phone call. ## Qualified Person [#qualified-person] Details of the suitably qualified person giving this compliance statement. These belong to the person who will tick the declaration option and sign, not to whoever typed the draft. - **Name (in Full) (Text, Required)** - Legal name of the person giving the statement. Licence check against the QBCC register can fill this from an occupational or contractor licence number; confirm the result matches the person who will sign. - **Name of Company (in Full) (Text, Optional)** - Fill when the statement is prepared on behalf of a corporation or other entity. The official form says the entity name must also be on the certified documentation. - **Occupational Licence Number (Text, Optional)** - Occupational plumber or drainer licence where that applies. Licence check can fill the name field from this number; still confirm the person and licence type against the specialist work. - **Contractor Licence Number (Text, Optional)** - QBCC contractor licence where that applies. Same check as the occupational number: the licence must belong to the person or entity giving the statement for this work. - **Phone Number (Text, Optional)** - A current contact number for the person or office that can answer questions about the statement. Saved details often carry an old number after a staff change, so check it. - **Email Address (Text, Optional)** - A current email for the same reason. Council and the permit applicant both need a working path back to the person who signed. **Saved detail: Qualified Person** - save this section to prefill it on your next Form 12 for the same suitably qualified person. Saved details are a starting point only. A changed phone number, company name or licence detail is far easier to correct before the statement is attached to an application. ## Declaration [#declaration] The person giving the statement confirms that the work will comply with the code requirements if it is carried out in compliance with the permit applied for, and that the information on the form is true and accurate. A local government may determine whether a person is competent to prepare and give this statement. - **Suitably Qualified Person (Choice, Required)** - Tick the option that describes the person who is signing. The official options are occupational plumber or drainer; a person the local government considers competent for preparing and giving the document; a relevant QBCC licensee; a registered professional engineer for an area of engineering relevant to the work; or other. Do not pick the most convenient label. Confirm the right option for the specialist work and the local government process before anyone signs. - **Signature (Signature, Optional)** - The suitably qualified person signs after checking the finished statement against the current drawings, basis and references. Use a saved signature if you have one; check the preview so the stamp sits cleanly in the signature box on page one. Sign the final version, not a draft that may still change. - **Date (Date, Required)** - The date the person signs the finished statement. Today and Yesterday shortcuts are there because this is often completed on site or the next morning. The field does not accept a future date. Keep the date aligned with the actual sign-off, not with when the draft was first prepared. The declaration is about the person actually giving the statement. It should not be signed on behalf of someone who has not checked the final record. ## Common mistakes [#common-mistakes] - **Treating Form 12 like a cover sheet.** - A one-line work description with a thin basis is not a statement council can assess. Complete basis and references while the design package is open. - **Taking the land details from a delivery address.** - Supplier dockets and builder estimates often point at the gate, not the parcel, tenancy or level the application covers. Take address and LGA from the current permit material. - **Describing the job with a project label.** - `Shop fit-out` or `plumbing works` tells the assessor nothing. Name the specialist system and the part of the job, in the same terms as the drawings. - **Pasting a generic standards block into Basis.** - Naming publications that were not used is harder to defend than a short accurate list. Check title, revision and date on every document you name. - **Inventing a local government reference.** - A finished-looking PDF with a guessed reference is worse than an obvious draft. Leave the field blank until correspondence confirms it. - **Signing for someone who has not checked the statement.** - The declaration options and signature belong to the person giving the statement. The preparer gathers the pack; the suitably qualified person reviews, ticks their option, signs and dates. - **Dating the draft instead of the sign-off.** - Keep the date with the finished, checked statement. A draft date that predates a drawing revision makes the trail harder to read. ## Before download [#before-download] - The land description matches the permit application, including tenancy or level where needed - The work description names the specialist system and part of the job, not a project label - The basis lists publications and documents actually relied on, with current revisions - The local government reference is from current correspondence, or left blank if not yet allocated - Reference documentation matches the attached plans and carries the qualified person's name where required - Qualified person details and declaration option describe the person who is signing - The date matches the actual sign-off, and the PDF preview matches the permit pack ## After download [#after-download] [Business Queensland](https://www.business.qld.gov.au/industries/building-property-development/building-construction/plumbing-drainage/forms-templates) lists Form 12 among plumbing and drainage forms lodged with local government. Attach the finished PDF and the referenced documentation to the permit application through the process your local government requires. - **Name the file so the site and specialist scope are obvious.** `Form 12 - 12 Cable St - trade waste TMV.pdf` is easier to find later than a generic site-only name. - **File it with the drawings and specifications it names.** The statement alone does not show the revision trail. Keep the pack that supports it in the same job folder. - **Keep correspondence about the application with it.** If the scope changes after the statement is given, the trail shows what was declared and what changed. Check the current Business Queensland and local government requirements for your job. Lodgement paths and retention expectations sit with the local government assessing the permit. ## Related guides [#related-guides] - **[When a job needs Form 12](https://dev.tradieforms.com.au/resources/qld-pdr-form-12-specialist-work-online-guide)** - Whether the permit pack needs a specialist statement and who can sign it. - **[Preparing Form 12 on site](https://dev.tradieforms.com.au/resources/qld-form-12-specialised-work-on-site-guide)** - Field order, pack checks, and how to hand the finished statement to the signer. - **[Common Form 12 mistakes](https://dev.tradieforms.com.au/resources/common-mistakes-qld-form-12-specialised-work)** - Thin basis sections, vague scope, stale references and wrong-person sign-off. - **[PDR Form 12 vs building Form 12](https://dev.tradieforms.com.au/resources/qld-pdr-form-12-vs-building-form-12-guide)** - Plumbing specialist statement versus the building aspect inspection certificate.