Request to Revoke or Reissue a PKI Certificate form (HW003)

Use this form to revoke your current PKI Certificate; revoke your current PKI Certificate and request a new, or record details for a new Duty Authorised Officer.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 7 December 2016

This information was printed Thursday 23 March 2017 from humanservices.gov.au/health-professionals/forms/hw003 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.