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.
This information was printed Thursday 23 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/forms/hw003 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 29 January 2019