Request to revoke or reissue a NASH PKI certificate form (HW083)

Use this form to revoke or reissue your current National Authentication Service for Health (NASH) Public Key Infrastructure (PKI) Certificate.

Request to revoke or reissue a NASH PKI certificate form

You can use this form to request us to revoke a:

  • NASH PKI Individual Certificate, or
  • NASH PKI Organisation Certificate.

You can use this form to request us to reissue your certificate if:

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

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

Page last updated: 17 January 2019

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