KMH Application Forms

Complete your application online. Your submission generates a signed PDF — forward it to KMH Certifiers or lodge directly via the NSW Planning Portal.

Issued under Division 4.5, Sections 4.27 & 4.28 of the Environmental Planning & Assessment Act 1979
Office Use Only
Date Received:

Application Type & NSW Planning Portal Reference

Details of the Applicant/s

Development Site Details

The Development

$

Development Statistics

Walls Roof Floor Frame

Owners Consent / Applicant's Agreement & Declaration

By signing this agreement, you consent and agree to:

  1. I/We hereby apply for a Construction Certificate (CC); Complying Development Certificate (CDC); Occupation Certificate (OC) or any other application or modification required or related to this development.
  2. We consent to the principal certifier (PC), or an accredited certifier, or consent authority, entering the subject property at any reasonable time for mandatory critical stage inspections.
  3. Where a Complying Development application requires neighbour notification under the EP&A Regulation 2021, I/we agree to allow KMH Certifiers to notify neighbouring properties with the applicant details and notification plan.
  4. I/We acknowledge that I/we must comply with all relevant DA or CDC conditions and/or pre-conditions prior to works commencing.
  5. I/We advise that building works have not commenced, and will not commence, until 2 days after the Appointment of PC and Notice of Commencement have been provided to Council.
  6. I/We declare that all the information provided is true and correct.
  7. I/We agree to receive approval documentation via electronic communication.
  8. I/We have freely chosen to engage KMH Certifiers (Karl Harb BDC04771).
  9. I/We have read KMH Certifier's Fee Proposal and Contract for Certification Work and understand the role and responsibilities of each party.
  10. I/We consent and provide permission to KMH Certifiers to update any discrepancies in the NSW Planning Portal.
  11. I/We agree to the execution of the Contract.
  12. By signing this agreement electronically, I/we agree to be legally bound by the terms of this agreement.
Applicant's Consent (if different from owner)

Submitting will generate a completed PDF of your application for download.

Office Use Only
Date Received:

Application Type

Development Site Details

Development Description

Development Consent (DA/CDC) & Construction Certificate (CC) Details

Details of the Applicant/s

An application for an Occupation Certificate may only be made by a person who is eligible to appoint a Principal Certifier for the development. An application may not be made by a person who will carry out the building work unless that person owns the land on which the work is to be carried out.

Owners Consent / Applicant's Agreement & Declaration

By signing this agreement, you consent and agree to:

  1. I/We hereby apply for Occupation Certificate (OC) related to this development.
  2. We consent to the principal certifier (PC), or an accredited certifier, or consent authority, entering the subject property at any reasonable time for mandatory critical stage inspections.
  3. I/We acknowledge that I/we must comply with all relevant DA or CDC conditions and/or occupation certificate conditions nominated in the approval documentation.
  4. I/We declare that all the information provided is true and correct.
  5. I/We agree to receive approval documentation via electronic communication. Hard copy approval documentation can be provided on request.
  6. I/We have freely chosen to engage KMH Certifiers (Karl Harb BDC04771).
  7. I/We consent and provide permission to KMH Certifiers to update any discrepancies in the NSW Planning Portal.
  8. By signing this agreement electronically, I/we agree to be legally bound by the terms of this agreement.
Applicant's Consent (if different from owner)

Applicant's Agreement & Declaration

Lodgement: An application for an Occupation Certificate must be delivered by hand, by post or transmitted electronically to the principal office of the Principal Certifier. Applications MAY NOT be sent by fax.

Submitting will generate a completed PDF of your application for download.

Section A

Introduction

Section B

Contact (Must be an owner of the property)

Section C

Location of the building work

Start typing the site address — matching addresses are suggested from the NSW Planning Portal, and the Lot and DP are filled in automatically. You can also edit them manually.

Section D

Description of the development

Section E

Principal contractor / owner-builder

If the builder has not yet been engaged, leave this section blank — details can be provided before work commences.

Section F

Notice of commencement of work

DA details

Development consent details

As this appointment relates to a Construction Certificate, please provide the details of the development consent (DA) that applies to the work.

Section G

Details of the Complying Development Certificate

Office use only

You may leave this section blank — KMH Certifiers will complete it.

Karl Harb — BDC04771
Consent

Owners consent & Principal Certifier declaration

This section must be signed and consented to by all registered owner(s) of the property. By signing this agreement, you consent and agree to:

  1. I/we have freely chosen to engage Karl Harb BDC04771 as the Principal Certifier for the proposed development.
  2. I/We have read and accept the conditions outlined in the building and Development Certification Service Agreement and understand that this document forms the basis of the Certification Contract.
  3. I/We understand the roles and responsibilities of the Owner and the Registered Certifier.
  4. I/We confirm that we have read and understood the accompanying Fee Proposal, Contract and that you understand your rights and responsibilities and those of the Certifier.
  5. I/We confirm that we have read the accompanying prescribed information sheet issued by Fair Trading.
  6. I/We give consent to KMH Certifiers to update any discrepancies in the NSW Planning Portal with respect to this application.
All registered owners of the property have read and agree to the six points above.

Owner signatures

Every registered owner must sign. Add each additional owner below — sign by clicking and dragging in the signature box, or upload an image of your signature.

On submission, a signed PDF copy of this agreement is generated and downloaded for your records, and the application is sent to KMH Certifiers at karl@kmhcertifiers.com.au.

✓ Application submitted successfully. KMH Certifiers will be in touch shortly.
Appointment form submitted — thank you. A PDF copy has been downloaded.