Australian Government - Australian Maritime Safety Authority

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MARINE SURVEYOR ACCREDITATION NOTIFICATION OF CHANGES TO DETAILS – AMSA 740
Marine Safety (Domestic Commercial Vessel) National Law Act
Marine Safety (Domestic Commercial Vessel) National Law Regulation
 
When to Use This Form?

Section 34 of the National Regulations requires the National Regulator to be notified if you:

  • or a company that employs you, is the subject of bankruptcy proceedings
  • have a written complaint made against you in relation to the conduct of a survey
  • have a conflict of interest which arose in relation to a survey performed by you
  • changed address, contact details or place of employment
  • changed your name, or are subject to any other change that may result in confusion as to the identity represented on your identification card; or
  • your membership with a professional association related to vessel building, design, engineering or vessel survey is revoked, suspended, or involuntarily cancelled
Instructions for Completing the Form

Online

Type directly into the boxes and on completion, select “Download PDF”. The system will generate a prefilled form with a unique AMSA Transaction Reference Number (TRN) beginning with 160740xxxxxxxx located at the top right-hand corner of the form.

If you make an error simply re-complete the form, and a new TRN number will be generated.

A. Changes

(please tick relevant box)

Change of name, personal address, email or phone
Change in place of employment
Changes to the AMSA web list of surveyors (i.e., phone; mobile; web page, geographical work areas)
Membership of a professional association revoked, suspended, or involuntarily cancelled
You or the company that employs you is the subject of bankruptcy proceedings
A written complaint is made against you in relation to the conduct of a survey
A conflict of interest arises in relation to a survey performed by you
If you selected professional association, bankruptcy, complaint or conflict of interest, please provide a summary below

B. Personal Details
Title
Surname
Middle name(s)
Given name(s)
Surveyor ID / AMSA ID

 
Residential Address
Unit
Number
Street
Town/Suburb
State
Postcode
Country

Postal Address ( Tick if same as residential address )
Unit
Number
PO Box
Street
Town/Suburb
State
Postcode
Country
Private Phone
Private Mobile
Primary Email for correspondence with Vessel Safety Unit AMSA
C. Employment Details

If you are changing employer, you will need to provide new evidence of professional indemnity insurance.

Employer/Company trading name
ABN(if applicable)
ACN(if applicable)
Address
Unit
Number
Street
Town/Suburb
State
Postcode
Country
Phone
Website
General email
D. MARS Login
New Mobile Handset
If you have updated your mobile handset, you will need to download the Symantec application and provide AMSA with the new Symantec credential ID below
New Email
If you have an updated email please advise below so that your login details can be updated
Change of employer
If you have an updated email please advise below so that your login details can be updated
Email login has not changed
Mars Team
If you were part of a MARS team with your previous employer please advise your employer that they need to submit to a revised AMSA 1853 form to dcvsurvey@AMSA.gov.au attention accreditation team.
If you are going to be part of a MARS team you and your employer will need to submit new AMSA 1852 & AMSA 1853 forms to dcvsurevey@amnsa.gov.au attention accreditation team.
E. AMSA Web List of Surveyors

Check your current listing using this link to the AMSA Web list of surveyors

Preferred Name
Mobile
Phone(optional)
Email
Website(optional)
Geographical work areas(e.g. NSW,VIC)
 
F. Applicant’s Declaration and Consent

I declare that:
  • To the best of my knowledge the information provided by me in this application (and any attachments I have included with this application) is true and correct.
  • I understand that the Australian Maritime Safety Authority, as the National Regulator, may ask that I provide any information or document that the National Regulator reasonably considers necessary for consideration of this application.
  • I understand that the Australian Maritime Safety Authority, as the National Regulator, may ask another person to provide any information, document or agreement that the National Regulator reasonably considers necessary for consideration of this application.
  • I consent to the Australian Maritime Safety Authority, as the National Regulator, making all reasonable enquiries to verify that the information provided by me in this application (and any attachments I have included with this application) is true and correct.
  • I understand and acknowledge that a person is guilty of an offence under section 137.1 of the Criminal Code Act 1995 if the person gives false or misleading information, or omits anything without which the information is misleading, to a Commonwealth entity, to a person who is exercising powers or performing functions under a law of the Commonwealth, or in compliance or purported compliance with a law of the Commonwealth.
Signature
Date
G. Lodgement of Form

Where to Lodge

Email to: dcvsurvey@amsa.gov.au

Privacy Statement
The collection of information requested in this form is required or authorised by Schedule 1 of the Marine Safety (Domestic Commercial Vessel) National Law Act 2012 (the Act). It will be used for purposes related to the Act and may be provided to Commonwealth or State/Territory government agencies for the purposes of marine safety. Failure to provide the information may result in the transaction not being processed. To contact us, or for more information on how to access or correct your personal information, how to make a privacy complaint, or how your information may be used or disclosed for purposes beyond those described in this statement, visit www.amsa.gov.au/privacy.

Australian Maritime Safety Authority

ABN: 65 377 938 320

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Payment details

Methods of payment

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 Payment can be made at any Australian Post Office within Australia by cheque, cash, EFTPOS, VISA or Mastercard.

The post office will issue you a receipt.
AMSA form: 740
Version: 2 12/25