Australian Government - Australian Maritime Safety Authority

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APPLICATION FOR RENEWAL OF ACCREDITATION IN CATEGORY(S) OF MARINE SURVEYING – AMSA 804
Marine Safety (Domestic Commercial Vessel) National Law Act
Marine Safety (Domestic Commercial Vessel) National Law Regulation
 
As per Marine Safety (Domestic Commercial Vessel) National Law Regulation 2013 you are required to submit your application AMSA804, and pay the fee no less than three (3) months prior to the expiry of your accreditation.

If you are unable to submit your application three months before your accreditation expires, please contact the accreditation team to discuss the options via email dcvsurvey@amsa.gov.au.

If you do not wish to renew your accreditation, please notify us by reply email dcvsurvey@amsa.gov.au.

When To Use This Form

Use this forms to apply to:
  • Renew your marine surveying accreditation

Instructions for Completing the Online Form

Type directly into the boxes and once completed, select “Download PDF”. The system will generate a pre-filled form with a unique Australian Maritime Safety Authority Transaction Reference Number (TRN) beginning with 160804xxxxxxxx located at the top right hand corner of the form and on the Fee Advice on the last page. This TRN will link your application and payment. If you make an error simply re-complete the form, and a new TRN number will be generated.

Signature Instructions

Please ensure that you sign strictly within the box provided using a black pen. If your signature is too large to fit in the box, you may submit a separate sheet of paper with your signature. The signature box can be enlarged by clicking and dragging the bottom right hand corner of the box before printing.
Please email all pages including the Fee Advice.

What You Need To Provide

You will need supporting documents evidencing:

  • Current professional association membership
  • Continued professional development (CPD) completed in the last five (5) years
  • Photograph

Payment of Application

The final page of your application contains the Fee Advice. Use this to make payment prior to lodging of your application.

Lodging Your Application

You must email documents at the same time as the AMSA804 form. Applications missing required documents will not be processed and will be returned to the applicant.

For faster processing please email your application to dcvsurvey@amsa.gov.au
Acceptable document formats are pdf and jpg.


 
A. Applicant details
Title
Surname
Given name(s)
Middle names(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
Private Email
Primary Email for correspondence with Vessel Safety Unit AMSA

B. Employment details
Employer / Company trading name
ACN (if applicable)
ABN (if applicable)
Address
Unit
Number
Street
Town/suburb
State
Postcode
Country

Phone
Website
General Email
 

C. Supporting Documents for Professional Association Membership


Name of Professional Association
Expiry Date (dd/mm/yyyy)

Some examples of evidence of current membership may be:
  • AIMS stamp showing membership level
  • RINA letter confirming class of membership
  • IIMS membership card
  • IMarEST membership card
  • A written statement from your professional association
    A tax invoice alone is insufficient, as it does not provide proof of payment, membership details, or the membership expiry date.
 
D. Evidence of Continued Professional Development


Some examples may include but not limited to:
  • Statement of continued professional development (CPD) from your professional association
  • or
  • Copies of certificates relating to:
  • additional qualifications you may have attained
  • short courses/safety training
  • technical meetings/conferences/workshops
  • mentoring
  • writing publications (e.g. subscriptions to magazines)
  • webinars relevant to marine surveying
  • survey work outside of national law
Other
 
E. Photograph Guidelines

  • Face centred from the neck up
  • Clear colour quality in a white background
  • Standard size dimensions of 45mm x 35mm (not including a border)
  • Scanned photo to be in high resolution of 300-600dpi.

F. Expiry of Accreditation

I am submitting my application and supporting documentation three or more months before the expiration of my accreditation on


I am submitting my application and supporting documentation less than three months before the expiration of my accreditation

I understand that, according to the Marine Safety (Domestic Commercial Vessel) National Law Regulation 2013, Part 3.2, Section 28 (2), I must request for the National Regulator to consider my late application. My application includes this request.


G. 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 and acknowledge that AMSA, as the National Regulator, may request that I provide any information, document or agreement it reasonably considers necessary for consideration of this application.
  • I understand and acknowledge that AMSA, as the National Regulator, may ask another person to provide any information, document or agreement it reasonably considers necessary for consideration of this application.
  • I consent to the AMSA, 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) 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.
  • I understand that failure to comply with a conditions imposed on a category of accreditation (including the statutory conditions) for which I have applied may be grounds for AMSA to vary, suspend or revoke the accreditation, issue an infringement notice or initiate prosecution action.
Signature

You will need to either, print and sign within the box in black ink, or add your electronic signature.

Name
Date (dd/mm/yyyy)
 
H. Download, Lodge and Pay

The TRN, beginning with 160804xxxxxxxxxx, will only appear in the top right-hand corner of the form when it is downloaded

Methods of Payment

Full details will appear on the last page, titled 'Fee Advice,' when the document is downloaded

Please indicate below which method of payment was used and the paid date
Date of payment (dd/mm/yyyy)

Which TRN Number Was Used to Reference the payment?

If the TRN number is the same as indicated on the top right hand corner of the AMSA804 application form submitted, then leave blank, otherwise indicate the number below.

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

Fee advice
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Transaction Reference Number (TRN) Description Amount
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GST $ ${AdviceGST}
Total AUD GST $ ${AdviceTotalcost}

The assessment of your application will only commence once we have received your payment and all supporting documents. This is a non-refundable application fee and covers all the services required to process your request, however it does not guarantee that your application will be successful.

Payment details

Methods of payment

Payment via internet Payment via phone Payment via post office
AMSA: https://payments.amsa.gov.au can accept VISA or Mastercard payments only.

BPAY: Contact your bank or financial institution to make this payment from your cheque and savings transaction accounts. More information at bpay.com.au.

PostBillpay: www.postbillpay.com.au can accept VISA, Mastercard or PayPal payments only.

 13 18 16 (POSTbillpay) can accept VISA or Mastercard payments only.

BPAY via your financial institution can accept cheque and savings payments only.

 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: 804
Version: 2 04/2025