Hw004 2026

The document is an Acceptable Referee Declaration form for verifying the identity of applicants seeking Public Key Infrastructure (PKI) Certificates from the Australian Government Department of Human Services. It outlines the process for completing the form, the types of PKI Certificates available, and the responsibilities of both the applicant and the referee in certifying identity documents. The document also includes privacy information regarding personal data handling.

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Click ‘Get Form’ to open hw004 in the editor.
Begin by entering your personal details in the 'Applicant’s details' section. Use a black or blue pen and print in BLOCK LETTERS for clarity.
Indicate the type of PKI Certificate you are applying for by ticking the appropriate box. Ensure you only select one option.
Fill in your business address and Australian Business Number (ABN) if applicable, ensuring all information is accurate.
In the 'Applicant’s declaration' section, read through the privacy notice and confirm that all provided information is complete and correct by signing and dating the form.
The referee must complete their section, ensuring they certify each document as a true copy of the original.
Once completed, check that all required fields are filled out before scanning and emailing the form to ebusiness@humanservices.gov.au or mailing it to the specified address.

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