When to use this form
We use this form to assess an applicant's suitability for a licence or permission.
Complete this form if you:
- have been asked to do so in an application for a licence or permission.
- intend to participate in a business or premises that already has a licence or permission.
We may also ask people who manage or control the business or premises, to complete this form. This includes anyone responsible for daily decision making or maintenance of records.
The declaration form
The Fit and proper person declaration form is designed to be completed on a desktop or laptop computer (not on a mobile device such as a smartphone or tablet). You'll need to use Adobe ReaderExternal Link software to view the form.
Because this is an electronic form, you can type your answers straight into the boxes provided. Some questions will only be displayed if we need you to answer them.
Once complete, you will need to physically sign the declaration.
How to get the form
Double-clicking the form won't open it. The form will not load on a mobile device, tablet or within a browser.
To complete the form, you must save it to your desktop computer or laptop (with the latest version of Adobe Acrobat installed), by following these steps:
- To download, right click on Fit and proper person declaration (NAT 74815 PDF, 1.4MB)This link will download a file.
- Select Save target as (or a similar option depending on your internet browser) to save it to your computer.
- To open your saved form, right click on the PDF file in the folder it was saved in, select Open with then select Adobe Acrobat Reader.
- Enable Protected View and JavaScript if prompted before filling in the form. If they are not enabled, additional questions will not be displayed and the form will be incomplete.
- Once it's complete, print it using the Print form button at the end of the form.
- Sign the declaration then scan it ready for lodgment.
Note: Update your default app for PDF file types to Adobe Acrobat Reader to open all PDF files with Adobe Acrobat.
Help completing the form
Follow these instructions to help you complete the Fit and proper person declaration form.
Licence or permission details
Enter the name of the entity or individual applying for or holding the licence or permission that requires you to complete the declaration. This will only be your name if you're applying for a licence or permission as a sole trader.
You must select the Excise or Customs box for the appropriate questions to be displayed.
Your details
Provide your details including:
- full name
- date and place of birth
- contact details.
Only include an ABN if the ABN is in your personal name, for example as a sole trader. Don't include the ABN of the licence or permission holder (such as a company or other entity).
Disclosure details on convictions
You must provide a response to all questions.
If you've been convicted for offences within the last 10 years and those convictions have been pardoned, quashed or 'spent', you may answer 'No' to the question about convictions. You don't have to tell us about them.
For excise and customs purposes:
- a pardon means a free and absolute pardon that's been granted to a person who was wrongly convicted of a Commonwealth, state or territory offence.
- a quashed conviction is a Commonwealth, state or territory conviction that's been set aside by a court.
- a spent conviction is a conviction of either a Commonwealth, state or territory that satisfies all the following conditions
- it is 10 years since the date of the conviction (or 5 years for juvenile offenders)
- the individual was not sentenced to imprisonment or was not sentenced to imprisonment for more than 30 months
- the individual has not re-offended during the 10 or 5 year waiting period
- no other exclusion applies.
Privacy
For information about your privacy, go to Your privacy.
Declaration
You must complete and physically sign and date the declaration.
Lodging your form
Before you lodge your declaration form, make sure you have completed all the mandatory sections and signed the form.
Keep a copy of your completed declaration for your records. Lodge the form through:
- secure mail in Online services for business
- mail to
AUSTRALIAN TAXATION OFFICE
PO BOX 3514
ALBURY NSW 2640
Lodge through Online services for business
If you use Online services for business to lodge your declaration, it is more secure and will be processed faster than if you lodge by mail.
Follow these steps to lodge through secure mail in Online services for business:
- Fill in the declaration form.
- Print and sign the form.
- Scan and save the completed form as a PDF to your computer.
- Log into Online services for business.
- Select Communication, then Secure mail.
- Create a New message.
- Select View more topics from the Topic list.
- Select Excise from the Other topics list.
- Select Alcohol, fuel and petroleum products, tobacco, duty free store from the Subject list.
- Attach the declaration form.
- Provide your contact details and complete the declaration.
- Select Send.
You will receive a receipt number once you've lodged your declaration.
Service standards
If your declaration is incomplete, we will contact you for more information. If the information we need isn't provided after a reasonable period, we may refuse the application for a licence or permission.
Contact us
If you need more information, you can contact us or visit Excise on alcohol or Excise on fuel and petroleum products.