Change your name on a high complexity certificate of competency

What do I need to do?

To get your name changed on your certificate you will need to:

Meet medical and eyesight requirements

Download the:

1. Certificate of medical fitness for a near coastal certificate 

The Certificate of medical fitness for domestic seafarers form 1850 lets us know that you are medically fit for working at sea. 

If you are colour blind, you will be restricted to working in daylight hours only. 

2. Standards for the medical assessment of domestic seafarers 

Provide a medical practitioner with the Standards for the medical assessment of domestic seafarers and have them fill out the Certificate of medical fitness for domestic seafarers form 1850. 

If you have a current AMSA medical (Certificate of medical fitness form 303) you can use this in place of the Eyesight test certificate. You must submit your completed form with your Certificate of competency application form 426.

Provide existing certificates

You must submit a copy of your:

• existing certificate of competency
• valid HLTAID011 Provide First Aid certificate, or equivalent.

Meet additional requirements

You must submit a certificate or document attesting to the requested name change. This may be a marriage certificate, change of name certificate issued by a state or territory authority, divorce certificate, or similar.

Complete and submit a Certificate of competency application

Complete and submit the Certificate of competency application form 426.

Read more about completing and submitting your application for a domestic certificate.