This form should be lodged within two months after the formation meeting. If needed, you can apply for a longer timeframe using the Form 12 - Application for an extension or abridgement (shortening) of time.
Before applying to register a co-operative its rules and, if necessary, its formation disclosure statement must be approved by the Registrar of Co-operatives. If you have not already done this, before submitting this form lodge the Form 1 - Application for approval of proposed rules and formation disclosure statement.
What do I need to complete the form
To complete the submission of the form you must:
- Complete all the relevant sections of the form.
- Make sure you have provided all supporting documents.
- Sign the declaration.
- Pay the application fee.
The following supporting documents must also accompany this form:
- Two copies of the proposed rules, as approved by the Registrar, signed and certified by the chairperson and secretary of the formation meeting as having been agreed to by members at the meeting.
- A copy of the formation disclosure statement, as approved by the Registrar, signed and certified by the chairperson and secretary of the formation meeting to have been presented to members (necessary if the co-operative is distributing).
Lodging forms and paying fees
Once you have all your supporting documents ready, you can lodge the form in one of the three ways:
Online
By post
Download the form and after completing post it to:
Associations and Charities
Department of Energy, Mines, Industry Regulation and Safety
Locked Bag 100
EAST PERTH WA 6892
Pay by credit card or BPAY:
Once we receive your form you will be issued with a Payment Number (PN) so you can make payment using our secure online payment portal.
Pay by cheque or money order:
Attach a cheque or money order made out to "Department of Energy, Mines, Industry Regulation and Safety" to the completed form.
In person
Monday to Friday between 8.30am and 4.30pm
Customer Service
Level 1, Mason Bird Building
303 Sevenoaks Street
CANNINGTON
Need help?
Should you require assistance with completing this form please contact the Association and Charities Branch on 1300 30 40 74 (within Australia) or email.