Co-operatives must use this form to notify the Registrar of Co-operatives of the following:
- The appointment of secretary, directors or chief executive officer.
- The cessation of secretary, directors or chief executive officer.
- Change to the residential address of an existing of secretary, directors or chief executive officer.
- Change of name of an existing secretary, directors or chief executive officer.
The form should be lodged within 28 days after the appointment or cessation of appointment of a director or officer occurring. For most co-operatives, this form may need to be completed after each annual general meeting.
Important note:
The co-operative’s board of directors must be made up of at least three directors, two of whom must reside in Australia.
The co-operative must have a secretary at all times, who ordinarily lives in Australia. It is the secretary’s responsibility to provide the Registrar of Co-operatives with this notification.
What do I need to complete the formTo submit you must lodge a complete form. This means you must:
- Complete all of the relevant sections of the correct application form.
- Attach/pay the correct fee (if applicable). This is payable at the time of lodging the application.
- Sign the declaration section of the form.
- Check to make sure the form is complete.
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.