Qleave

Principal contractor details
Has a principal contractor been appointed? *

If a Principal Contractor has been appointed it is a requirement under the Work Health and Safety Regulation 2011 s(293) to advise who the
Principal Contractor is.

For more information please visit www.worksafe.qld.gov.au - Principal Contractors.


     Yes                                                                             No


     Select if the principal contractor details are the same as the payer details.




Cost of work

Cost of work
Total cost of work in dollars and cents (excluding GST) *

Whole dollars *

  $2,018,073



Exemption category




Leviable cost of work

  $2,018,073



Amount payable

Portable Long Service Leave Levy

  $7,063.34


Construction Skills Queensland Levy

  $2,018.07


Work Health and Safety Levy

  $2,522.59


Total levy payable

  $11,604.00




Process submission

Declaration

           •   I certify that the information provided is true, correct and complete to the best of my knowledge and belief, knowing it is an offence to