BASIX and BCA Template

[copy and paste below to company letterhead if applicable]


Date:  __/__/____


Confirmation of Compliance with BASIX Certificate and BCA Commitments

RE: Property  Address




Builder/Owner Builder’s declaration – Permit/Licence number___________________


This is to certify that all requirements of BASIX Assessment Certificate _________ dated ____________ have been completed in accordance with the conditions and as outlined in the attached BASIX certificate compliance checklist.

Building Code of Australia

I certify that all work in relation to the above mentioned development application at the above mentioned address, has been completed in accordance with the provisions of the Building Code of Australia.



Signature of builder, or Owner Builder.