Purpose
Form 5109 is used by a temporary responsible entity to notify us of its request to add a new responsible entity.
How to lodge this form
Lodge online
Not applicable.
Lodge by email or post
You can download the form and send by email or post.
Download Form 5109 (PDF 107 KB)
(PDF last updated: 02/04/2024)
Email address
Send a copy of the signed form by email to AFSlicensing@asic.gov.au.
Email lodgment details
- The email must include the form number, company name and ACN in the subject line.
- Submit the form in PDF format.
- Do not send general enquiries and forms not designated to this email address. For enquiries, visit Contact us.
Postal address
We recommend you check Australia Post delivery times to allow suitable time for the delivery of your documents.
Post completed form to:
Australian Securities and Investments Commission
GPO Box 9827
Melbourne VIC 3001