Producer Statement Construction (PS3) - Memorandum of Completion and Compliance - Template Version 2024-01-026

Aug 31, 2026

Upload by Connor

Producer Statement Construction (PS3) memorandum form used by a construction reviewer to confirm completion and compliance for building works covered by a New Zealand Building Consent. The reviewer records building consent details, owner and project address, description and scope, referenced building regulations clauses or alternative solutions, and any authorised amendments with copies attached. The statement includes confirmations regarding adherence to the Building Code, consent, design drawings and specifications, and acknowledges reliance if accepted, signed with reviewer and constructor details and dated contact information.

LanguageEnglish

CategoryForms

FormatDOCX

Pages2

Reading Time1 min

AccessFree to download

Overview

Parties and issued consent details

Statement of engagement and compliance

Applicable requirements and amendments

Declarations and reliance

Sign-off and contact information

Signatures, qualifications, and dates

Producer Statement Construction (PS3) / Memorandum of Completion and Compliance Issued by: Building Consent number: (Construction Reviewer) Company Name: To: ( Hamilton City Council ( Hauraki District Council ( Matamata-Piako District Council ( Otorohanga District Council ( Thames-Coromandel District Council ( Waikato District Council ( Waipa District Council ( Waitomo District Council Waikato Building Consent Group Reg. No.: Expiry Date: Other No. (specify): Owner: Project Address: Lot: DP: Description of Building Work: Scope of work covered by statement: System / Product used (if applicable): I (Construction Reviewer’s name): have been engaged by (owner/developer/contractor): In respect of (tick applicable): ( The requirements of the Building Regulations 1992, Clause(s): (Please be specific e.g. E2.3.5) ( Alternative Solution(s): for the building work described by the drawings and specifications prepared by the design firm titled: numbered: ( Copies attached authorised amendments(s): ( Copies attached (if applicable) I have sighted the Building Consent and read the Advisory Notes. I can confirm that the building works have been carried out in accordance with the requirements of the New Zealand Building Code, the Building Consent, the design drawings and specifications, and in accordance with the listed amendments (if any). I confirm that all work I have undertaken has been within the scope of my skills, knowledge, and experience. I have remained within the scope of works set for me by the *Waikato Building Consent Group Producer Statement Author register (if applicable). I understand that this Statement, if accepted, may be relied upon for the purpose of establishing compliance with the Building Code and the Building Consent. I am satisfied the building work complies with the requirements of the Building Consent and the New Zealand Building Code. Signed by Name of Constructor (Construction Reviewer): (Print clearly): Date: Address: Ph: Mb: Fx: Email: Qualifications / Experience: *The Waikato Building Consent Group Producer Statement Author register is held by the Waikato Building Consent Group, Email: info@buildwaikato.co.nz For information on the Waikato Building Consent Group visit the HYPERLINK "http://waikato-building.wordpress.zeald.com/" Build Waikato website. PS 03 Template Version 2024-01-026

FAQs

What is the purpose of a Producer Statement Construction (PS3) memorandum?

It provides a construction reviewer’s confirmation that building works have been completed and comply with the New Zealand Building Code and the Building Consent, including any listed amendments.

Which information must be completed in the PS3 template?

The form captures building consent identifiers, owner and project address, description and scope of work, applicable Building Regulations clauses or alternative solutions, and authorised amendments with copies attached if required.

What compliance declarations does the reviewer make?

The reviewer confirms the works were carried out per the consent, design drawings and specifications, stays within the scope of their skills and knowledge, and is satisfied the building work complies with the Building Consent and the Building Code.

Aug 31, 2026

Upload by Connor