Queensland Government
Department of Communities, Child Safety and Disability Services
Home > Disability Services > Key projects > Criminal history screening > Forms > Change of details of positive notice (yellow card) or positive exemption notice holder (Form 10-4)

Change of details of positive notice (yellow card) or positive exemption notice holder (Form 10-4)

Purpose

For use by a person holding a positive notice or positive exemption notice who changes their name, starts to use a different name or changes their contact details.

Checklist

  1. Check that your details are correct
  2. Ensure that the applicant has completed the declaration
  3. Ensure all signatures are on the form.

Submitting your request

Mail:

Department of Communities
PO Box 10179
BRISBANE ADELAIDE STREET QLD 4000

Further information

If you have any questions please email Criminal History Screening or phone the criminal history screening hotline: 1800 183 690