Application for eligibility declaration (Form 10-10) - Disability Services, Department of Communities, Child Safety and Disability Services (Queensland Government)

Error - Your browser does not support Transport Layer Security (TLS) 1.2, which is required to access this site.
All the latest versions of popular browsers support TLS 1.2, including Internet Explorer, Chrome, Firefox and Safari. Please upgrade your existing browser, or utilise an alternate browser to access this site.

Application for eligibility declaration (Form 10-10)

Purpose

For use by a disqualified person seeking to be declared eligible to apply for a prescribed notice.

Checklist

  1. Check that your details are correct
  2. Complete the declaration
  3. Complete the payment details section (Part E)
  4. If payment is by credit card, please pay online via:
    Make a Yellow Card Application payment
  5. Ensure all signatures are on the form
  6. Have your identification documents certified by a Justice of the Peace

Submitting your request

Mail: Department of Communities, Child Safety and Disability Services
PO Box 10179, Adelaide Street Brisbane QLD 4000
Email: criminalhistoryscreening@disability.qld.gov.au

Further information

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

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

Is your feedback

Please submit your comments on the department's Compliments and Complaints section.

Please submit your comments on the Queensland Government website Contacts form.