You are here:

  1. Home
  2. Disability Services
  3. Key projects
  4. Criminal history screening
  5. Forms
  6. Application for criminal history screening - prescribed notice (yellow card) (Form 10-1)

Application for criminal history screening - prescribed notice (yellow card) (Form 10-1)

Purpose

For use by a Department of Communities, Child Safety and Disability Services funded non-government service provider or a National Disability Insurance Scheme (NDIS) non-government service provider on behalf of a person engaged or seeking to be engaged by the service provider.

Checklist

  1. Check that your details are correct
  2. Ensure that the applicant has completed the declaration
  3. Complete the payment details section (Part F)
  4. Ensure all signatures are on the form.

Submitting your request

Mail:

Department of Communities, Child Safety and Disability Services 
PO Box 10179
BRISBANE ADELAIDE STREET 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.

Is your feedbackThis field is required

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

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