Forms

Please note: From 1 July 2018, yellow card system fees will increase 3.5 percent as per the annual indexation rate for fees and charges. 

The Disability Services Act 2006 outlines the criminal history screening requirements for people engaged by a Department of Communities, Disability Services and Seniors funded non-government service provider or a National Disability Insurance Scheme (NDIS) non-government service provider.

In order to carry out the screening process, the department will collect information through a range of forms.

The Disability Services Act 2006 outlines the use of approved forms for the collection of information to be used for a number of different purposes related to criminal history screening.

For further information in relation to forms for particular employment types, please refer to the Information Sheet: Screening scenarios for persons engaged in disability services (PDF, 345 KB) Information Sheet: Screening scenarios for persons engaged in disability services (DOC, 515 KB). 

Alternatively, please email Criminal History Screening or phone the criminal history screening hotline on 1800 183 690.

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

  Used each time an application is made by a non-government disability service provider funded by the department or a NDIS non-government service provider for a criminal history check on a person engaged or about to be engaged by the organisation. Also used for notification to the department for volunteers transferring to paid employment.

• Application for criminal history screening change of details (Form 10-2)

  Used by a person engaged or seeking to be engaged by a non-government disability service provider funded by the department or a NDIS non-government service provider.

• Application for replacement of lost or stolen positive notice and card or positive exemption notice and card (Form 10-3)

  For use by a person engaged by a non-government disability service provider funded by the department or a NDIS non-government service provider whose positive notice, positive notice card, exemption notice or exemption notice card has been lost or stolen.

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

  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.

• Application for cancellation of negative notice or negative exemption notice (Form 10-5)

  For use by a person seeking to have a negative notice or negative exemption notice cancelled.

• Application for information from register of engaged persons (Form 10-6)

  For use by a department funded non-government service provider or a NDIS non-government service provider requiring information about the current status of an application for criminal history screening or any positive notice/positive exemption notice or negative notice/negative exemption notice issued.

• Application for eligibility declaration (Form 10-10)

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

• Application for criminal history screening (exemption notice) (Form 10-11)

  For use by a department funded non-government disability service provider or a NDIS non-government service provider on behalf of a blue card holder engaged or seeking to be engaged by the service provider.

• For sole traders - Application for criminal history screening prescribed notice (yellow card) (Form 10-1ST)

  For use start or by sole traders proposing to continue to deliver services for people with disability under the Disability Services Act 2006.

• For sole traders - Application for criminal history screening (exemption notice) (Form 10-11ST)

  For use by sole traders who are blue card holders proposing to start or continue to deliver services for people with disability under the Disability Services Act 2006.