Department of Communities, Disability Services and Seniors

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

Purpose

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

Checklist

  1. Check that your details are correct
  2. Complete the declaration
  3. Complete the payment details section (Part F)
  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

Further information

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.