Industry and partners

• Partnering for the future: advancing Queensland's community services industry 2017–25
• Forecasting the future: community services in Queensland 2025
• Stakeholder engagement
  • Queensland Carers Advisory Council
  • Queensland LGBTI roundtable
    • About the Roundtable
    • Roundtable members
    • Communique
  • Queensland Social Cohesion Implementation Committee
  • Disability advisory councils
  • Satisfaction survey
  • Industry confidence survey
• Funding and grants
  • Departmental sponsorship
    • About sponsorship funding
    • How to apply
  • Funding available
  • Legislative safeguards for funding
  • Human Services Quality Framework
    • Overview of the framework
    • Overview of the standards
    • Certification - Quality requirements and resources
    • Self-Assessable - Quality requirements and resources
    • Other Accreditation - Process and resources
    • HSQF News and updates
    • Tools and resources
    • Previous framework versions
  • Streamlined agreements
    • Service agreement archive
  • Investment specifications
    • Archived versions
    • Guidelines for diversion services and toolkit
  • Outcomes Co-design
  • Non-Government organisation access to interpreting services
  • Output funding and reporting
    • Archived versions
  • Online Acquittal Support Information System (OASIS)
    • OASIS overview
    • Publications and resources
    • Contacts
• Criminal history screening
  • About criminal history screening
    • Who undergoes criminal history screening?
    • How do I apply for criminal history screening?
    • When can I start work?
    • Provider obligations
    • Frequently asked questions
  • Forms
    • Application for criminal history screening (exemption notice) (Form 10-11)
    • Application for criminal history screening - prescribed notice (yellow card) (Form 10-1)
    • For sole traders - Application for criminal history screening prescribed notice (yellow card) (Form 10-1ST)
    • For sole traders - Application for criminal history screening (exemption notice) (Form 10-11ST)
    • Application for information from register of engaged persons (Form 10-6)
    • Application for eligibility declaration (Form 10-10)
    • Application for criminal history screening change of details (Form 10-2)
    • Change of details of positive notice/card or positive exemption notice/card holder (Form 10-4)
    • Application for replacement of lost or stolen positive notice and card or positive exemption notice and card (Form 10-3)
    • Application for cancellation of negative notice or negative exemption notice (Form 10-5)
• Guide, hearing and assistance dogs
  • About guide, hearing and assistance dogs legislation
  • For handlers
  • For trainers
  • Resources

You are here:

1. Home
2. Industry and partners
   • About us
   • Accommodation Support and Respite Services
   • Community
   • Disability Connect Queensland
   • News
   • Seniors
3. Criminal history screening
   • Forecasting the future: community services in Queensland 2025
   • Funding and grants
   • Guide, hearing and assistance dogs
   • Partnering for the future: advancing Queensland's community services industry 2017–25
   • Stakeholder engagement
4. Forms
   • About criminal history screening
5. 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.

• Application for cancellation of negative notice or negative exemption notice (PDF, 1.3 MB) Application for cancellation of negative notice or negative exemption notice (DOC, 142 KB)

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

• Mail: Department of Communities, Disability Services and Seniors
  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.