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


For use by a Department of Communities, Disability Services and Seniors non-government service provider or a National Disability Insurance Scheme (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, negative notice or negative exemption notice issued.


  1. Check that your details are correct
  2. Complete the declaration
  3. Ensure all signatures are on the form.

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