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 section 52.


  1. Check that your details are correct
  2. Ensure that you have signed the declaration
  3. Ensure all signatures are on the form
  4. Ensure your identification documentation is witnessed 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