Department of Communities, Disability Services and Seniors

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

Purpose

For use by sole traders proposing to start or continue to deliver services for people with disability under the Disability Services Act 2006 section 52.

Checklist

  1. Check that your details are correct
  2. Ensure that you have signed 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. 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.