Form updated 16 March 2021

Should you require assistance with completing this form please contact Licensing by telephone on 1300 304 064 (within Australia) or email. 

What do I need to complete an application

To complete the application the following must accompany this form:

• An original or duly certified Police check, less than three (3) months old.
• complete all of the relevant sections of the application form
• sign the authorisation and declaration