Exemption card application or renewal for disability service workers

This form is to be completed by a Queensland teacher or Queensland police officer proposing to start or continue in child-related employment who has applied for, or holds, a disability worker screening clearance issued in Queensland.

You can contact us and request this form be sent to you, or you can download, complete and submit this form using the:

• scan and upload
• email
• post
• delivering it in person, or
• fax

This paper form requires a certified:

• Copy of your ID document, for example, driver's licence, proof of identity card or marine licence etc. or
• Verify your identity online and include your account number on the paper form.

If you do not verify your identity online, your documents must be certified by a:

• Justice of the Peace (JP),
• Commissioner for Declarations (Cdecs),
• Lawyer, or
• Police Officer

To find a JP or Cdecs near you, call 1800 301 147 or visit www.qld.gov.au/findjp.