forms notified or published in the government gazette

Forms notified or published in the government gazette 1

ADOPTION ACT 2009

The following information about forms is taken from the gazette and is included for informationpurposes only. Because failure by a department to notify or publish a form in the gazette does notinvalidate the form, you should check with the relevant government department for the latestinformation about forms (see Statutory Instruments Act, section 58(8)).

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ADOPTION ACT 2009

Form 1 Version 2—General consent of parent to adoption (pubd gaz 9 September 2011 p 98)Form 2 Version 2—Consent of parent to adoption by a step parent (pubd gaz 9 September 2011 p 98)Form 4 Version 1—Parent declines counselling from Aboriginal or Torres Strait Islander (pubd gaz 5

February 2010 p 293)Form 5 Version 1—Care agreement not to be entered into (pubd gaz 5 February 2010 p 293)Form 6 Version 2—Adoption expression of interest (section 69, 71, 77, 78, 83) (pubd gaz 13 January

2012 p 45)Form 7 Version 3—Application to adopt step-child (section 92, 93) (pubd gaz 13 January 2012 p 45)Form 9 Version 1—Request to transfer expression of interest from another state or territory (pubd

gaz 5 February 2010 p 293)Form 10 Version 2—Application for adoption information (adopted person is a child): Birth parent

(pubd gaz 16 April 2010 p 950)Form 11 Version 2—Application for adoption information: Adopted person (child) or adoptive

parent (pubd gaz 16 April 2010 p 950)Form 12 Version 1—Application and consent by adult person who was adopted adoption

information (pubd gaz 16 April 2010 p 950)Form 13 Version 2—Application for adoption information: Birth parent (pubd gaz 16 April 2010 p

950)Form 14 Version 2—Application for adoption information: Relative or guardian (pubd gaz 16 April

2010 p 950)Form 15 Version 2—Application for adoption information: Pre-adoption sibling (pubd gaz 16 April

2010 p 950)Form 16 Version 2—Contact statement: Birth parent (pubd gaz 16 April 2010 p 950)Form 17 Version 2—Contact statement: Adopted person (pubd gaz 16 April 2010 p 950)Form 18 Version 1—Acknowledge no contact request pre June 1991 adoption (pubd gaz 5 February

2010 p 293)Form 19 Version 1—Revocation of a contact statement (pubd gaz 5 February 2010 p 293)Form 20 Version 1—Mailbox Authority form Birth parent (pubd gaz 5 February 2010 p 293)Form 21 Version 1—Mailbox authority form adoptive parent (pubd gaz 5 February 2010 p 293)Form 22 Version 1—Mailbox authority form birth relative (pubd gaz 5 February 2010 p 293)Form 25 Version 2—Adoption Care Agreement (pubd gaz 16 April 2010 p 950)Form 27 Version 1—Application for notice of adoptions in another country - Applicant - Adopted

person (pubd gaz 18 November 2011 p 545)Form 28 Version 1—Application for notice of an adoption in another country - Applicant - Relative

of Adopted person (pubd gaz 18 November 2011 p 545)

2 Forms notified or published in the government gazette

ADULT PROOF OF AGE CARD ACT 2008


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ADULT PROOF OF AGE CARD ACT 2008

Form 4669 Version 1 Aug 2010—Release of Digital Photo Application (pubd gaz 21 January 2011 p108)


AGRICULTURAL CHEMICALS DISTRIBUTION CONTROL ACT 1966


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AGRICULTURAL CHEMICALS DISTRIBUTION CONTROL ACT 1966

Form 3—Application for Renewal of a Pilot Chemical Rating Licence

pubd gaz 23 February 1996 p 857

Form 4—Pilot Chemical Rating Licence


Form 5—Renewal of Pilot Chemical Rating Licence


Form 7—Application for Renewal of an Aerial Distribution Contractor Licence


Form 8—Aerial Distribution Contractor Licence


Form 9—Renewal of Aerial Distribution Contractor Licence


Form 10—Notification of Change to Particulars in Aerial Distribution Contractor Licence


Form 13—Application for Renewal of Commercial Operator’s Licence


Form 14—Commercial Operator’s Licence


Form 15—Renewal of a Commercial Operator’s Licence


Form 16—Notification of Complaint on damages to crops or injury to stock


Form 17—Application for Permit to carry out in Hazardous Area 1 or 2 Aerial/Ground Distributionof Prescribed Agricultural Chemicals


Form 18—Permission to Carry out Distribution of Chemicals in a Hazardous area


Form FDU1101 Version 1—Pilot Chemical Rating Licence (for aerial distribution of agriculturalchemicals) Examination Application

pubd gaz 7 September 2007 p 120

Form FDU1102 Version 1—Pilot Chemical Rating Licence (for aerial distribution of agriculturalchemicals) Licence Application


Form FDU1106 Version 1—Commercial Operator’s Licence (for ground distribution of herbicides)Examination Application


Form FDU1107 Version 1—Commercial Operator’s Licence (for ground distribution of herbicides)Licence Application


Form FDU1589 Version 1—Aerial or Ground Distribution Contractor Licence Application

pubd gaz 25 July 2008 p 1837


ANIMAL CARE AND PROTECTION ACT 2001


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ANIMAL CARE AND PROTECTION ACT 2001

Form FDU 1163—Acknowledgement of Consent to Entrypubd gaz 1 March 2002 p 846

Form FDU 1164—Notice of Entrypubd gaz 1 March 2002 p 846

Form FDU 1165 Version 1—Animal Welfare Directionpubd gaz 25 January 2006 p 386

Form FDU 1166—Written Consent to Destruction of Animal(s)pubd gaz 1 March 2002 p 846

Form FDU 1167 Version 1—Receipt for Seized Propertypubd gaz 25 January 2006 p 386

Form FDU 1168—Seizure Directionpubd gaz 1 March 2002 p 846

Form FDU 1169 Version 1—Schedule to Animal Welfare Directionpubd gaz 25 January 2006 p 386

Form FDU 1170—Review Applicationpubd gaz 1 March 2002 p 846

Form FDU 1171—Written Consent to Seizurepubd gaz 1 March 2002 p 846

Form FDU 1172—Notice of Damagepubd gaz 1 March 2002 p 846

Form FDU 1186—Acknowledgement of Return of Seized Animal(s) or Other Propertypubd gaz 1 March 2002 p 846

Form FDU 1232—Scientific Use Registration Certificatepubd gaz 17 January 2003 p 164

Form FDU 1426 Version 1—Information Notice–Seized Propertypubd gaz 25 January 2006 p 386

Form FDU 1428 Version 1—Animal Welfare Directionpubd gaz 23 February 2007 p 871

Form FDU 1429 Version 1—Information Notice–Animal Welfare Directionpubd gaz 25 January 2006 p 386

Form FDU 1430 Version 1—Information Notice–Animal Welfare Directionpubd gaz 23 February 2007 p 871

Form FDU 1431 Version 1—Schedule to Animal Welfare Directionpubd gaz 23 February 2007 p 871

Form FDU 1528 Version 1—Requirement to Produce Documentspubd gaz 6 July 2007 p 1279

Form 29 Version 1 11/11—Application for accreditation to carry out pig husbandry procedures(pubd gaz 9 December 2011 p 726)


ANIMAL MANAGEMENT (CATS AND DOGS) ACT 2008


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ANIMAL MANAGEMENT (CATS AND DOGS) ACT 2008

Form 1 Version 3—Application for a PID Registry Licencepubd gaz 26 November 2010 p 809

Form 2 Version 3—Application for renewal of PID Licencepubd gaz 26 November 2010 p 809

Form 3 Version 1—Application for amendment of PID registry licencepubd gaz 26 June 2009 p 826

Form 4 Version 2 – May 2010—Application for review of PID decisionpubd gaz 28 May 2010 p 287

Form 5 Version 1—Application for recognition of an equivalent qualification and/or equivalentmicrochip implantation course

pubd gaz 26 June 2009 p 826Form 6 Version 1—Notice of approval – Recognition of an equivalent qualification and/or

equivalent microchip implantation coursepubd gaz 26 June 2009 p 826

Form 7 Version 1—Notice of refusal – Recognition of an equivalent qualification and/or equivalentmicrochip implantation course

pubd gaz 26 June 2009 p 826


APIARIES ACT 1982


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APIARIES ACT 1982

Form FDU1498 Version 1—Queensland Beekeeper Registration Applicationpubd gaz 13 April 2007 p 1683

Form FDU1516 Version 1—Queensland Beekeeper Registration Renewalpubd gaz 23 March 2007 p 1360


APPEAL COSTS FUND ACT 1973


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APPEAL COSTS FUND ACT 1973

Form 1 Version 2—Indemnity certificate pursuant to section 15 of the Appeal Costs Fund Act 1973


Form 2 Version 2—Application to the Appeal Costs Board by the respondent for a certificateauthorising payment from the Appeal Costs Fund pursuant to section 16(1) of the Act


Form 3 Version 2—Application to the Appeal Costs Board by the abovenamed (appellant orrespondent ) for a certificate authorising payment from the Appeal Costs Fund pursuant tosection 16(2) of the Act


Form 4 Version 2—Certificate of the Appeal Costs Board authorising payment from the AppealCosts Fund pursuant to section 16 and section 5(8) of the Act


Form 5 Version 2—Indemnity certificate pursuant to section 17 of the Appeal Costs Fund Act 1973


Form 6 Version 2—Application to the Appeal Costs Board by the appellant for a certificateauthorising payment from the Appeal Costs Fund pursuant to section 18 of the Act


Form 7 Version 2—Certificate of the Appeal Costs Board authorising payment from the AppealCosts Fund pursuant to section 18 and section 5(8) of the Act


Form 8 Version 2—Certificate pursuant to section 22(1)(c) of the Appeal Costs Fund Act 1973


Form 9 Version 2—Application to the Appeal Costs Board for a certificate authorising paymentfrom the Appeal Costs Fund pursuant to (section 22, or 23 ) of the Act


Form 10 Version 2—Certificate of the Appeal Costs Board authorising payment from the AppealCosts Fund pursuant to section (22 or 23) of the Act and section 5(8) of the Act


Form 11 Version 2—Application to the Appeal Costs Board for a certificate authorising paymentfrom the Appeal Costs Fund pursuant to section 24 of the Act


Form 12 Version 2—Application to the Appeal Costs Board by the abovenamed (name of infantplaintiff or name of the infant plaintiff’s next friend or name of the defendant ) for a certificateauthorising payment from the Appeal Costs Fund pursuant to section 24(2) of the Act


Form 13 Version 2—Certificate of the Appeal Costs Board authorising payment from the AppealCosts Fund pursuant to section 24 of the Act and section 5(8) of the Act


Form 14 Version 2—Certificate of the Appeal Costs Board authorising payment from the AppealCosts Fund pursuant to section 9(2) of the Act



ARCHITECTS ACT 2002


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ARCHITECTS ACT 2002

Form 1 Version 1 July 2003—Notice by Corporation of Use of an Architectpubd gaz 4 July 2003 p 835

Form 2 Version 1 July 2003—Notice by Corporation of Change of Particularspubd gaz 4 July 2003 p 835

Form 4—Application for registrationpubd gaz 2 April 2004 p 1304

Form 5—Application for renewal of registrationpubd gaz 2 April 2004 p 1308

Form 6—Application for restoration of registrationpubd gaz 2 April 2004 p 1312


ASSOCIATIONS INCORPORATION ACT 1981


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ASSOCIATIONS INCORPORATION ACT 1981

Form 1 Version 12 July 2011—Application for incorporation of an associationpubd gaz 8 July 2011 p 628

Form 2 Version 12 July 2011—Application for exemption from using the word “incorporated”pubd gaz 8 July 2011 p 628

Form 3 Version 12 July 2011—Application for approval to use an unsuitable namepubd gaz 8 July 2011 p 628

Form 4 Version 12 July 2011—Application for registration of a change of namepubd gaz 8 July 2011 p 628

Form 5 Version 11 July 2011—Application for incorporation upon amalgamation of associationspubd gaz 8 July 2011 p 628

Form 6 Version 10 July 2011—Notice to creditors prior to amalgamationpubd gaz 8 July 2011 p 628

Form 8 Version 13 July 2011—Application to register an amendment of rulespubd gaz 8 July 2011 p 628

Form 9a Version 7 July 2011—Application for voluntary winding up of an incorporated associationpubd gaz 8 July 2011 p 628

Form 10a Version 6 July 2011—Change of details relating to an incorporated associationpubd gaz 8 July 2011 p 628

Form 12-1 Version 6 July 2011—Annual return of associationpubd gaz 8 July 2011 p 628

Form 13 Version 10 July 2011—Notice of special resolution for amalgamation of associationspubd gaz 8 July 2011 p 628

Form 21 Version 13 July 2011—Application for approval to conduct audit or provide verificationstatement

pubd gaz 8 July 2011 p 628Form 23 Version 11 July 2011—Application for consent for an association to register as a

cooperativepubd gaz 8 July 2011 p 628

Form 24 Version 11 July 2011—Application for transfer of incorporation of a cooperativepubd gaz 8 July 2011 p 628

Form 28 Version 1 December 2011—Application for authority to transfer an association’sincorporation (pubd gaz 16 December 2011 p 799)

Form 29 Version 1 December 2011—Application for authority to transfer a corporation’sincorporation from RECI Act (pubd gaz 16 December 2011 p 799)


BAIL ACT 1980


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BAIL ACT 1980

See forms pubd gazette 4 August 2000 pp 1217–8 and notified under the Supreme Court ofQueensland Act 1991

Form 1 Version 1—Statement of reasons for investigation into physical or mental condition ofdefendant

pubd gaz 24 August 2001 p 1517Form 2 Version 2—Grant of bail and release of a person from custody on the person making a

deposit of money as security for appearance before a courtpubd gaz 27 July 2007 p 1643

Form 3 Version 3—Notice to person granted bail and released from custody on the person making adeposit of money as security for appearance before a court

pubd gaz 3 October 2008 p 1588Form 4 Version 2—Notice of time and place of adjourned hearing where defendant does not appear

personally in accordance with bail granted on making deposit of money as security to appearbefore a court

pubd gaz 27 July 2007 p 1643Form 5 Version 2—Notice to person permitted to go at large without bail

pubd gaz 27 July 2007 p 1643Form 6 Version 1—Duplicate certificate of bail

pubd gaz 24 August 2001 p 1517Form 7 Version 3—Undertaking as to bail

pubd gaz 14 December 2007 p 2129Form 8 Version 3—Notice to defendant of undertaking as to bail

pubd gaz 19 December 2008 p 2172Form 9 Version 3—Undertaking as to bail following committal for trial or for sentence

pubd gaz 14 December 2007 p 2129Form 10 Version 3—Undertaking as to bail following grant of bail by Judge of the Supreme or

District Court or Court of Appealpubd gaz 14 December 2007 p 2129

Form 10A—Version 3—Undertaking as to bail following grant of bail by an order of the SupremeCourt prior to commencement of or during examination of witnesses

pubd gaz 14 December 2007 p 2129Form 10B Version 1—Undertaking Following Grant of Appeal Bail by Magistrate

pubd gaz 13 February 2004 p 602Form 11 Version 1—Affidavit of Justification

pubd gaz 24 August 2001 p 1517Form 12 Version 1—Warrant to apprehend defendant where surety gives false information

pubd gaz 24 August 2001 p 1517Form 14 Version 2—Warrant to apprehend defendant on application by surety for discharge from

liability with respect to undertaking as to bailpubd gaz 27 July 2007 p 1643

Form 14A Version 1—Warrant for apprehension of defendant for failing to enter into undertakingetc before leaving precincts of court

pubd gaz 28 May 2004 p 273Form 15 Version 1—Warrant to apprehend defendant who has not appeared in accordance with

undertakingpubd gaz 24 August 2001 p 1517

Form 16 Version 2—Warrant to apprehend defendant for failure to surrender into custodypubd gaz 27 July 2007 p 1643

Form 16A Version 1—Notice of Exercise of Power under section 29Apubd gaz 24 October 1997 p 782


BAIL ACT 1980


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Form 17 Version 2—Warrant of committal where bail has been revokedpubd gaz 27 July 2007 p 1643

Form 18A Version 1—Conditions as to release on Bailpubd gaz 1 December 2006 p 1584

Form 19 Version 1—Warrant to apprehend defendant on application for revocation or variation ofbail (s 30(3))

pubd gaz 24 August 2001 p 1517Form 20 Version 1—Warrant to apprehend defendant on application for revocation or variation of

bail (s 30(4))pubd gaz 24 August 2001 p 1517

Form 22 Version 2—Warrant committing a defendant who has failed to appear in accordance withhis undertaking

pubd gaz 27 July 2007 p 1643Form 23 Version 1—Release notice (by court)

pubd gaz 24 November 2000 p 1180Form 24 Version 1—Release notice (by police officer)

pubd gaz 24 November 2000 p 1180Form 25 Version 1—Warrant for apprehension of person released under section 11A

pubd gaz 24 November 2000 p 1180Form 26 Version 1—Warrant for apprehension of defendant for failing to enter into undertaking or

without fulfilling conditions as to bail before leaving precincts of courtpubd gaz 27 July 2007 p 1643

Form 27 Version 1—Order as to bail upon an application by a remote communication devicepubd gaz 30 November 2007 p 1821

Form 28 Version 1—Warrant for apprehension of defendant for failing to enter into undertaking orwithout fulfilling conditions as to bail before leaving presence of police officer

pubd gaz 30 November 2007 p 1821


BILLS OF SALE AND OTHER INSTRUMENTS ACT 1955


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BILLS OF SALE AND OTHER INSTRUMENTS ACT 1955

Form 1 Version 10 July 2011—Application to register a security interestpubd gaz 8 July 2011 p 628

Form 2 Version 9 July 2011—Application for discharge of a registered security interestpubd gaz 8 July 2011 p 628

Form 3 Version 9 July 2011—Application for partial discharge of a registered security interestpubd gaz 8 July 2011 p 628

Form 4 Version 9 July 2011—Application to change particulars of a registered security interestpubd gaz 8 July 2011 p 628

Form 5 Version 9 July 2011—Application for renewal of registration of a security interestpubd gaz 8 July 2011 p 628

Form 6 Version 9 July 2011—Application for assignment of a security interestpubd gaz 8 July 2011 p 628


BIRTHS, DEATHS AND MARRIAGES REGISTRATION ACT 2003


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BIRTHS, DEATHS AND MARRIAGES REGISTRATION ACT 2003

Form 1 Version 4—Birth registration applicationpubd gaz 14 May 2010 p 120

Form 3 APA Version 8—Application for Approvalpubd gaz 27 August 2010 p 1518

Form 4a Version 2— Change of name (adult over 18 years) applicationpubd gaz 15 May 2009 p 255

Form 4c Version 2—Change of name (child under 18 years) applicationpubd gaz 15 May 2009 p 255

Form 6 Version 2—Application to note a reassignment of sex in the birth register or adopted childrenregister

pubd gaz 14 May 2010 p 120Form 8 Version 4—Death registration application

pubd gaz 14 May 2010 p 120Form 13 Version 1—Application to register a parentage order or discharge order

pubd gaz 14 May 2010 p 120Form 14 Version 1—Application to add details of parentage after registration of birth

pubd gaz 14 May 2010 p 120


BODY CORPORATE AND COMMUNITY MANAGEMENT ACT 1997


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BODY CORPORATE AND COMMUNITY MANAGEMENT ACT 1997

Form 1 Version 8—Notice to body corporate of a contravention of a body corporate by-lawpubd gaz 26 August 2011 p 993

Form 2 Version 6—Notice of authorised signatories on body corporate financial institution accountpubd gaz 26 August 2011 p 993

Form 6 Version 7—Proxy form for body corporate general meetingspubd gaz 26 August 2011 p 993

Form 7 Version 8—Proxy form for committee meetingspubd gaz 26 August 2011 p 993

Form 13 Version 8—Body corporate information certificatepubd gaz 26 August 2011 p 993

Form 14 Version 10—Information sheet – body corporate informationpubd gaz 29 April 2011 p 719

Form 15 Version 8—Adjudication Application Formpubd gaz 19 June 2009 p 704

Form 16 Version 3—Certificate of dismissalpubd gaz 18 April 2008 p 2083

Form 17 Version 3—Notice of an adjudicator’s orderpubd gaz 18 April 2008 p 2083

Form 18 Version 7—Guidelines for the engagement of a body corporate manager to carry out thefunctions of a committee and its executive members

pubd gaz 26 August 2011 p 993Form 19 Version 6— The effect of a change in the regulation module applying to a scheme

pubd gaz 26 August 2011 p 993Form 20 Version 7—Explanatory note-proposal to amend

pubd gaz 26 August 2011 p 993Form 22 Version 3—Conciliation Application Form

pubd gaz 19 June 2009 p 704Form 23 Version 4—Application – Waiver of Application Fee

pubd gaz 19 June 2009 p 704Form CMS Version 3—First/New Community Management Statement

pubd gaz 23 March 2007 p 1248


BRANDS ACT 1915


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BRANDS ACT 1915

Form SO169.A01—Application for a Brand/Earmarkpubd gaz 16 February 2001 p 683

Form SO169.A02—Application to Transfer Brand/Earmarkpubd gaz 16 February 2001 p 683


BUILDING ACT 1975


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BUILDING ACT 1975

Form 9 Version 2.02/2008—Application to vary the Building Act 1975pubd gaz 1 August 2008 p 1989

Form 10 Version 1.08.2006—Building and Development Tribunals Appeal Noticepubd gaz 1 September 2006 p 20

Form 11 Version 2.02/2008—Certificate/Interim Certificate of Classificationpubd gaz 1 August 2008 p 1989

Form 12 Version 2—Statement of Classificationpubd gaz 7 November 2003 p 754

Form 13 Version 2.02/2008—Application for Certificate of Classification for a building or structurebuilt before 30 April 1998/Change of Classification

pubd gaz 1 August 2008 p 1989Form 14 Version 2—Certificate of Classification for a building or structure built before 1 April 1976

pubd gaz 7 November 2003 p 754Form 15 Version 2.02/2008—Compliance Certificate for building design or specification

pubd gaz 1 August 2008 p 1989Form 16 Version 3.11/2009—Inspection Certificate / Aspect Certificate / QBSA Licensee Aspect

Certificatepubd gaz 27 November 2009 p 998

Form 17 Version 3.11/2009—Final Inspection Certificate–swimming pools and swimming poolsafety barriers

pubd gaz 27 November 2009 p 998Form 18 Version 2.02/2008—Notice to the owner that a private certifier has been engaged

pubd gaz 1 August 2008 p 1989Form 19 Version 2.02/2008—Request for building information

pubd gaz 1 August 2008 p 1989Form 20 Version 2.02/2008—Lodgement of building work documentation

pubd gaz 1 August 2008 p 1989Form 21 Version 2.02/2008—Final Inspection Certificate

pubd gaz 1 August 2008 p 1989Form 22 Version 2.02/2008—Notice of discontinuance of engagement

pubd gaz 1 August 2008 p 1989Form 23 Version 1—Temporary Accommodation Buildings Checklist

pubd gaz 11 June 2010 p 458Form 23 Version 2—Pool Safety certificate

pubd gaz 21 October 2011 p 364Form 24 Version 2—Application or renewal for course approval

pubd gaz 21 October 2011 p 364Form 25—Approval or renewal of a pool safety course

pubd gaz 24 December 2010 p 1186Form 26 Version 3—Pool Safety nonconformity notice

pubd gaz 21 October 2011 p 364Form 27A Version 3—Licence application form

pubd gaz 21 October 2011 p 364Form 27B Version 2—Application for pool safety inspector licence – suitability declaration

pubd gaz 21 October 2011 p 364Form 28 Version 2—Application for pool safety standard exemption

pubd gaz 21 October 2011 p 364Form 35 Version 2—Mediation certificate

pubd gaz 21 October 2011 p 364


BUILDING ACT 1975


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Form 36 Version 2—Notice of no pool safety certificatepubd gaz 21 October 2011 p 364

Form 38 Version 1—Application – Pool Safety Management Planpubd gaz 30 September 2011 p 233

Application for an exemption Version 1—QDC Part 25: Water Saving Targetspubd gaz 15 December 2006 p 1861

Version 2—Sustainability declarationpubd gaz 5 February 2010 p 241

Version 3 August 2011—Sustainability declarationpubd gaz 14 October 2011 p 316

Version 2—Electronic Infringement noticepubd gaz 30 September 2011 p 233


BUILDING AND CONSTRUCTION INDUSTRY PAYMENTS ACT 2004


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BUILDING AND CONSTRUCTION INDUSTRY PAYMENTS ACT 2004

Form 1 Version 19—Application for Registration of an Adjudicator (pubd gaz 20 January 2012 p110)

Form 2 Version 20—Application for Registration of an Authorised Nominating Authority (pubd gaz20 January 2012 p 110)

Form 4 Version 5—Adjudicator Registration Renewal Noticepubd gaz 8 July 2011 p 630

Form 5 Version 5—Authorised Nominating Authority Registration Renewal Noticepubd gaz 8 July 2011 p 630

Form 10 Version 4—Notification and Payment Formpubd gaz 26 February 2010 p 463

Form BCI 13 Version 2—Worker Claim for Long Service Leave (pubd gaz 6 January 2012 p 20)


BUILDING AND CONSTRUCTION INDUSTRY (PORTABLE LONG SERVICE LEAVE) ACT 1991


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BUILDING AND CONSTRUCTION INDUSTRY (PORTABLE LONG SERVICE LEAVE) ACT 1991

Form 1—Notice of Appealpubd gaz 30 September 2005 p 387

Form 3 Version 1—Worker Membership Applicationpubd gaz 22 February 2008 p 847

Form 4 Version 1—Employer Registration Applicationpubd gaz 22 February 2008 p 847

Form 5—Worker Service Returnpubd gaz 30 September 2005 p 387

Form 10 Version 3—Notification and Payment Formpubd gaz 3 April 2009 p 1607

Form 11 Version 2—Application for Levy Refundpubd gaz 7 November 2008 p 1317

Form 13—Worker Claim for Long Service Leavepubd gaz 13 November 2009 p 823

Form 10 Version 5—Notification and Payment Formpubd gaz 19 August 2011 p 938

Form 13 Version 1—Worker Claim for Long Service Leavepubd gaz 26 August 2011 p 993


BUILDING UNITS AND GROUP TITLES ACT 1980


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BUILDING UNITS AND GROUP TITLES ACT 1980

Form BUGTA 12 Version 1—Notification of change of by-lawspubd gaz 16 July 2004 p 852

Form BUGTA 13 Version 1—Notification of allocation or transposition of special rights overcommon property subject of a section 30(7) by-law

pubd gaz 16 July 2004 p 852Form BUGTA 14 Version 1—Notification of change of address

pubd gaz 16 July 2004 p 852Form BUGTA 15 Version 1—Application for exemption

pubd gaz 16 July 2004 p 852Form BUGTA 16 Version 1—Section 48 statement

pubd gaz 16 July 2004 p 852Form BUGTA 17 Version 1—Inquiry concerning application or order



BUSINESS NAMES ACT 1962


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BUSINESS NAMES ACT 1962

Form 1 Version 20 July 2011—Application for registration of a business namepubd gaz 8 July 2011 p 628

Form 2 Version 6 2004—Application for Renewal of Registration of a Business Namepubd gaz 9 January 2004 p 61

Form 4 Version 15 July 2011—Statement of change in certain particularspubd gaz 8 July 2011 p 628

Form 5 Version 11 July 2011—Cessation of business under business namepubd gaz 8 July 2011 p 628


CASINO CONTROL ACT 1982


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CASINO CONTROL ACT 1982

Form 5 Version (September 1995)—Queensland Casino Licencepubd gaz 11 April 2008 p 1966

Form 6 Version (September 1995)—Application for Approval to Lease a Hotel-Casino Complex orCasino

pubd gaz 11 April 2008 p 1966Form 8 Version (August 2003)—Application for a Licence as Wagering Key Person, Keno

Employee, Casino Key Employee, Key Monitoring Employee, Interactive Key Person or LotteryKey Person

pubd gaz 11 April 2008 p 1966Form 9 Version (February 2007)—Application for a Casino Employee Licence

pubd gaz 11 April 2008 p 1966Form 10 Version (September 2004)—Certification of Training or Experience

pubd gaz 11 April 2008 p 1966Form 10A Version (September 2004)—Certification of Additional Training (Endorsement)

pubd gaz 11 April 2008 p 1966Form 11 Version (September 1995)—Notification of Ministers Decision to Grant or Refuse a Casino

Key Employee Licence or Casino Employee Licencepubd gaz 11 April 2008 p 1966

Form 12 Version (August 2001)—Casino Key Employee Licencepubd gaz 11 April 2008 p 1966

Form 13 Version (August 2001)—Casino Employee Licencepubd gaz 11 April 2008 p 1966

Form 14 Version (September 2004)—Notification of Commencement of Employmentpubd gaz 11 April 2008 p 1966

Form 15 Version (September 2004)—Notification of Termination or Cessation of Employmentpubd gaz 11 April 2008 p 1966

Form 16 Version (November 2004)—Provisional Casino Key Employee Licencepubd gaz 11 April 2008 p 1966

Form 17 Version (September 1995)—Provisional Casino Employee Licencepubd gaz 11 April 2008 p 1966

Form 19 Version (May 2005)—Casino Monthly Reportpubd gaz 11 April 2008 p 1966

Form 20 Version (September 2004)—Gaming Licensee Quarterly Reportpubd gaz 22 February 2008 p 847

Form 21 Version (September 1995)—Casino Annual Reportpubd gaz 11 April 2008 p 1966

Form 22 Version (September 1995)—Complaint to Ground a Warrant to Enter a Dwelling Housepubd gaz 11 April 2008 p 1966

Form 23 Version (September 1995)—Warrant to Enter a Dwelling Housepubd gaz 11 April 2008 p 1966

Form 24 Version (September 1995)—Certificate as to Agepubd gaz 11 April 2008 p 1966

Form 25 Version (February 2007)—Claim Review Requestpubd gaz 11 April 2008 p 1966


CHARITABLE AND NON-PROFIT GAMING ACT 1999


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CHARITABLE AND NON-PROFIT GAMING ACT 1999

Form 1A Version (August 2001)—Category 3 Gaming Licencepubd gaz 11 April 2008 p 1966

Form 1B Version (August 2001)—Lucky Envelope Printer Licencepubd gaz 11 April 2008 p 1966

Form 1C Version (August 2001)—Special Category 3 Gaming Licencepubd gaz 11 April 2008 p 1966

Form 1D Version (August 2001)—Bingo Centre Licencepubd gaz 11 April 2008 p 1966

Form 2A Version (August 2008)—Category 3 Gaming Licence Application/Renewalpubd gaz 26 September 2008 p 537

Form 2B Version (December 2003)—Lucky Envelope Printer Licence Applicationpubd gaz 22 February 2008 p 848

Form 2C Version (December 2004)—Special Category 3 Gaming Licence Applicationpubd gaz 22 February 2008 p 848

Form 2D Version (January 2005)—Bingo Centre Licence Applicationpubd gaz 22 February 2008 p 848

Form 3A Version (October 2000)—Financial Return for Category 3 Gamepubd gaz 11 April 2008 p 1966

Form 3B Version (February 2000)—Financial Return for Special Category 3 Art Unionpubd gaz 11 April 2008 p 1966

Form 3C Version (February 2000)—Financial Return for Category 3 Calcutta Sweeppubd gaz 11 April 2008 p 1966

Form 4 Version (December 2003)—Returns for Other Gamespubd gaz 11 April 2008 p 1966

Form 5A Version (September 2004)—Lucky Envelope Printer Licence Returnpubd gaz 11 April 2008 p 1966

Form 5B Version (September 2004)—Bingo Centre Licence Activity Statementpubd gaz 11 April 2008 p 1966


CHEMICAL USAGE (AGRICULTURAL AND VETERINARY) CONTROL ACT 1988


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CHEMICAL USAGE (AGRICULTURAL AND VETERINARY) CONTROL ACT 1988

Form FDU1527 Version 1—Seizure Receiptpubd gaz 15 June 2007 p 889


CHILD CARE ACT 2002


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CHILD CARE ACT 2002

Form 1 Version 1—Application for a new licence – centre based service


Form 1a Version 1—Application for a new licence – home based service


Form 2 Version 4—Licensing Information for a Home Based Service


Form 3 Version 4—Licensing Information for a Centre Based Service


Form 6 Version 4—Application for a Renewal of a Licence


Form 6a Version 1—Application for a renewal of licence – centre based service


Form 6b Version 1—Application for a renewal of licence – home based service


Form 7 Version 1—Application for an amendment to a licence


Form 10 Version 3—Application for Transfer of a Licence


Form 10a Version 1—Application for transfer of a licence – centre based service


Form 10b Version 1—Application for transfer of a licence – home based service


From 16 Version 1—Application to lift the suspension of licence


Form 20 Version 1—Application for determination of qualifications


Form 21 Version 1—Application for an alternative solution


Form 23 Version 1—Application to cancel prohibition notice


Form 25 Version 1—Reporting of harm or suspected harm


Form 26 Version 1—Application for register information


Form 27a Version 1—Reporting of serious injury


Form 27 Version 3—Reporting of Serious Injury or Death


Form 27b Version 1—Reporting of death



CHILD EMPLOYMENT ACT 2006


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CHILD EMPLOYMENT ACT 2006

Form 1 Version 3—Parent’s Consent Formpubd gaz 5 October 2007 p 720

Form 1 Version 3—Infringement noticepubd gaz 6 November 2009 p 726


CHILD PROTECTION ACT 1999


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Form 1 Version 1—Case Plan (pubd gaz 20 March 2008 p 1595)Form 1 LCS Version 315_17 5 2010—Application for a New/Renewal Care Service Licence (pubd

gaz 3 September 2010 p 59)Form 1 Version 4—Application for a Temporary Assessment Order (pubd gaz 2 September 2011 p

41)Form 1 CA Version 2—Care Agreement (pubd gaz 2 March 2007 p 977)Form 1 CCC Version 4—Change in Carer Circumstances (sections 132, 134, 135, 136B, 137,

141E-141G and 142A-142D) (pubd gaz 25 November 2011 p 601)Form 2 Version 3—Application to extend and/or vary a temporary assessment order (pubd gaz 9

February 2007 p 647)Form 2 LCS Version 2—Licensing of Care Services–Application for Personal History Check (pubd

gaz 16 September 2005 p 220)Form 3 APA Version 9—Application for Approval (pubd gaz 6 May 2011 p 38)Form 5 Version 3—Application for a court assessment order (pubd gaz 9 February 2007 p 647)Form 5 LCS Version 2.0—Licence for a care service–multiple premises (pubd gaz 3 September

2010 p 59)Form 5 LCS Version 2.0—Licence for a care service–recruit/train/assess/support (pubd gaz 3

September 2010 p 59)Form 5 LCS Version 2.0—Licence for a care service–recruit/train/support/additional (pubd gaz 3

September 2010 p 59)Form 5 LCS Version 2.0—Licence for a care service–residential (pubd gaz 3 September 2010 p 59)Form 6 Version 3—Application to extend/vary/revoke a court assessment order (pubd gaz 9

February 2007 p 647)Form 6 LCS Version 2_2 7 10 (2)—Change in Personal Circumstances (pubd gaz 3 September 2010

p 59)Form 8 LCS Version 2 0 (2)—Request for Records (pubd gaz 3 September 2010 p 59)Form 9 Version 2—Adjournment of proceeding for a court assessment order (pubd gaz 5 December

2003 p 1103)Form 10 Version 3—Application for a child protection order (pubd gaz 9 February 2007 p 647)Form 11 Version 3—Application to extend/vary/revoke a child protection order (pubd gaz 9

February 2007 p 647)Form 12 Version 3—Application to revoke a child protection order and make another child

protection order (pubd gaz 9 February 2007 p 647)Form 16 Version 3—Adjournment of proceeding for a child protection order (pubd gaz 9 February

2007 p 647)Form 17 Version 4—Aboriginal and Torres Strait Islander Recognised Entity (pubd gaz 26 August

2011 p 993)Form 18 Version 2—Report of a family meeting (pubd gaz 5 December 2003 p 1103)Form 19 Version 2—Notice of court ordered conference (pubd gaz 5 December 2003 p 1103)Form 20 Version 2—Report of court ordered conference (pubd gaz 5 December 2003 p 1103)Form 21 Version 2—Notice to parties (following court ordered conference) (pubd gaz 5 December

2003 p 1103)Form 27 Version 2—Application for warrant for apprehension of a child (pubd gaz 5 December

2003 p 1103)Form 28 Version 3—Warrant for apprehension of a Child (pubd gaz 26 August 2011 p 993)Form 30 Version 1—Application for order to transfer a child protection order interstate (pubd gaz 13

July 2001 p 1033)Form 31 Version 2—Order for the interstate transfer of child protection order/s (pubd gaz 5

December 2003 p 1103)Form 32 Version 1—Application for order to transfer a child protection proceeding interstate (pubd




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gaz 13 July 2001 p 1033)Form 33 Version 2—Adjournment of proceeding for an order to transfer a child protection order

interstate (pubd gaz 5 December 2003 p 1103)Form 34 Version 2—Order for the interstate transfer of child protection proceedings (pubd gaz 5

December 2003 p 1103)Form 35 Version 1—Application to revoke the registration of a transferred child protection

order/proceeding (pubd gaz 13 July 2001 p 1033)Form 36 Version 2—Revocation of registration of transferred child protection order/proceeding

(pubd gaz 5 December 2003 p 1103)Form 37 Version 1—Filing of order to transfer an interstate child protection order to Queensland for

registration (pubd gaz 13 July 2001 p 1033)Form 38 Version 1—Filing of order to transfer an interstate child protection proceeding to

Queensland for registration (pubd gaz 13 July 2001 p 1033)Form 39 Version 1—Application for a Temporary Custody Order (pubd gaz 2 September 2011 p 41)Form 41 Version 1—Application to Vary/Revoke/Extend a Temporary Custody Order (pubd gaz 2

September 2011 p 41)Form 49 Version 1—Application for Transition Order (pubd gaz 26 August 2011 p 993)


CHILD PROTECTION (OFFENDER PROHIBITION ORDER) ACT 2008


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CHILD PROTECTION (OFFENDER PROHIBITION ORDER) ACT 2008

Form 1 Version 1—Application for Offender Prohibition Orderpubd gaz 30 October 2009 p 655

Form 2 Version 1—Appearance Noticepubd gaz 30 October 2009 p 655

Form 3 Version 1—Appearance Notice (Corresponding Order)pubd gaz 30 October 2009 p 655

Form 4 Version 1—Application for a Temporary (Offender Prohibition) Orderpubd gaz 30 October 2009 p 655

Form 5 Version 1—Notice to Respondent—Application for a Temporary (Offender Prohibition)Order

pubd gaz 30 October 2009 p 655Form 6 Version 1—Application for the Registration of a Corresponding Order



CHILDRENS COURT ACT 1992


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Form 1 Version 2—Application for a temporary assessment orderpubd gaz 23 March 2007 p 1364

Form 2 Version 2—Application to extend and/or vary a temporary assessment orderpubd gaz 23 March 2007 p 1364

Form 3 Version 1—Temporary assessment orderpubd gaz 14 April 2000 p 1391

Form 4 Version 1—Temporary assessment order–extension / variationpubd gaz 14 April 2000 p 1391

Form 5 Version 2—Application for a court assessment orderpubd gaz 23 March 2007 p 1364

Form 6 Version 2—Application to extend/ vary/ revoke a court assessment orderpubd gaz 23 March 2007 p 1364

Form 7 Version 1—Court assessment orderpubd gaz 14 April 2000 p 1391

Form 8 Version 1—Court assessment order–extension / variation / revocationpubd gaz 14 April 2000 p 1391

Form 9 Version 1—Adjournment of proceeding for a court assessment orderpubd gaz 14 April 2000 p 1391

Form 10 Version 4—Application for a child protection orderpubd gaz 23 March 2007 p 1364

Form 11 Version 2—Application to extend/ vary/ revoke a child protection orderpubd gaz 23 March 2007 p 1364

Form 12 Version 2—Application to revoke a child protection order and make another childprotection order

pubd gaz 23 March 2007 p 1364Form 13 Version 1—Child protection order

pubd gaz 14 April 2000 p 1391Form 14 Version 1—Child protection order–extension / variation / revocation

pubd gaz 14 April 2000 p 1391Form 15 Version 1—Child protection order made in place of revoked order

pubd gaz 14 April 2000 p 1391Form 16 Version 2—Adjournment of proceeding for a child protection order

pubd gaz 23 March 2007 p 1364Form 17 Version 4—Aboriginal and Torres Strait Islander Recognised Entity

pubd gaz 26 August 2011 p 993Form 18 Version 1—Report of a family meeting

pubd gaz 14 April 2000 p 1391Form 19 Version 1—Notice of court ordered conference

pubd gaz 14 April 2000 p 1391Form 20 Version 1—Report of court ordered conference

pubd gaz 14 April 2000 p 1391Form 21 Version 1—Notice to parties (following court ordered conference)

pubd gaz 14 April 2000 p 1391Form 22 Version 1—Affidavit of service

pubd gaz 14 April 2000 p 1391Form 23 Version 1—Request for subpoena

pubd gaz 14 April 2000 p 1391Form 24 Version 1—Subpoena

pubd gaz 14 April 2000 p 1391




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Form 25 Version 1—Affidavitpubd gaz 14 April 2000 p 1391

Form 26 Version 1—Certificate of exhibitpubd gaz 14 April 2000 p 1391

Form 27 Version 1—Application for warrant for apprehension of a childpubd gaz 14 April 2000 p 1391

Form 28 Version 3—Warrant for apprehension of a Childpubd gaz 26 August 2011 p 993

Form 29—Order for separate legal representation of childpubd gaz 14 April 2000 p 1391

Form 49 Version 1—Application for Transition Orderpubd gaz 26 August 2011 p 993


CITY OF BRISBANE ACT 2010


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CITY OF BRISBANE ACT 2010

Form 1 Version 2—Application – Warrant to enterpubd gaz 13 August 2010 p 1359

Form 2 Version 2—Application – Court order to enterpubd gaz 13 August 2010 p 1359

Form 3 Version January 2012—Register of interests of a councillor and their related persons (pubdgaz 23 December 2011 p 926)

Form 4 Version January 2012—Register of interests of a chief executive officer or senior contractemployee and their related persons (pubd gaz 23 December 2011 p 926)


COLLECTIONS ACT 1966


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COLLECTIONS ACT 1966

Form 1 Version 10 July 2011—Application for registrationpubd gaz 8 July 2011 p 628

Form 2 Version 12—Certificate of Registration as a Charitypubd gaz 6 May 2011 p 38

Form 3 Version 10 July 2011—Objection to registrationpubd gaz 8 July 2011 p 628

Form 4 Version 10 July 2011—Application for removalpubd gaz 8 July 2011 p 628

Form 5 Version 10 July 2011—Application for sanctionpubd gaz 8 July 2011 p 628

Form 6A Version 12—Certificate of Sanction for an Indefinite Termpubd gaz 6 May 2011 p 38

Form 6B Version 12—Certificate of Limited Term Sanction for Community Purpose Associationpubd gaz 6 May 2011 p 38

Form 6C Version 12—Certificate of Sanction for a Limited Termpubd gaz 6 May 2011 p 38

Form 7 Version 7 July 2011—Authority to collect for an associationpubd gaz 8 July 2011 p 628

Form 8 Version 10 July 2011—Application to have a day assigned for a door-to-door appeal or astreet collection

pubd gaz 8 July 2011 p 628Form 20 Version 6 July 2011—Annual return for charity or sanction



COMMISSION FOR CHILDREN AND YOUNG PEOPLE AND CHILD GUARDIAN ACT 2000


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Form CCYPCG 04-130 Version 2—Volunteer blue card renewal form (V renewal)pubd gaz 2 March 2007 p 978

Form CCYPCG 04-138 Version 2—Volunteer blue card application form (V)pubd gaz 2 March 2007 p 978

Form CCYPCG 04-139 Version 2—Paid employee blue card application form (P)pubd gaz 2 March 2007 p 978

Form CCYPCG 04-140 Version 2—Paid employee blue card renewal form (P renewal)pubd gaz 2 March 2007 p 978

Form CCYPCG 04-141 Version 2—Person carrying on a business blue card application form (B)pubd gaz 2 March 2007 p 978

Form CCYPCG 04-142 Version 2—Person carrying on a business blue card renewal form(B renewal)

pubd gaz 2 March 2007 p 978Form CCYPCG 05-148 Version 2—Student blue card application form (S)

pubd gaz 2 March 2007 p 978Form CCYPCG 05-158 Version 2—Student blue card renewal form (S renewal)

pubd gaz 2 March 2007 p 978Form CCYPCG 06-231 Version 2—Volunteer foster/kinship carer or adult member blue card

application form (VC)pubd gaz 2 March 2007 p 979

Form CCYPCG 06-232 Version 2—Nominee or director of a licensed care service blue cardapplication form (LCS/B)

pubd gaz 2 March 2007 p 979Form CCYPCG 06-238 Version 2—Paid employee of a licensed care service blue card application

form (LCS/P)pubd gaz 2 March 2007 p 979

Form CCYPCG 06-267 Version 1—Family day carer blue card form (FDC carer)pubd gaz 2 March 2007 p 978

Form CCYPCG 06-268 Version 1—Adult occupant blue card application form (FDC occupant)pubd gaz 2 March 2007 p 978

Form CCYPCG 06-298 Version 1—Family day carer blue card renewal form (FDC carer renewal)pubd gaz 2 March 2007 p 978

Form CCYPCG 06-299 Version 1—Adult occupant blue card renewal form (FDC occupant renewal)pubd gaz 2 March 2007 p 978

Form CCYPCG 11-669 004 June 11 Version 1—Paid employee blue card application form (P)pubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 001 June 11 Version 1—Student blue card application form (S)pubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 003 June 11 Version 1—Volunteer blue card application form (V)pubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 002 June 11 Version 2—Person carrying on a business blue card applicationform (B)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 005 June 11 Version 1—Paid child care employee blue card application

form (CCP)pubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 007 June 11 Version 1—Volunteer child care employee blue cardapplication form (CCV)





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Form CCYPCG 11-669 006 June 11 Version 1—Person carrying on a child care business blue cardform (CCB)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 014 June 11 Version 1—Family day carer blue card form (FDC carer)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 013 June 11 Version 1—Adult occupant blue card application form (FDC

occupant/Stand Alone care occupant)pubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 015 June 11 Version 1—Disability services blue card application form (DS)pubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 032 June 11 Version 1—Disability Services business blue card applicationform (DSB)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 012 June 11 Version 1—Blue card application and request for yellow card

exemption form (Y)pubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 012 YC DoC July 11 Version 1—Blue card application and request foryellow card exemption form for Department of Communities (YC)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 016 Version 1—Exemption card application form (E)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 017 June 11 Version 1—Exemption card business application form (EB)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 011 Version 1—Government paid employee blue card application form (G)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 031 June 11 Version 1—Authorisation to confirm a valid card/application

formpubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 026 v1 Version 1—Eligibility Declaration application form (ELG)pubd gaz 14 October 2011 p 316

Form CCYPCG 06-281 June 10 Version 1.3—Notification of change for self-employed personspubd gaz 14 October 2011 p 316

Form CCYPCG 11-669 027 Version 1—Request to cancel a negative notice/negative exemptionnotice

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 033 June 11 Version 1—Notification – change in police information

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 018 June 11 Version 1—Card/notice letter lost or stolen

pubd gaz 14 October 2011 p 316Form CCYPCG 06-245 June 10 Version 1.2—Change in contact details

pubd gaz 14 October 2011 p 316Form CCYPCG 11-996 019 June 11 Version 1—Change in name

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 024 June 11 Version 1—Volunteer to paid employment transfer form

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 023 June 11 Version 1—Volunteer to business transfer form

pubd gaz 14 October 2011 p 316Form CCYPCG 06-280 June 10 Version 1.4—Notification - no longer in regulated employment

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 020 June 11 Version 1—Request to cancel card





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Form CCYPCG 11-669 009 July 11 Version 1—Volunteer foster/kinship carer or adult member bluecard application form (VC)

pubd gaz 14 October 2011 p 316Form CCYPCG 11-669 009 VC-E July 11 Version 1—Volunteer foster/kinship carer or adult

member exemption card application form (VC/E)pubd gaz 14 October 2011 p 317

Form CCYPCG 11-669 008 Version 1—Paid employee of a licensed care service blue cardapplication form (LCS/P)

pubd gaz 14 October 2011 p 317Form CCYPCG 11-669 008 LCS/P/E July 11 Version 1—Paid employee of a licensed care service

exemption card application form (LCS/P/E)pubd gaz 14 October 2011 p 317

Form CCYPCG 11-699 010 Version 1—Nominee or director of a licensed care service blue cardapplication form (LCS/B)

pubd gaz 14 October 2011 p 317Form CCYPCG 11-699 010 LCS/B/E July 11 Version 1—Nominee or director of a licensed care

service exemption card application form (LCS/B/E)pubd gaz 14 October 2011 p 317

Version 2—Notice (Section 122(7) and 122A(5))pubd gaz 2 March 2007 p 979


COMMUNITY SERVICES ACT 2007


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COMMUNITY SERVICES ACT 2007

Form ASP1-1 Version 1—Application for Approval – Approved Service Provider (application by aservice provider to become approved as eligible to receive assistance to provide communityservices)

pubd gaz 28 March 2008 p 1720Form ASP1-2 Version 1—Notice of Change – Approved Service Provider (form to be completed by

an approved service provider for reporting changes under the Community Services Act 2007)pubd gaz 28 March 2008 p 1720

Form ASP1-3 Version 1—Application for Cancellation of Approval (form to be used by a serviceprovider seeking cancellation of its approval as an approved service provider)

pubd gaz 28 March 2008 p 1720Form ASP1-4 Version 1—Application for Review (form to be used when seeking a review of a

decision under the Community Services Act 2007)pubd gaz 28 March 2008 p 1720

Form CSACHS 1.1 Version 1—Request for national criminal history checkpubd gaz 28 March 2008 p 1720

Form CSACHS 2.1 Version 1—Criminal History Disclosure/Change (for use by a person engages orseeking to be engages by the Department of Communities for the disclosure of or change incriminal history)



CONTRACT CLEANING INDUSTRY (PORTABLE LONG SERVICE LEAVE) ACT 2005


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CONTRACT CLEANING INDUSTRY (PORTABLE LONG SERVICE LEAVE) ACT 2005

Form 1 Version 2—Worker Applicationpubd gaz 1 May 2009 p 98

Form 2 Version 2—Employer Applicationpubd gaz 12 September 2008 p 279

Form 3 Version 1—Retrospective Service Applicationpubd gaz 30 September 2005 p 388

Form 4 Version 3—Employer Returnpubd gaz 11 March 2011 p 407

Form 5 Version 1—Reconsideration Applicationpubd gaz 30 September 2005 p 388

Form 6 Version 2—Employer Claimpubd gaz 13 August 2010 p 1358

Form 7 Version 3—Worker Claim for Long Service Leavepubd gaz 13 August 2010 p 1358

Form CCI 5 Version 2—Reconsideration Application (pubd gaz 6 January 2012 p 20)Form CCI 7 Version 4—Worker Claim for Long Service Leave (pubd gaz 6 January 2012 p 20)


COOPERATIVES ACT 1997


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Form 1 Version 13 July 2011—Application for Approval of a Draft Disclosure Statement for aProposed Trading Cooperative

pubd gaz 8 July 2011 p 628Form 2 Version 13 July 2011—Application for Approval of Proposed Rules for a Cooperative

pubd gaz 8 July 2011 p 628Form 3 Version 7 July 2011—Application for Registration of a Cooperative

pubd gaz 8 July 2011 p 629Form 3A Version 7 July 2011—Statement Listing Directors’ Details

pubd gaz 8 July 2011 p 629Form 4 Version 7 July 2011—Application for Registration as a Cooperative by an existing

Corporationpubd gaz 8 July 2011 p 629

Form 4A Version 7 July 2011—Report as to the Affairs of the Corporationpubd gaz 8 July 2011 p 629

Form 5a Version 11 July 2011—Application for Approval of Proposed Alteration of the Rulespubd gaz 8 July 2011 p 628

Form 6 Version 7 July 2011—Application for Registration of Alteration of Rulespubd gaz 8 July 2011 p 629

Form 6A Version 7 July 2011—Statutory Declaration in Support of an Alteration of Rulespubd gaz 8 July 2011 p 629

Form 7 Version 13 July 2011—Application or Request to Registrarpubd gaz 8 July 2011 p 628

Form 9 Version 13 July 2011—Annual Reportpubd gaz 8 July 2011 p 628

Form 10 Version 13 July 2011—Notice of Change of Registered Officepubd gaz 8 July 2011 p 628

Form 11 Version 8 July 2011—Application for Registration of a Special Resolutionpubd gaz 8 July 2011 p 629

Form 11A Version 7 July 2011—Statutory Declaration in Support of Special Resolutionpubd gaz 8 July 2011 p 629

Form 12 Version 7 July 2011—Application to Extend Period of Operationpubd gaz 8 July 2011 p 629

Form 13 Version 7 July 2011—Notice of Voting Interestpubd gaz 8 July 2011 p 629

Form 14 Version 13 July 2011—Notice of Appointment or Cessation of Appointment of Directorsand Officers

pubd gaz 8 July 2011 p 628Form 15 Version 13 July 2011—Application for Extension or Abridgement of Time

pubd gaz 8 July 2011 p 628Form 16 Version 8 July 2011—Application for Approval of Draft Disclosure Statement

pubd gaz 8 July 2011 p 628Form 17 Version 7 July 2011—Notice of Substantial Share Interest

pubd gaz 8 July 2011 p 629Form 18 Version 7 July 2011—Notice of Substantial Change in a Substantial Share Interest

pubd gaz 8 July 2011 p 629Form 19 Version 7 July 2011—Notice of Cessation of a Substantial Share Interest

pubd gaz 8 July 2011 p 629Form 20 Version 13 July 2011—Notification of Details of a Charge





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Form 21 Version 13 July 2011—Notification of Assignment or Change to Details of a Chargepubd gaz 8 July 2011 p 628

Form 22 Version 13 July 2011—Notification of Discharge or Release of Property from a Chargepubd gaz 8 July 2011 p 628

Form 23 Version 3 July 2011—Application for Registrar’s Approval of Eligibility in accord withsection 232 of the Act

pubd gaz 8 July 2011 p 629Form 24 Version 7 July 2011—Notification of resignation removal or cessation of auditor

pubd gaz 8 July 2011 p 629Form 25 Version 8 July 2011—Application for Consent to Resign as Auditor

pubd gaz 8 July 2011 p 628Form 26 Version 8 July 2011—Return of Members of Firm of Auditors

pubd gaz 8 July 2011 p 629Form 27 Version 7 July 2011—Application for Approval of Draft Disclosure Statement

pubd gaz 8 July 2011 p 629Form 27A Version 6 July 2011—Application for Approval of Draft Disclosure Statement for an

issue of Debenturespubd gaz 8 July 2011 p 629

Form 28 Version 6 July 2011—Application for Approval of a Transfer of Engagements between twoor more Queensland Cooperatives

pubd gaz 8 July 2011 p 629Form 28A Version 6 July 2011—Application for Approval of a Transfer of Engagements between a

Queensland Cooperative and a Foreign Cooperative where the Transferee Cooperative is aParticipating Cooperative

pubd gaz 8 July 2011 p 629Form 28B Version 6 July 2011—Application for Approval of a Transfer of Engagements between a

Queensland Cooperative and a Foreign Cooperative where the Transferee Cooperative is aQueensland Cooperative

pubd gaz 8 July 2011 p 629Form 29 Version 6 July 2011—Application for Approval of a Merger between two or more

Queensland Cooperativespubd gaz 8 July 2011 p 629

Form 29A Version 6 July 2011—Application for Approval of a Merger between a QueenslandCooperative and a Foreign Cooperative where the Merged Cooperative is a ParticipatingCooperative

pubd gaz 8 July 2011 p 629Form 29B Version 6 July 2011—Application for Approval of a Merger between a Queensland

Cooperative and a Foreign Cooperative where the Merged Cooperative is a QueenslandCooperative

pubd gaz 8 July 2011 p 629Form 30 Version 7 July 2011—Application for Registration of a Participating Cooperative as a

Foreign Cooperativepubd gaz 8 July 2011 p 630

Form 31 Version 7 July 2011—Application for Registration of a Non-Participating Cooperative as aForeign Cooperative

pubd gaz 8 July 2011 p 630Form 32 Version 7 July 2011—Notification of Changes Relating to a Foreign Cooperative

pubd gaz 8 July 2011 p 630Form 33 Version 7 July 2011—Notification of Cessation of Business

pubd gaz 8 July 2011 p 630Form 34 Version 5 July 2011—Application for Voluntary Deregistration of a Cooperative





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Form 35 Version 6 July 2011—Application for Exemption under Actpubd gaz 8 July 2011 p 630

Form 36 Version 6 July 2011—Application for Approval of Draft Disclosure Statement for a Mergerbetween two or more Queensland Cooperatives

pubd gaz 8 July 2011 p 630Form 37 Version 6 July 2011—Application for Approval of Draft Disclosure Statement for a Merger

between a Queensland Cooperative and a Foreign Cooperativepubd gaz 8 July 2011 p 630

Form 38 Version 6 July 2011—Application for Approval of Draft Disclosure Statement for aTransfer of Engagements between two or more Queensland Cooperatives

pubd gaz 8 July 2011 p 630Form 39 Version 6 July 2011—Application for Approval of Draft Disclosure Statement for a

Transfer of Engagements between a Queensland Cooperative and a Foreign Cooperativepubd gaz 8 July 2011 p 630

Form 40 Version 7 July 2011—Compulsory Acquisition Noticepubd gaz 8 July 2011 p 630

Form 41 Version 7 July 2011—Notice To Remaining Shareholderspubd gaz 8 July 2011 p 630

Form 42 Version 6 July 2011—Report as to Affairspubd gaz 8 July 2011 p 630

Form 42A Version 7 July 2011—Statement Verifying Reportpubd gaz 8 July 2011 p 630

Form 43 Version 7 July 2011—Application for Approval of Explanatory Statementpubd gaz 8 July 2011 p 630

Form 44 Version 7 July 2011—Notification of Appointment or Cessation as an ExternalAdministrator

pubd gaz 8 July 2011 p 630Form 45 Version 7 July 2011—Notification of Address relating to Accounting Statements and

Records kept outside the Statepubd gaz 8 July 2011 p 630

Form 46 Version 7 July 2011—Notification of Address at which Register is keptpubd gaz 8 July 2011 p 630

Form 47 Version 7 July 2011—Notification of Further Issue of Debentures in a Seriespubd gaz 8 July 2011 p 630

Form 50 Version 7 July 2011—Inspector's Notice to Involved Personpubd gaz 8 July 2011 p 630

Form 51 Version 7 July 2011—Inspector's Notice to Involved Personpubd gaz 8 July 2011 p 630

Form 52 Version 7 July 2011—Notification that a person has been appointed controller/entered intopossession etc

pubd gaz 8 July 2011 p 630Form 53 Version 7 July 2011—Notification of Change of Address of an External Administrator

pubd gaz 8 July 2011 p 630Form 54 Version 7 July 2011—Presentation of Accounts by Scheme Administrator or Controller

pubd gaz 8 July 2011 p 630Form 55 Version 7 July 2011—Notice of Controller's Intention not to Exercise Property Rights

pubd gaz 8 July 2011 p 630Form 56 Version 7 July 2011—Notification of Information Supplementary to a Form or Document

Previously Filedpubd gaz 8 July 2011 p 630


CORONERS ACT 2003


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CORONERS ACT 2003

Form 1 Version 7—Police Report of Death to Coronerpubd gaz 12 March 2010 p 599

Form 1A Version 6—Medical practitioner report of death to coronerpubd gaz 1 July 2011 p 585

Form 1B Version 1—Police Report of Death to a Coroner (Disaster Victim Identification Squad UseONLY)

pubd gaz 23 July 2010 p 1195Form 1B Supplementary Version 1—Human Remains Recovery Record (Disaster Victim

Identification Squad Use ONLY)pubd gaz 23 July 2010 p 1195

Form 2 Version 3—Order for Autopsy and Autopsy Testingpubd gaz 23 October 2009 p 586

Form 3 Version 4—Doctor’s notice to coroner after autopsypubd gaz 1 July 2011 p 585

Form 4 Version 1—Order Allowing Person to Observe Autopsypubd gaz 21 November 2003 pp 955–6

Form 5 Version 2—Notice Requiring Extra Medical Evidence for Autopsypubd gaz 23 October 2009 p 586

Form 6 Version 2—Order for Disposal of Tissue Kept for Testingpubd gaz 23 October 2009 p 586

Form 7 Version 2—Statement that Coroner has Ordered Disposal of Tissuepubd gaz 23 October 2009 p 586

Form 8 Version 1—Autopsy Reportpubd gaz 21 November 2003 pp 955–6

Form 9 Version 1—Notice of Intention to Exhume Body or Recover Cremated Remainspubd gaz 21 November 2003 pp 955–6

Form 10 Version 1—Order for Exhuming Body or Recovering Cremated Remainspubd gaz 21 November 2003 pp 955–6

Form 11 Version 1—Order for Return of Exhumed Body or Cremated Remainspubd gaz 21 November 2003 pp 955–6

Form 12 Version 2— Order for Release of Traditional Remainspubd gaz 23 October 2009 p 586

Form 13 Version 2—Order for Release of Body to Other Jurisdictionpubd gaz 23 October 2009 p 586

Form 14 Version 3—Order for Release of Body for Burial (Including Cremation)pubd gaz 23 October 2009 p 587

Form 15 Version 2—Application to Coroner to Hold an Inquestpubd gaz 23 October 2009 p 587

Form 16 Version 2—Application to the State Coroner for an Order to Hold an Inquestpubd gaz 23 October 2009 p 587

Form 17 Version 1—Coroners Court Notice of Inquestpubd gaz 21 November 2003 pp 955–6

Form 18 Version 3—Coroners Court Order to Produce / Order to Attend Inquestpubd gaz 9 April 2009 p 1685

Form 19 Version 1—Coroners Court Warrant to Arrest Person Ordered to Attend Inquestpubd gaz 21 November 2003 pp 955–6

Form 20A Version 2—Coroner’s findings and notice of completion of coronial investigationpubd gaz 23 October 2009 p 587


CORONERS ACT 2003


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Form 20B Version 2—Coroner’s findings – suspected death and notice of completion of coronialinvestigation

pubd gaz 23 October 2009 p 587Form 21 Version 1—Application to the State Coroner to Set Aside a Finding

pubd gaz 21 November 2003 pp 955–6Form 22 Version 3—Order Prohibiting Publication Relating to an Inquest or Pre-Inquest Conference

pubd gaz 23 October 2009 p 587Form 23 Version 2—Coroners Court Order Excluding Person from Inquest or Pre-Inquest

Conferencepubd gaz 23 October 2009 p 587

Form 24 Version 2—Coroners Court Order to Attend Pre-Inquest Conferencepubd gaz 23 October 2009 p 587

Form 25 Version 3—Requirement by Coroner for Informationpubd gaz 23 October 2009 p 587

Form 26 Version 1—Decision by Coroner whether to Hold an Inquestpubd gaz 21 November 2003 pp 955–6

Form 27 Version 1—Advice to Doctor whether Death a Reportable Deathpubd gaz 21 November 2003 pp 955–6

Form 28A Version 2—Coroner’s findings at inquest and notice of completion of coronialinvestigation

pubd gaz 23 October 2009 p 587Form 28B Version 2—Coroner’s findings at inquest – suspected death and notice of completion of

coronial investigationpubd gaz 23 October 2009 p 587


CORRECTIVE SERVICES ACT 2006


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Form 1 Version 1—Authority To Admit Sentenced Person To A Corrective Services Facilitypubd gaz 25 August 2006 pp 1981–2

Form 2 Version 2—Application by prisoner to have child accommodated in a corrective servicesfacility

pubd gaz 26 February 2010 p 463Form 3 Version 2—Notice of intent to marry

pubd gaz 26 February 2010 p 463Form 4 Version 3—Application to change name

pubd gaz 26 February 2010 p 463Form 5 Version 1—Safety Order

pubd gaz 25 August 2006 pp 1981–2Form 7 Version 1—Maximum Security Order

pubd gaz 25 August 2006 pp 1981–2Form 8 Version 1—Order For Amendment/ Cancellation Of Maximum Security Order

pubd gaz 25 August 2006 pp 1981–2Form 9 Version 2—Order for Transfer of a Prisoner

pubd gaz 7 November 2008 p 1317Form 10 Version 1—Instrument Ordering Chief Executive To Produce Prisoner

pubd gaz 25 August 2006 pp 1981–2Form 11 Version 2—Order for Transfer of Prisoner to Attend Court

pubd gaz 7 November 2008 p 1317Form 12 Version 1—Application For Removal Of A Prisoner From A Corrective Services Facility

For Law Enforcement Purposespubd gaz 25 August 2006 pp 1981–2

Form 12(a) Version 1—Approval For Removal Of A Prisoner From A Corrective Services FacilityFor Law Enforcement Purposes

pubd gaz 25 August 2006 pp 1981–2Form 13 Version 3—Work Order

pubd gaz 22 October 2010 p 473Form 14 Version 1—Order For Amendment/Cancellation Of Work Order

pubd gaz 25 August 2006 pp 1981–2Form 15 Version 1—Instrument Extending Grant Of Work Order

pubd gaz 25 August 2006 pp 1981–2Form 15(a) Version 1—Notice Of Amendment Of Instrument Extending Grant Of Work Order

pubd gaz 25 August 2006 pp 1981–2Form 16 Version 1—Leave Of Absence

pubd gaz 25 August 2006 pp 1981–2Form 17 Version 1—Notice To Prisoner Of Amendment / Suspension / Cancellation Of Leave Of

Absence Orderpubd gaz 25 August 2006 pp 1981–2

Form 18 Version 2—Interstate leave permitpubd gaz 26 February 2010 p 463

Form 19 Version 1—Amendment / Cancellation Of Interstate Leave Permitpubd gaz 25 August 2006 pp 1981–2

Form 20 Version 1—Conditional Release Orderpubd gaz 25 August 2006 pp 1981–2

Form 20(a) Version 1—Amendment / Suspension / Cancellation Of Conditional Release Orderpubd gaz 25 August 2006 pp 1981–2

Form 21 Version 1—Discharge Orderpubd gaz 25 August 2006 pp 1981–2




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Form 22 Version 1—Warrant By Authorised Person For Arrest Of Prisoner Unlawfully At Largepubd gaz 25 August 2006 pp 1981–2

Form 23 Version 3—Breach of Disciplinepubd gaz 18 June 2010 p 528

Form 24 Version 1—Separate Confinement Orderpubd gaz 25 August 2006 pp 1981–2

Form 25 Version 1—Receipt For Seized Propertypubd gaz 25 August 2006 pp 1981–2

Form 26 Version 1—Notice Of Forfeiture Of Seized Thingpubd gaz 25 August 2006 pp 1981–2

Form 27 Version 6—Approval for Access to a Corrective Services Facility and Visit a Prisoner(Personal Visitor)

pubd gaz 9 July 2010 p 1098Form 27(a) Version 5—Application to Visit – Professional, Official or Other Business Purposes

pubd gaz 9 July 2010 p 1098Form 28 Version 2—Application by prisoner for exceptional circumstances parole order

pubd gaz 26 February 2010 p 463Form 29 Version 3—Application by prisoner for parole order

pubd gaz 26 February 2010 p 463Form 30 Version 1—Board Amendment / Suspension / Cancellation Of Approval Of Resettlement

Leave Programpubd gaz 25 August 2006 pp 1981–2

Form 31 Version 3—Court Ordered Parole Orderpubd gaz 19 November 2010 p 753

Form 32 Version 1—Exceptional Circumstances Parole Orderpubd gaz 25 August 2006 pp 1981–2

Form 33 Version 1—Parole Orderpubd gaz 25 August 2006 pp 1981–2

Form 34 Version 2—Permit to Leave and Remain Out of Queenslandpubd gaz 11 September 2009 p 147

Form 34a Version —Permit to leave and remain out of Queensland pending interstate transfer uponrelease (Board Ordered Parole)

pubd gaz 20 May 2011 p 140Form 35 Version 1—Permit For Prisoner On Parole To Travel Overseas For Exceptional Purposes

pubd gaz 25 August 2006 pp 1981–2Form 37 Version 5—Warrant by Chief Executive for Arrest and Conveyance of Prisoner to Prison

(pubd gaz 16 December 2011 p 800)Form 38 Version 1—Order By Board For Amendment / Suspension / Cancellation Of Parole Order

pubd gaz 25 August 2006 pp 1981–2Form 39 Version 1—Warrant By Board For Arrest And Conveyance Of Prisoner To Prison

pubd gaz 25 August 2006 pp 1981–2Form 40 Version 1—Resettlement Leave Program

pubd gaz 25 August 2006 pp 1981–2Form 41 Version 1—Information Notice

pubd gaz 25 August 2006 pp 1981–2Form 42 Version 1—Order By Queensland Parole Board For Prisoner To Serve Part Of Unexpired

Portion Of Period Of Imprisonmentpubd gaz 25 August 2006 pp 1981–2

Form 43 Version 2—Application by prisoner for review of Regional Parole Board refusalpubd gaz 26 February 2010 p 463

Form 44 Version 1—Declaration Of An Emergencypubd gaz 25 August 2006 pp 1981–2




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Form 45 Version 1—Mutual Assistance Approvalpubd gaz 25 September 2009 p 306

Form 46 Version 1—Certification Of A Dog As A Corrective Services Dogpubd gaz 25 August 2006 pp 1981–2

Form 47 Version 1—Instrument Of Appointment Of Inspectorpubd gaz 25 August 2006 pp 1981–2

Form 48 Version 2—Authorisation of volunteerpubd gaz 26 February 2010 p 463

Form 49 Version 3—Application to Register - Queensland Corrective Services - Victims Registerpubd gaz 26 February 2010 p 463

Form 50 Version 1—Request By Court For Pre-Sentence Reportpubd gaz 25 August 2006 pp 1981–2

Form 51 Version 3—Leave to Appear or be Represented by an Agent before a Parole Boardpubd gaz 3 September 2010 p 59


CREMATIONS ACT 2003


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CREMATIONS ACT 2003

Form 1 Version 2—Application for a permission to crematepubd gaz 19 December 2008 p 2172

Form 2 Version 1—Cremation Risk Certificatepubd gaz 14 November 2003 p 863

Form 3 Version 1—Permission to Cremate (Coroner)pubd gaz 14 November 2003 p 863

Form 4 Version 1—Permission to Cremate (Independent Doctor)pubd gaz 14 November 2003 p 863


CRIMINAL CODE


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CRIMINAL CODE



CRIMINAL LAW (REHABILITATION OF OFFENDERS) ACT 1986


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CRIMINAL LAW (REHABILITATION OF OFFENDERS) ACT 1986

Form 1 Version 1—Applicationpubd gaz 18 February 2005 p 594


CRIMINAL ORGANISATION ACT 2009


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CRIMINAL ORGANISATION ACT 2009

Form 1 Version 1—Appearance Notice – Application for Registration of Corresponding ControlOrder

pubd gaz 13 May 2011 p 76Form 2 Version 1—Notice to Attorney-General of Application

pubd gaz 13 May 2011 p 76Form 3 Version 1—Notice to Registrar of Application



CROWN PROCEEDINGS ACT 1980


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CROWN PROCEEDINGS ACT 1980

Form 1 Version 1—Certificate of finepubd gaz 31 May 1996 p 817

Form 2 Version 1—Final Judgementpubd gaz 31 May 1996 p 817

Form 3 Version 1—Order made on forfeiture of recognizance entered into by principalpubd gaz 31 May 1996 p 817

Form 4 Version 1—Order made on forfeiture of recognizance entered into by principal and suretypubd gaz 31 May 1996 p 817

Form 5 Version 1—Notice of Order made on forfeiture of recognizance entered into by principalpubd gaz 31 May 1996 p 817

Form 6 Version 1—Notice of Order made on forfeiture of recognizance entered into by principal andsurety

pubd gaz 31 May 1996 p 817Form 7 Version 1—Warrant of Commitment for non-payment of moneys due under a forfeited

recognizancepubd gaz 31 May 1996 p 817

Form 8 Version 1—Warrant of Execution for moneys due under a forfeited recognizance orundertaking as to bail

pubd gaz 31 May 1996 p 817Form 9 Version 1—Order in respect of surety or sureties made upon a declaration forfeiting an

undertaking as to bailpubd gaz 31 May 1996 p 817

Form 10 Version 1—Notice to surety or sureties of Order made on forfeiture of undertaking as tobail

pubd gaz 31 May 1996 p 817Form 11 Version 1—Application for variation or rescission of Order forfeiture recognizance and

notice to complainant or Crown Solicitorpubd gaz 31 May 1996 p 817

Form 12 Version 1—Application for variation or rescission of Order made against a surety to anundertaking as to bail and notice to complainant or Crown Solicitor



DANGEROUS PRISONERS (SEXUAL OFFENDERS) ACT 2003


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DANGEROUS PRISONERS (SEXUAL OFFENDERS) ACT 2003

Form 1 Version 1—Complaint—Sworn, and Summonspubd gaz 16 January 2004 p 137

Form 2 Version 3—Complaint – Sworn, and Arrest Warrantpubd gaz 15 February 2008 p 724


DENTAL TECHNICIANS REGISTRATION ACT 2001


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DENTAL TECHNICIANS REGISTRATION ACT 2001

Form DT401 Version May 2002—Application for Renewal of General Registration as a DentalTechnician in Queensland

pubd gaz 4 February 2005 p 332Form DT1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Dental Technician in Queenslandpubd gaz 4 February 2005 p 332

Form DTDP101 Version July 2009—General Registration as a dental technician and/or dentalprosthetist: Guide and application

pubd gaz 3 July 2009 p 929Form DTDP301 Version May 2002—Application for Special Purpose Registration as a Dental

Technician or Dental Prosthetist in Queenslandpubd gaz 4 February 2005 p 332

Form DTDP401 Version May 2002—Application for Renewal of General Registration as a DentalTechnician and Dental Prosthetist in Queensland

pubd gaz 4 February 2005 p 332Form DTDP1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Dental Technician and Dental Prosthetist in Queenslandpubd gaz 4 February 2005 p 332

Form DTDP1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 4 February 2005 p 332

Form DTDPN158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 4 February 2005 p 332

Form MRDT111 Version May 2002—Application for Registration under Mutual Recognition as aDental Technician in Queensland

pubd gaz 4 February 2005 p 332Form MRDP111 Version May 2002—Application for Registration under Mutual Recognition as a

Dental Prosthetist in Queenslandpubd gaz 4 February 2005 p 332

Form TTMRDT311 Version May 2002—Application for Registration under Trans–Tasman MutualRecognition as a Dental Technician in Queensland

pubd gaz 4 February 2005 p 332Form TTMRDP311 Version May 2002—Application for Registration under Trans–Tasman Mutual

Recognition as a Dental Prosthetist in Queenslandpubd gaz 4 February 2005 p 332


DISABILITY SERVICES ACT 2006


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DISABILITY SERVICES ACT 2006

Form 6-1 Version 2—Application for approvalpubd gaz 1 February 2008 p 464

Form 6-2 Version 1—Application for cancellation of approvalpubd gaz 6 July 2007 p 1279

Form 9-1 Version 2—Request for National Criminal History Checkpubd gaz 27 June 2008 p 1266

Form 9-2 Version 1—DSQ Criminal History Disclosure/Changepubd gaz 21 July 2006 p 1368

Form 10-1 Version 4—Application for criminal history screening – prescribed notice (yellow card)pubd gaz 1 July 2011 p 585

Form 10-2 Version 2—Application for criminal history screening change of detailspubd gaz 9 April 2010 p 864

Form 10-3 Version 3—Application for replacement positive notice card (yellow card) or positiveexemption notice and card

pubd gaz 1 July 2011 p 585Form 10-4 Version 2—Change of details of positive notice holder

pubd gaz 9 April 2010 p 864Form 10-5 Version 3—Application for cancellation of negative notice or negative exemption notice

and issue of positive notice or positive exemption noticepubd gaz 1 July 2011 p 585

Form 10-6 Version 3—Application for information from register of engaged personspubd gaz 9 April 2010 p 864

Form 10-7 Version 1—Application for criminal history screening (prescribed notice)pubd gaz 9 April 2010 p 865

Form 10-8 Version 1—Application for criminal history screening (change of details)pubd gaz 9 April 2010 p 865

Form 10-9 Version 1—Application for information from register of engaged personspubd gaz 9 April 2010 p 865

Form 10-10 Version 2—Application for eligibility declarationpubd gaz 1 July 2011 p 585

Form 10A-1 Version 1—Application for the review of a decisionpubd gaz 29 January 2010 p 231

Form 10A-2 (Part 1) Version 1—Notification of approval or consent to the use of restrictivepractices at a service outlet

pubd gaz 29 January 2010 p 231Form 10A-2 (Part 2) Version 1—Notification of cessation of the use of restrictive practices at a

service outletpubd gaz 29 January 2010 p 231

Form 14-1 Version 1—Application for Reviewpubd gaz 15 December 2006 p 1861

Form 15-1 Version 1—Notification about compensation relating to disabilitypubd gaz 23 February 2007 p 872

Form 16-1 Version 1—Notification of containment or seclusion of an adultpubd gaz 4 July 2008 p 1415


DISASTER MANAGEMENT ACT 2003


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DISASTER MANAGEMENT ACT 2003

Form DM1 Version 1—Direction about the exercise of powers under other Acts during a disastersituation

pubd gaz 2 April 2004 p 1300Form DM2 Version 1—Declaration of a disaster situation–district level

pubd gaz 2 April 2004 p 1300Form DM3 Version 1—Extension of a disaster situation–district level

pubd gaz 2 April 2004 p 1300Form DM4 Version 1—Request to end a disaster situation–district level

pubd gaz 2 April 2004 p 1300Form DM5 Version 1—Declaration of a disaster situation–State level

pubd gaz 2 April 2004 p 1300Form DM6 Version 1—Extension of a disaster situation–State level

pubd gaz 2 April 2004 p 1300Form DM7 Version 1—Request to end a disaster situation–State level

pubd gaz 2 April 2004 p 1300Form DM8A Version 1—Authorisation for an individual to exercise declared disaster powers

pubd gaz 2 April 2004 p 1300Form DM8B Version 1—Authorisation for a category or class of persons to exercise declared

disaster powerspubd gaz 2 April 2004 p 1300

Form DM9 Version 1—Notice to remove, dismantle, demolish or destroy a building or otherstructure in a disaster situation

pubd gaz 2 April 2004 p 1300Form DM10 Version 1—Notice of a direction about property

pubd gaz 2 April 2004 p 1300Form DM11 Version 1—Authorisation of persons to exercise rescue powers

pubd gaz 2 April 2004 p 1300Form DM12 Version 1—Application for compensation



DISEASES IN TIMBER ACT 1975


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DISEASES IN TIMBER ACT 1975

Form 1—Claim for Compensationpubd gaz 13 February 1998 p 571


DISPOSAL OF UNEXECUTED WARRANTS ACT 1985


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DISPOSAL OF UNEXECUTED WARRANTS ACT 1985

Form 1 Version 1—Application to Clerk of the Court Brisbane for issue of a fresh warrantpubd gaz 31 May 1996 p 815

Form 1 Version 2—Application to Clerk of the Court Brisbane for issue of a fresh warrantpubd gaz 17 May 1996 p 622

Form 2 Version 1—Application to a Judge of the Supreme/District Court for the issue of a freshwarrant

pubd gaz 31 May 1996 p 815Form 2 Version 2—Application to District/Supreme Court for issue of a fresh warrant



DISTRICT COURT OF QUEENSLAND ACT 1967


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DISTRICT COURT OF QUEENSLAND ACT 1967



DOMESTIC AND FAMILY VIOLENCE PROTECTION ACT 1989


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DOMESTIC AND FAMILY VIOLENCE PROTECTION ACT 1989

Form 1 Version 4—Application for a Protection Orderpubd gaz 28 February 2003 pp 767–8

Form DV2 Version 4—Temporary Protection Orderpubd gaz 19 March 2010 p 668

Form DV3 Version 4—Protection Orderpubd gaz 19 March 2010 p 668

Form DV4A Version 2—Revocation Of A Domestic Violence Orderpubd gaz 19 March 2010 p 668

Form DV4B Version 3—Variation To A Domestic Violence Orderpubd gaz 19 March 2010 p 668

Form 5 Version 3—Application to Revoke or Vary a Domestic Violence Orderpubd gaz 28 February 2003 pp 767–8

Form 6 Version 3—Temporary Protection Order Section 54 Applicationpubd gaz 28 February 2003 pp 767–8

Form 7 Version 3—Temporary Protection Orderpubd gaz 28 February 2003 pp 767–8

Form 8 Version 3—Application for Registration in Queensland of an Interstate Domestic ViolenceOrder

pubd gaz 28 February 2003 pp 767–8Form 9 Version 3—Notice of Registration of an Interstate Domestic Violence Order

pubd gaz 28 February 2003 pp 767–8Form 10 Version 3—Notice of Appeal

pubd gaz 28 February 2003 pp 767–8Form 11 Version 3—Release from Custody

pubd gaz 28 February 2003 pp 767–8Form 12 Version 3—Summons of a Witness

pubd gaz 28 February 2003 pp 767–8Form 13 Version 3—Warrant

pubd gaz 28 February 2003 pp 767–8Form 14 Version 1—Notice to Appear



DRUG COURT ACT 2000


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DRUG COURT ACT 2000

Form 1 Version 3—Order for referral for assessment


Form 2 Version 3—Order for referral for indicative assessment


Form 3 Version 3—Intensive drug rehabilitation order


Form 4 Version 4—Permit for offender subject to Intensive Drug Rehabilitation Order (IDRO) toleave or stay out of Queensland


Form 5 Version 3—Warrant of commitment where suspension of sentence delayed


Form 6 Version 3—Release Authority


Form 8 Version 1—Community service order


Form 9 Version 4—Warrant of commitment for detoxification or assessment of an offender subjectto intensive drug rehabilitation order (IDRO)


Form 9A Version 1—Warrant of commitment for assessment of offender subject to intensive drugrehabilitation order (IDRO)


Form 10 Version 3—Application for reward or sanction of person subject to intensive drugrehabilitation order


Form 11 Version 4—Warrant of commitment for sanction of imprisonment


Form 12 Version 3—Application to amend intensive drug rehabilitation order


Form 13 Version 3—Application to terminate an intensive drug rehabilitation program


Form 14 Version 3—Notice of application to amend or terminate intensive drug rehabilitation order


Form 15 Version 4—Warrant to arrest and detain an offender participating in a drug courtrehabilitation program


Form 15A Version 1—Warrant remanding offender in custody for assessment or to reserve making adecision about termination


Form 16 Version 2—Sanction–monetary penalty



DRUGS MISUSE ACT 1986


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DRUGS MISUSE ACT 1986

Form 1—Complaint to Ground Search Warrant Before a Justicepubd gaz 19 April 1996 p 1679

Form 2—Search Warrant by a Justicepubd gaz 19 April 1996 p 1679

Form 3—Complaint to Ground Search Warrant Before a Stipendiary Magistratepubd gaz 19 April 1996 p 1679

Form 4—Search Warrant by a Stipendiary Magistratepubd gaz 19 April 1996 p 1679

Form 5—Register of Searchespubd gaz 19 April 1996 p 1679

Form 6—Notice to Justice before whom a Complaint to Ground a Search Warrant is to be Swornpubd gaz 19 April 1996 p 1679

Form 7—Record of Proceedingspubd gaz 19 April 1996 p 1679

Form 8—Occupier’s Notice, Important Information for Occupier’s Concerning the Search Warrantpubd gaz 19 April 1996 p 1679


DUTIES ACT 2001


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DUTIES ACT 2001

Form 2.1 Version 2—Home/First Home Transfer Concessionpubd gaz 16 January 2004 p 132

Form 2.2 Version 2—Dutiable Transaction–Transfer Dutypubd gaz 16 January 2004 p 132

Form 2.3 Version 2—Transfer Duty Statementpubd gaz 16 January 2004 p 132

Form 2.4 Version 2—Reassessment–Home Transfer Concessionpubd gaz 16 January 2004 p 132

Form 2.5 Version 2—Concessions for Family Businesspubd gaz 16 January 2004 p 132

Form 2.6 Version 2—Reassessment–Super Fund Transfer Dutypubd gaz 16 January 2004 p 132

Form 3.1 Version 2—Land Rich Duty Statementpubd gaz 16 January 2004 p 132

Form 3.2 Version 2—Corporate Trustee Dutypubd gaz 16 January 2004 p 132

Form 4.1 Version 2—Lease Duty Statement–Ascertainable Amountpubd gaz 16 January 2004 p 132

Form 4.2 Version 2—Lease Duty Statement–Unascertainable Amountpubd gaz 16 January 2004 p 132

Form 5.1 Version 2—Home/First Home Mortgagepubd gaz 16 January 2004 p 132

Form 5.2 Version 2—Home Refinance Mortgage Concessionpubd gaz 16 January 2004 p 132

Form 5.3 Version 2—Multi-Jurisdictional Mortgage Statementpubd gaz 16 January 2004 p 132

Form 5.4 Version 2—Reassessment–Home Mortgage Concessionpubd gaz 16 January 2004 p 132

Form 5.5 Version 3—Statement on Release of Mortgagepubd gaz 16 January 2004 p 132

Form 5.6 Version 2—Reassessment–Cooperatives Mortgage Dutypubd gaz 16 January 2004 p 132

Form 6.1 Version 2—Credit Card Returnpubd gaz 16 January 2004 p 132

Form 6.2 Version 2—Credit Card Statement for an Unregistered Personpubd gaz 16 January 2004 p 132

Form 6.3 Version 2—Credit Business Duty–Residence Exemptionpubd gaz 16 January 2004 p 132

Form 6.4 Version 2—Credit Business Duty Returnpubd gaz 16 January 2004 p 132

Form 6.5 Version 2—Unregistered Credit Providers Statementpubd gaz 16 January 2004 p 132

Form 7.1 Version 2—Hire Duty Returnpubd gaz 16 January 2004 p 132

Form 7.2 Version 2—Hire Duty Statement for an Unregistered Personpubd gaz 16 January 2004 p 132

Form 8.1 Version 2—Insurance Returnpubd gaz 16 January 2004 p 132

Form 8.2 Version 2—Insurance Statement for an Unregistered Personpubd gaz 16 January 2004 p 132


DUTIES ACT 2001


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Form 8.3 Version 3—Application for Exemption–Insurance Duty (Not-for-profit CommunityOrganisations)

pubd gaz 16 January 2004 p 132Form 9.1 Version 2—Disclosure by Primary Producer

pubd gaz 16 January 2004 p 132Form 10.1 Version 2—Corporate Reconstruction–Interposing Company

pubd gaz 16 January 2004 p 132Form 10.2 Version 2—Corporate Reconstruction–Intra-Group Transfers

pubd gaz 16 January 2004 p 132Form 10.3 Version 2—Reassessment–Corporate Reconstruction

pubd gaz 16 January 2004 p 132Form 10.4 Version 2—Reassessment–Exempt Institutions

pubd gaz 16 January 2004 p 133Form 12.1 Version 2—Application for Registration–Self-Assessors

pubd gaz 16 January 2004 p 133Form 12.2 Version 2—Application for Registration–Commercial Hirer

pubd gaz 16 January 2004 p 133Form 12.4 Version 2—Cancellation of Registration–Self-Assessors

pubd gaz 16 January 2004 p 133Form 12.5 Version 2—Application for Registration–Exempt Institution

pubd gaz 16 January 2004 p 133Form 14.1 Version 2—Notification of Unstamped Instruments

pubd gaz 16 January 2004 p 133Form 16.1 Version 2—Reassessment–Particular Circumstances

pubd gaz 16 January 2004 p 133Form 24 Version 4—Property Information (Transfer)

pubd gaz 23 March 2007 p 1250Form OSR-D2.1 Version 5—Claim for home concession available to 31 July 2011/first home

transfer duty concessionpubd gaz 30 September 2011 p 234

Form OSR-D2.1 Version 6—Claim for first home transfer duty concessionpubd gaz 30 September 2011 p 234

Form OSR-D2.2 Version 3—Dutiable transaction statementpubd gaz 30 September 2011 p 234

Form OSR-D2.3 Version 2—Transfer duty statementpubd gaz 30 September 2011 p 234

Form OSR-D2.4 Version 5—Notice for reassessment of transfer duty home and vacant landconcessions

pubd gaz 30 September 2011 p 234Form OSR-D2.5 Version 2—Concessions for family businesses

pubd gaz 30 September 2011 p 234Form OSR-D2.6—Version 2—Notice for reassessment - superannuation fund transfer duty

concession/exemptionpubd gaz 30 September 2011 p 234

Form OSR-D2.7 Version 4—Claim for transfer duty concession first home vacant landpubd gaz 30 September 2011 p 234

Form OSR-D2.8 Version 2—Application for reassessment - cancelled transfer of dutiable propertypubd gaz 30 September 2011 p 234

Form OSR-D3.1 Version 2—Land rich duty statementpubd gaz 30 September 2011 p 234

Form OSR-D3.2 Version 2—Corporate trustee duty statementpubd gaz 30 September 2011 p 234


DUTIES ACT 2001


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Form OSR-D3.3 Version 1—Landholder duty statementpubd gaz 30 September 2011 p 234

Form OSR-D5.1 Version 1—Home/First home mortgage concessionpubd gaz 21 November 2008 p 1559

Form OSR-D5.2 Version 1—Claim for home refinance mortgage concessionpubd gaz 21 November 2008 p 1559

Form OSR-D5.3 Version 1—Multi-jurisdictional mortgage statementpubd gaz 21 November 2008 p 1559

Form OSR-D5.4 Version 1—Notice for reassessment – Home mortgage concessionpubd gaz 21 November 2008 p 1559

Form OSR-D5.5 Version 1—Statement on release of mortgagepubd gaz 21 November 2008 p 1559

Form OSR-D5.6 Version 1—Notice for reassessment – Cooperatives mortgage dutypubd gaz 21 November 2008 p 1559

Form OSR-D5.7 Version 1—Application for reassessment – stamping before advancepubd gaz 21 November 2008 p 1559

Form OSR-D8.1 Version 4—Insurance returnpubd gaz 30 September 2011 p 234

Form OSR-D8.2 Version 3—Insurance duty statementpubd gaz 30 September 2011 p 234

Form OSR-D8.3 Version 4—Not-for-profit community organisation insurance duty exemptionpubd gaz 30 September 2011 p 234

Form OSR-D9.1 Version 2—Primary producer disclosurepubd gaz 30 September 2011 p 234

Form OSR-D9.2 Version 1—Vehicle Dealer disclosurepubd gaz 30 September 2011 p 234

Form OSR-D10.1 Version 3—Corporate reconstruction - Interposing companypubd gaz 30 September 2011 p 234

Form OSR-D10.2 Version 4—Corporate reconstruction – Intra group transferspubd gaz 30 September 2011 p 235

Form OSR-D10.3 Version 2—Notice for reassessment - Corporate reconstruction exemptionpubd gaz 30 September 2011 p 235

Form OSR-D10.4 Version 4—Notice for reassessment – Charitable institution exemptionpubd gaz 30 September 2011 p 235

Form OSR-D12.1 Version 3—Application for self assessor registrationpubd gaz 30 September 2011 p 235

Form OSR-D12.2 Version 1—Mortgage returnpubd gaz 21 November 2008 p 1559

Form OSR-D12.3 Version 2—Transfer Duty Returnpubd gaz 21 November 2008 p 1559

Form OSR-D12.4 Version 3—Notice for cancellation of self assessor registrationpubd gaz 30 September 2011 p 235

Form OSR-D12.5 Version 2—Application for exempt institution registrationpubd gaz 30 September 2011 p 235

Form OSR-D12.6 Version 4—Transaction statementpubd gaz 30 September 2011 p 235

Form OSR-D14.1 Version 2—Notification - Instrument/s not properly stampedpubd gaz 30 September 2011 p 235

Form OSR-D16.1 Version 3—Application for reassessment - particular circumstancespubd gaz 30 September 2011 p 235

Form TR1 Document lodgement formpubd gaz 30 September 2011 p 234


EDUCATION (GENERAL PROVISIONS) ACT 2006


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EDUCATION (GENERAL PROVISIONS) ACT 2006

Form 1 Version 01—Failure to enrol notice


Form 2 Version 01—Failure to enrol warning notice


Form 4 Version 01—Failure to ensure attendance notice


Form 5 Version 01—Failure to ensure attendance warning notice


Form 7 Version 01—Failure to ensure participation notice


Form 8 Version 01—Failure to ensure participation warning notice


Form ASE–1 Version 1—Application for 25th and/or 26th semester of state education


Form ASE–2 Version 1—Application for further semesters of state education (beyond 26thsemester)


Form CRH–1 Version 1—Continuing registration for home education


Form DCH – 1 Version 2—Disclosure of criminal history form (pubd gaz 20 January 2012 p 110)

Form ECP–1 Version 1—Application for exemption from the compulsory participation phase


Form ECS–1 Version 1—Application for exemption from compulsory schooling for up to 1 schoolyear (state school)


Form ECS–2 Version 1—Application for exemption from compulsory schooling for 1 school year ormore (state school)


Form ECS–3 Version 1—Application for exemption from compulsory schooling (nonstate school)


Form MAS – 1 Version 2—Mature age student notice application form (pubd gaz 20 January 2012 p110)

Form RHE–1 Version 1—Application for registration for home education


Form SEF-1 Version 2—Application for Student Enrolment Form


Form STN–1 Version 1—Student transfer note


Version 1—Application for Exemption from Compulsory schooling (not enrolled in any Queenslandschool)



EDUCATION (QUEENSLAND COLLEGE OF TEACHERS) ACT 2005


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EDUCATION (QUEENSLAND COLLEGE OF TEACHERS) ACT 2005

Form A101/06 Version 2—Application for Teacher Registration in Queensland (pubd gaz 17 March2006 p 1088)

Form A101/07 Version 1—Certificate of Queensland Teacher Registration (pubd gaz 30 November2007 p 1821)

Form A102/07 Version 1—Queensland Teacher Registration Card (pubd gaz 30 November 2007 p1821)

Form A125/06 Version 1—Permission to Teach (pubd gaz 17 March 2006 p 1088)Form A126/06 Version 1—Application to Replace a Certificate of Registration or Permission to

Teach (pubd gaz 17 March 2006 p 1088)Form A128/06 Version 1—Disclosure of Change in Teacher’s Criminal History (pubd gaz 17 March

2006 p 1088)Form A130/06 Version 1—Application for Internal Review of a Decision (pubd gaz 17 March 2006

p 1088)Form A131/06 Version 1—Application for Permission to Teach (pubd gaz 17 March 2006 p 1088)


ELECTORAL ACT 1992


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ELECTORAL ACT 1992

Form BBC 5 Version December 2003—Nomination for Mayor and/or Councillor—For CandidatesEndorsed by a Registered Political Party

pubd gaz 27 February 2004 p 788Form BBC 5A Version December 2003—Endorsed Candidate’s Consent and Declaration

pubd gaz 27 February 2004 p 788Form BBC 6 Version December 2003—Nomination for Mayor and/or Councillor—For Candidates

NOT Endorsed by a Registered Political Partypubd gaz 27 February 2004 p 788

Form BBC 39 Version August 2003—General Return—Polling Booth Supervisorpubd gaz 27 February 2004 p 788

Form ECQ 5 Version January 2003—Nomination for the Legislative Assembly–For CandidatesEndorsed by a Registered Political Party

pubd gaz 16 January 2004 p 138Form ECQ 5A Version July 2003—Endorsed Candidate’s Consent and Declaration

pubd gaz 16 January 2004 p 138Form ECQ 6 Version July 2003—Nomination for the Legislative Assembly–For Candidates NOT

Endorsed by a Registered Political Partypubd gaz 16 January 2004 p 138

Form ECQ 39 Version June 2003—General Return–Polling Booth Supervisorpubd gaz 16 January 2004 p 138

Form QFD01 Version October 2008—Disclosure Return – Registered Political Partypubd gaz 14 November 2008 p 1435

Form QFD02 Version October 2008—Disclosure Return – Associated Entitypubd gaz 14 November 2008 p 1435

Form QFD03 Version October 2008—Disclosure Return – Donor to Registered Political Partypubd gaz 14 November 2008 p 1435

Form QFD 06 Version June 2005—Annual Return by a Donor to a Registered Political Partypubd gaz 8 July 2005 p 833

Form QFD 07 Version September 2007—Disclosure Returns to be given by a third party followingan election

pubd gaz 21 September 2007 p 440Form QFD 08 Version September 2007—Claim for election funding

pubd gaz 21 September 2007 p 440Form QFD 09 Version September 2007—Disclosure Returns to be given on behalf of a candidate

following an electionpubd gaz 21 September 2007 p 440

Form QFD10 Version October 2008—Special Reporting Event Report by Registered Political Partyor Associated Entity

pubd gaz 10 October 2008 p 814Form QFD11 Version October 2008—Special Reporting Event Report made by Donor

pubd gaz 10 October 2008 p 814Form QFD 12 Version September 2007—Return by a Publisher following a State election

pubd gaz 21 September 2007 p 440Form QPR 01 Version June 2008—Application to Register a Political Party

pubd gaz 20 June 2008 p 1072Form QPR 02 Version June 2008—Application to change the Register of Political Parties

pubd gaz 20 June 2008 p 1072Form QPR 03 Version June 2008—Nomination of a Deputy Registered Officer of a Registered

Political Partypubd gaz 20 June 2008 p 1072


ELECTORAL ACT 1992


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Form QPR 04 Version April 2002—Quarterly Report (Section 76A)pubd gaz 16 January 2004 p 138

Form QPR 05 Version June 2008—Notice of Appointment of an Agent by a Registered PoliticalParty

pubd gaz 20 June 2008 p 1072Form SPV 1 Version March 2003—Review of Postal Voter Register

pubd gaz 16 January 2004 p 138Form SPV 2 Version March 2003—Review of Postal Voter Register (State Only)

pubd gaz 16 January 2004 p 138


ELECTRICAL SAFETY ACT 2002


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Form 1 Version 2—Electricity Entity Incident Formpubd gaz 31 March 2006 p 1278

Form 2 Version 6.01.11—Electrical Safety Protection Noticepubd gaz 21 January 2011 p 119

Form 3 Version 1 September 2002—Incident/Accident Report Formpubd gaz 27 September 2002 p 329

Form 4 Version 2—30 May 2003—Electrical Safety Contribution Noticepubd gaz 30 May 2003 p 363

Form 5 Version 6.01.11—Unsafe Equipment Noticepubd gaz 21 January 2011 p 119

Form 5A - 01 Version 1.4—Power Station Accreditation Application Formpubd gaz 26 March 2010 p 721

Form 6 Version 10.08-2011—Application for approval of electrical equipmentpubd gaz 23 September 2011 p 190

Form 7 Version 10.08-2011—Application for approval of modification/s to approved electricalequipment

pubd gaz 23 September 2011 p 190Form 7A Version 5.8-2011—Supplementary form to modification application

pubd gaz 23 September 2011 p 190Form 8 Version 8.08-2011—Application for transfer of registration of electrical equipment

pubd gaz 23 September 2011 p 190Form 9 Version 9.08-2011—Application to register a registrable cathodic protection system

pubd gaz 23 September 2011 p 190Form 10 Version 11.08-2011—Application for an electrical work licence (apprentice)

pubd gaz 23 September 2011 p 190Form 11 Version 11.08-2011—Application for electrical work licence (other than apprentice)

pubd gaz 23 September 2011 p 190Form 12 Version 11.08-2011—Application for renewal, reinstatement or recognition of an expired

Queensland electrical work licencepubd gaz 23 September 2011 p 190

Form 13 Version 5—Improvement Noticepubd gaz 10 December 2004 p 1190

Form 14 Version 09.08-2011—Application and guidelines for appointment as an accredited auditor -hazardous area installations, high voltage installations

pubd gaz 23 September 2011 p 190Form 15 Version 1 September 2002—Receipt of Seizure

pubd gaz 27 September 2002 p 329Form 16 Version 1 September 2002—Notice of Requirement

pubd gaz 27 September 2002 p 329Form 17 Version 2.07-2005—Application for review of decision

pubd gaz 21 October 2005 p 677Form 18 Version 13.08-2011—Queensland electrical contractor licence

pubd gaz 23 September 2011 p 190Form 19 Version 10.08-2011—Application for renewal or reinstatement of an electrical contractor

licencepubd gaz 23 September 2011 p 190

Form 20 Version 12.08-2011—Application for additional/change of qualified person on a contractorlicence





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Form 21 Version 9.08-2011—Restricted work licence/permit (other than apprentice)pubd gaz 23 September 2011 p 190

Form 22 Version 8.08-2011—Change of details/replacement licence/additional card formpubd gaz 23 September 2011 p 190

Form 24 Version 4—Property Information (Transfer)pubd gaz 23 March 2007 p 1250

Form 24A Version 1—Property Information (Transmission Application)pubd gaz 23 March 2007 p 1249

Form 28 Version 2.01.11— Safety Management System Certificatepubd gaz 21 January 2011 p 119

Form 29 Version 5.08-2011—Application for review of a licensing decisionpubd gaz 23 September 2011 p 190

Form 31 Version 9.08-2011—Application for electrical work licence (permit holder)pubd gaz 23 September 2011 p 190

Form 33 Version 8.08-2011—Application for renewal of certificate for electrical equipmentpubd gaz 23 September 2011 p 190

Form 33A Version 6.08-2011—Supplementary form to renewal applicationpubd gaz 23 September 2011 p 190

Form 35 Version 7 08-2011—Application for extension of approval of electrical equipmentpubd gaz 23 September 2011 p 190

Form 37 Version 7.8-2011—Application for renewal of appointment as an accredited auditorpubd gaz 23 September 2011 p 190

Form 38 Version 6.08-2011—Application for an additional Queensland electrical work permitpubd gaz 23 September 2011 p 190


ELECTRICITY ACT 1994


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ELECTRICITY ACT 1994

Form 5A - 01 Version 1.4—Power Station Accreditation Application Formpubd gaz 19 March 2010 p 669

Form 5A - 02 Version 1.4—Application to be a Scheme Participantpubd gaz 19 March 2010 p 669

Form 5A – 03 Version 1.4—Application for State Development Exemption for a Liable ElectricityLoad

pubd gaz 19 March 2010 p 669Form 5A – 04 Version 1.4—Application for Renewable Energy Exemption for a Liable Electricity

Loadpubd gaz 19 March 2010 p 669

Form 5A – 05 Version 1.5—Application for Power Station Auxiliary Load Exemption for a LiableElectricity Load

pubd gaz 19 March 2010 p 669Form 5A – 06 Version 1.4—Liable Person Determination

pubd gaz 19 March 2010 p 669Form 5A – 07 Version 1.4—Annual GEC Liability Self Assessment Report

pubd gaz 19 March 2010 p 669Form 5A – 08 Version 2.1—Annual Electricity Generation Return

pubd gaz 19 March 2010 p 669Form 5A – 09 Version 1.4—Exemption Compliance Report State Development Exemption

pubd gaz 19 March 2010 p 669Form 5A – 10 Version 1.4—Exemption Compliance Report Renewable Energy Exemption

pubd gaz 19 March 2010 p 669Form 5A – 11 Version 1.4—Exemption Compliance Report Power Station Auxiliary Load

Exemptionpubd gaz 19 March 2010 p 669

Form 5A – 12 Version 4.1—GEC Reviewpubd gaz 19 March 2010 p 669

Form 5A – 13 Version 1.4—Special Conditionspubd gaz 19 March 2010 p 669

Form 5A – 14 Version 1.4—Application to amend Power Station Accreditationpubd gaz 19 March 2010 p 669

Form 5A – 15 Version 1.4—Application for Transfer of Power Station Accreditationpubd gaz 19 March 2010 p 669

Form 5A – 16 Version 1.4—Application for Surrender of Accreditationpubd gaz 19 March 2010 p 669

Form 5A – 17 Version 1.4—Application to amend Power Station Auxiliary Load Exemption for aLiable Electricity Load

pubd gaz 19 March 2010 p 669Form 5A – 18 Version 1.4—Application to amend Renewable Energy Exemption for a Liable

Electricity Loadpubd gaz 19 March 2010 p 669

Form 5A – 19 Version 1.4—Application to amend State Development Exemption for a LiableElectricity Load



EVIDENCE ACT 1977


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EVIDENCE ACT 1977

Form 1 Version 1—Proof of identity of a person convictedpubd gaz 10 May 1996 p 528

Form 3 Version 2—DNA Evidentiary Certificatepubd gaz 2 February 2007 p 532

Form 4 Version 2—DNA Evidentiary Certificate—Notice of Challengepubd gaz 2 February 2007 p 532

Form 5 Version 1—Witness Anonymity Certificatepubd gaz 27 October 2006 p 935


EXOTIC DISEASES IN ANIMALS ACT 1981


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EXOTIC DISEASES IN ANIMALS ACT 1981

Form FDU 1036—Notice of Quarantinepubd gaz 25 January 2002 p 248

Form FDU 1037—Extension of Quarantine Periodpubd gaz 25 January 2002 p 248

Form FDU 1038—Permit for Persons to Enter or Leave an Infected Premisepubd gaz 25 January 2002 p 248

Form FDU 1039—Permit to Move Animals or Property into or from Infected Premisespubd gaz 25 January 2002 p 248

Form FDU 1040—Licence to Enter or Leave a Restricted Areapubd gaz 25 January 2002 p 248

Form FDU 1041—Licence to Move Animals or Property into, within or from a Restricted Areapubd gaz 25 January 2002 p 248

Form FDU 1042—Authority to Enter or Leave a Restricted Area other than at an Appointed Entry orExit Place

pubd gaz 25 January 2002 p 248Form FDU 1043—Authority to Move Animals or Property into or from a Restricted Area other than

at an Appointed Entry or Exit Placepubd gaz 25 January 2002 p 248

Form FDU 1044—Order to Cleanse and/or Disinfectpubd gaz 25 January 2002 p 248

Form FDU 1045—Order Appointing Place or Places of Entry or Exit Control Areapubd gaz 25 January 2002 p 248

Form FDU 1046—Order to Destroy by Ministerpubd gaz 25 January 2002 p 248

Form FDU 1047—Order to Destroy by Inspectorpubd gaz 25 January 2002 p 248

Form FDU 1048—Order of an Inspectorpubd gaz 25 January 2002 p 248

Form FDU 1049—Certificate of Deathpubd gaz 25 January 2002 p 248

Form FDU 1050—Application for Compensationpubd gaz 25 January 2002 p 248

Form FDU 1051—Certificate of Valuationpubd gaz 25 January 2002 p 248

Form FDU 1052—Notice to Claimantpubd gaz 25 January 2002 p 248

Form FDU 1054—Certificate of Authoritypubd gaz 25 January 2002 p 248

Form FDU 1055—Application to Ground Warrant to Enterpubd gaz 25 January 2002 p 248

Form FDU 1056—Warrant to Enterpubd gaz 25 January 2002 p 248


EXPLOSIVES ACT 1999


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EXPLOSIVES ACT 1999

Form PM2-0001 Version 2—Request for Validation of an Explosivepubd gaz 2 June 2006 p 367


FAIR TRADING ACT 1989


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FAIR TRADING ACT 1989

Form 1 Version 6—Notice to consumer: Cancelling a door-to-door contractpubd gaz 3 July 2009 p 929

Form 2 Version 6—Cancellation form: Door-to-door sales in Queenslandpubd gaz 3 July 2009 p 929


FINANCIAL INTERMEDIARIES ACT 1996


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FINANCIAL INTERMEDIARIES ACT 1996

Form A—Cover Sheetpubd gaz 11 October 1996 p 542

Form 1—Annual Returnpubd gaz 11 October 1996 p 542

Form 2—Application to Register as a societypubd gaz 11 October 1996 p 542

Form 3—Application to Register as a Special Resolution or Board Resolution and/or Alteration ofRules

pubd gaz 11 October 1996 p 542Form 4—Return as to Office Holders

pubd gaz 11 October 1996 p 542Form 5—Notification of Details of a Charge

pubd gaz 11 October 1996 p 542Form 5A—Certificate of Compliance with Stamp Duties

pubd gaz 11 October 1996 p 542Form 6—Notification of Variation of a Charge

pubd gaz 11 October 1996 p 542Form 7—Notification of Assignment of a Charge

pubd gaz 11 October 1996 p 542Form 8—Memorandum of Discharge or Release of Property from a Charge

pubd gaz 11 October 1996 p 542Form 9—General Application Form

pubd gaz 11 October 1996 p 542Form 10—Application for Registration of a Merger or a Transfer of Engagements

pubd gaz 11 October 1996 p 542Form 11—Report of Director’s Declaration of Interest

pubd gaz 11 October 1996 p 542Form 12—Return as to Director’s Declaration of Interest

pubd gaz 11 October 1996 p 542Form 13—Notice of Appointment or Ceasing to Act

pubd gaz 11 October 1996 p 542Form 14—Notice of Address or Change of Address

pubd gaz 11 October 1996 p 542Form 15—Notice of Proposed Change of Registered Office

pubd gaz 11 October 1996 p 542Form 16—General Lodgement Form

pubd gaz 11 October 1996 p 542Form 17 Version 2—Monthly Loan Arrears Report



FIRE AND RESCUE SERVICE ACT 1990


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FIRE AND RESCUE SERVICE ACT 1990

Form 24 Version 4—Property Information (Transfer)pubd gaz 23 March 2007 p 1250

Form 24A Version 1—Property Information (Transmission Application)pubd gaz 23 March 2007 p 1249


FIRST HOME OWNER GRANT ACT 2000


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FIRST HOME OWNER GRANT ACT 2000

Form FHOB Version 3—Addendum for first home owner boost scheme for new homes Lodgementguide

pubd gaz 30 September 2011 p 235Form FHOG 1 Version 5—Application form and lodgement guide

pubd gaz 30 September 2011 p 235Form FHOG 1 Addendum Version 2—Application for New Home Grant $7000

pubd gaz 16 January 2004 p 134Form FHOG 1 Addendum Version 2—Application for New Home Grant $3000

pubd gaz 16 January 2004 p 134Form FHOG 1 Addendum Version 1—Age Restriction/Disqualifying Arrangements/Residency

Requirementspubd gaz 16 January 2004 p 134


FISHERIES ACT 1994


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FISHERIES ACT 1994

Form 2 Version 1—Notice and Manual Reporting Guidelinespubd gaz 19 May 2006 p 248

Form 19—Application to transfer Spanner Crab ITQ unitspubd gaz 14 May 1999 p 162

Form 23.2 Version 3 November 2003—Stocked Impoundment Permitpubd gaz 21 November 2003 p 958

Form AQ04 Version 4—Queensland Aquarium Fish Fishery Logbookpubd gaz 10 August 2007 p 1899

Form BD03 Version 3—Queensland Bêche-de-mer and Trochus Fisheries Logbookpubd gaz 10 August 2007 p 1899

Form BR01 Version 1—Queensland Broodstock and Culture Stock Collection Logbookpubd gaz 10 August 2007 p 1899

Form CDR01 Version 1—Catch Disposal Recordpubd gaz 24 September 2004 p 319

Form CS04 Version 04—Queensland Coral, Shell Grit and Star Sand Fisheries Logbookpubd gaz 7 August 2009 p 1293

Form EF03 Version 3—Queensland Adult Eel Fishery Logbookpubd gaz 10 August 2007 p 1899

Form FB02 Version 1—Queensland Seafood Buyer’s Reporting Sheetpubd gaz 14 October 2005 p 590

Form FDU 1089 Version 03/05—Fisheries Infringement Noticepubd gaz 18 November 2005 p 1047

Form FDU 1400 Version 03—Application for Resource Allocation Authoritypubd gaz 14 May 2010 p 120

Form FDU 1454 Version 01/06—Register Transfer of Commercial Fishing Boat LicenceApplication

pubd gaz 7 July 2006 p 1161Form FDU 1455 Version 01/06—Register Transfer of Carrier Boat Licence Application

pubd gaz 7 July 2006 p 1161Form FDU 1456 Version 01/06—Buyer Licence Application

pubd gaz 7 July 2006 p 1161Form FDU 1457 Version 01/06—Boat Licence Application

pubd gaz 7 July 2006 p 1161Form FDU 1458 Version 01/06—General Fisheries Permit Application (Stocking Queensland

Waters)pubd gaz 7 July 2006 p 1161

Form FDU 1459 Version 01/06—Commercial Fisher Licence Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1460 Version 01/06—Charter Fishing Licence Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1461 Version 01/06—General Fisheries Permit Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1463 Version 01/06—Surrender Authoritypubd gaz 7 July 2006 p 1161

Form FDU 1464 Version 01/06—Register Transfer of Buyer Licence Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1465 Version 01/06—Register Transfer of Quota Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1467 Version 01/06—Register Temporary Transfer of Commercial Fishing Boat Licencepubd gaz 7 July 2006 p 1161


FISHERIES ACT 1994


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Form FDU 1468 Version 01/06—Register Temporary Transfer of Buyer Licence Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1469 Version 01/06—Register Temporary Transfer of Quota Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1472 Version 01/06—Commercial Harvest Fishery Licence Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1473 Version 01/06—Register Transfer of Commercial Harvest Fishery LicenceApplication

pubd gaz 7 July 2006 p 1161Form FDU 1474 Version 01/06—Register Temporary Transfer of Commercial Harvest Fishery

Licence Applicationpubd gaz 7 July 2006 p 1161

Form FDU 1475 Version 01/06—Inspect Register of Authorities & Fisheries DevelopmentApprovals Application

pubd gaz 7 July 2006 p 1161Form FDU 1476 Version 01/06—Register Transfer of Charter Fishing Licence Application

pubd gaz 7 July 2006 p 1161Form FDU 1477 Version 01/06—Fishery Symbol Movement Application

pubd gaz 7 July 2006 p 1161Form FDU 1478 Version 01/06—Developmental Fishing Permit Application

pubd gaz 7 July 2006 p 1161Form FDU 1479 Version 01/06—Indigenous Fishing Permit Application

pubd gaz 7 July 2006 p 1161Form FT02 Version 2—Queensland Gulf of Carpentaria Fin Fish Trawl Fishery Logbook

pubd gaz 10 August 2007 p 1899Form GB03 Version 3—Queensland Gulf of Carpentaria Inshore Net and Crab Fisheries Logbook

pubd gaz 10 August 2007 p 1899Form GL01 Version 1—Queensland Gulf of Carpentaria Line Fishery Logbook

pubd gaz 10 August 2007 p 1899Form GN01 Version 1—Queensland Net Fishery (Gulf of Carpentaria No. 2) Logbook

pubd gaz 10 August 2007 p 1899Form JE01 Version 1—Queensland Juvenile Eel Fishery Logbook

pubd gaz 10 August 2007 p 1899Form JF01 Version 1—Queensland Developmental Jellyfish Fishery Logbook

pubd gaz 2 September 2005 p 61Form LF05 Version 5—Queensland East Coast Line Fin Fish Fisheries Logbook

pubd gaz 10 August 2007 p 1899Form MH01 Version 1—Queensland Reef Line Multi-Hook Fin Fish Fishery Logbook

pubd gaz 10 August 2007 p 1899Form OT09 Version 9—Queensland East Coast Trawl Fisheries Logbook

pubd gaz 10 August 2007 p 1899Form PB01 Version 1—Queensland Developmental Prawn and Bug Trapping Logbook

pubd gaz 14 October 2005 p 590Form RQ/SM1 Version 2—Notice to keep records about total coral reef fin fish and/or Spanish

mackerel owned by an authorised buyerpubd gaz 22 August 2008 p 2649

Form RQ/SM2 Version 2—Wholesale sales of fishpubd gaz 22 August 2008 p 2649

Form RQ/SM3—Records to be kept about imports of coral reef fin fish and Spanish mackerelpubd gaz 2 July 2004 p 696


FISHERIES ACT 1994


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Form RQ/SM4 Version 2—Records to be kept about commercial carriage of coral reef fin fish andSpanish mackerel

pubd gaz 22 August 2008 p 2649Form RQ/SM5 Version 2—Records to be kept about commercial storage of coral reef fin fish and

Spanish mackerelpubd gaz 22 August 2008 p 2649

Form SC04 Version 4—Queensland Spanner Crab Fishery Logbookpubd gaz 10 August 2007 p 1899

Form SR01 Version 01—Shark & Ray (S Symbol) Logbookpubd gaz 7 August 2009 p 1293

Form SW03B Version 3—Queensland Stout Whiting Trawl Fishery Logbookpubd gaz 14 October 2005 p 590


FOOD ACT 2006


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FOOD ACT 2006

Form 1 Version 1—Application form – Auditorpubd gaz 26 February 2010 p 463

Form 5 Version 1—Application for amendment of conditions of approvalpubd gaz 26 February 2010 p 463

Form 9 Version 1—Approval as an auditor under the Food Act 2006pubd gaz 26 February 2010 p 463

Form 24 Version 1—Notice of isolation of prescribed contaminantpubd gaz 26 February 2010 p 463


FOREIGN OWNERSHIP OF LAND REGISTER ACT 1988


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FOREIGN OWNERSHIP OF LAND REGISTER ACT 1988

Form 25 Version 3—Foreign Ownership Informationpubd gaz 23 March 2007 p 1250


FOSSICKING ACT 1994


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FOSSICKING ACT 1994

Form 1—Application for Fossickers Licencepubd gaz 27 January 1995 p 291

Form 2—Fossickers Licencepubd gaz 27 January 1995 p 291

Form 3—Notice of Refusal or Conditions of Fossickers Licencepubd gaz 27 January 1995 p 291

Form 4—Notice to Show Cause Suspension or Cancellation of Fossickers Licencepubd gaz 27 January 1995 p 291

Form 5—Notice of Suspension or Cancellation of Fossickers Licencepubd gaz 27 January 1995 p 291

Form 6—Fossickers Camping Permitpubd gaz 27 January 1995 p 291


FUNERAL BENEFIT BUSINESS ACT 1982


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FUNERAL BENEFIT BUSINESS ACT 1982

Form 1 Version 7 July 2011—Client Care Statementpubd gaz 8 July 2011 p 628

Form 11 Version 1 July 2011—Notice of Change of Nominated Officepubd gaz 8 July 2011 p 630

Form 12 Version 1 July 2011—Notice of Change of Secretarypubd gaz 8 July 2011 p 630

Form 13 Version 1 July 2011—Annual Returnpubd gaz 8 July 2011 p 630

Form 14 Version 1 July 2011—Application to Amend Rulespubd gaz 8 July 2011 p 630

Form 15 Version 1 July 2011—Acknowledgement of Registration of Amendment to Rulespubd gaz 8 July 2011 p 630

Form 16 Version 1 July 2011—Reference of a Dispute to the Registrar of Funeral Benefit Businesses pubd gaz 8 July 2011 p 630

Form 17 Version 1 July 2011—Notice by Registrar of Funeral Benefit Businesses of Hearing ofDispute

pubd gaz 8 July 2011 p 630Form 18 Version 1 July 2011—Determination and Order of the Registrar of Funeral Benefit

Businessespubd gaz 8 July 2011 p 630


GAMING MACHINE ACT 1991


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Form 3 Version 1—Application for a gaming machine licencepubd gaz 4 December 2009 p 1105

Form 3A Version 1—Individual applicant details for a category one gaming machine licence (hotel)pubd gaz 4 December 2009 p 1105

Form 3B Version 1—Club details for a category two gaming machine licencepubd gaz 4 December 2009 p 1105

Form 3C Version 1—Company details for a category one gaming machine licence (hotel)pubd gaz 4 December 2009 p 1105

Form 3D Version 1—Application for an additional premises by category two (club) licenseepubd gaz 4 December 2009 p 1105

Form 3E Version 1—Application for renewal of a category one (hotel) gaming machine licence byan individual

pubd gaz 4 December 2009 p 1105Form 3F Version July 2005—Application for Renewal of Gaming Machine Licence – Category 1 –

(Hotel) or Category 2 (Club) – Body Corporatepubd gaz 22 February 2008 pp 848–9

Form 3G Version 1—Application for a replacement licence by a category one (hotel) gamingmachine licensee

pubd gaz 4 December 2009 p 1105Form 3I Version April 2005—Information Notice—Exclusion Direction

pubd gaz 11 April 2008 p 1966Form 3J Version April 2005—Information Notice—Refusal to Revoke an Exclusion Direction

pubd gaz 11 April 2008 p 1966Form 4 Version September 2005—Seizure Notice

pubd gaz 11 April 2008 p 1966Form 4 Version October 1997—Personal History and Suitable Information

pubd gaz 11 April 2008 p 1966Form 6 Version 1—Gaming machine licence

pubd gaz 4 December 2009 p 1105Form 7 Version 1—Application to increase the approved number of gaming machines granted to a

licenseepubd gaz 4 December 2009 p 1105

Form 7A Version 1—Application to decrease the approved number of gaming machines granted to alicensee

pubd gaz 4 December 2009 p 1105Form 7B Version September 2006—Application for Relocation of Gaming Machine Area

pubd gaz 22 February 2008 pp 848–9Form 9 Version February 2007—Notification Requesting Surrender of a Gaming Nominee, Gaming

Employee, Service Contractor, Repairer or Key Monitoring Employee Licencepubd gaz 11 April 2008 p 1966

Form 10 Version December 2011—Application for one-off extended trading hours (pubd gaz 9December 2011 p 726)

Form 11 Version June 2005—Notice of Change of Executive Officer or Secretary of BodyCorporate)

pubd gaz 22 February 2008 pp 848–9Form 11A Version September 2003—History of Executive Officers/Secretaries Since Licence

Granted/Last Renewedpubd gaz 11 April 2008 p 1967

Form 11B Version September 2003—Notification of All Current Executive Officers/Secretarypubd gaz 22 February 2008 pp 848–9




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Form 12 Version 1—Notification of the surrender of a gaming machine licencepubd gaz 4 December 2009 p 1105

Form 13F Version August 2005—Gaming Employee Licence Application by a Licensed GamingNominee

pubd gaz 11 April 2008 p 1967Form 14A Version December 2004—Application for a Service Contractor’s Licence (Individual)

pubd gaz 22 February 2008 pp 848–9Form 14B Version January 2005—Application for a Service Contractor’s Licence (Body Corporate)

pubd gaz 22 February 2008 pp 848–9Form 15 Version February 2001—Gaming Repairer Licence

pubd gaz 11 April 2008 p 1967Form 16 Version August 2008—Service Contractor– Individual Licence

pubd gaz 26 September 2008 p 537Form 16A Version August 2001—Service Contractor– Category 2 Licence

pubd gaz 11 April 2008 p 1967Form 16B Version August 2001—Service Contractor– Individual Licence

pubd gaz 11 April 2008 p 1967Form 17 Version February 2007—Gaming Employee Licence

pubd gaz 11 April 2008 p 1967Form 18 Version February 2001—Key Monitoring Employee Licence

pubd gaz 11 April 2008 p 1967Form 19 Version September 2003—Notification of Cessation or Commencement of Secretary or

Executive Officer of a Service Contractor (Body Corporate)pubd gaz 22 February 2008 pp 848–9

Form 20A Version August 2003—Affidavitpubd gaz 22 February 2008 pp 848–9

Form 20B Version August 2008—Affidavit for Gaming Machine Licencepubd gaz 26 September 2008 p 537

Form 20C Version August 2008—Affidavit for Supplier’s Licencepubd gaz 26 September 2008 p 537

Form 21 Version February 2004—Notification of Licensed Repairerspubd gaz 22 February 2008 pp 848–9

Form 23 Version September 2005—Notification of Current Service Contractorspubd gaz 22 February 2008 pp 848–9

Form 25 Version July 2008—Notification of Licensed Gaming Employees/Nomineepubd gaz 26 September 2008 p 537

Form 30 Version September 2005—Payout Refusal Reportpubd gaz 22 February 2008 pp 848–9

Form 36 Version December 2004—Repairer's Progressive Jackpot Unpaid Prizes Reportpubd gaz 22 February 2008 pp 848–9

Form 39 Version August 2003—Manual Payments Registerpubd gaz 22 February 2008 pp 848–9

Form 40 Version March 2003—Cash Clearances Report for Monthpubd gaz 22 February 2008 pp 848–9

Form 41 Version July 2002—Gaming Machine Performance Record (Parts 1 and 2)pubd gaz 22 February 2008 pp 848–9

Form 42 Version July 2008—Monthly Gaming Machine Reconcilliation Reportpubd gaz 26 September 2008 p 537

Form 42A Version March 2003—Monthly Gaming Machine Reconciliation Report for Month(Hotels/ Taverns, etc.)





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Form 45 Version September 2002—Appeal Against Decision/ Determination of the QueenslandGaming Commission

pubd gaz 22 February 2008 pp 848–9Form 46 Version August 2008—Application for a Supplier’s Licence or the Renewal of a Supplier’s

Licencepubd gaz 26 September 2008 p 537

Form 48 Version August 2008—Supplier’s Licencepubd gaz 26 September 2008 p 537

Form 48A Version August 2004—Provisional Supplier’s Licencepubd gaz 11 April 2008 p 1967

Form 49 Version August 2003—Notification Requesting Surrender of Supplier's Licence-Monitoring Operator

pubd gaz 22 February 2008 pp 848–9Form 51 Version August 2003—Application for a Licence as Wagering Key Person, Keno

Employee, Casino Key Employee, Key Monitoring Employee, Interactive Key Person or LotteryKey Person

pubd gaz 22 February 2008 pp 848–9Form 54 Version September 2003—Notification of Cessation or Commencement of Secretary or

Executive Officer of a Licensed Supplierpubd gaz 22 February 2008 pp 848–9

Form 55 Version July 2004—Notification of Key Monitoring Employeespubd gaz 22 February 2008 pp 848–9

Form 55A Version February 2004—Notification of Employees by Licensed Supplierspubd gaz 22 February 2008 pp 848–9

Form 56 Version November 2004—Notification of Emploment/ Cessation of Employment of a KeyMonitoring Employee

pubd gaz 22 February 2008 pp 848–9Form 57 Version April 2002—Application for the Acquisition/ Replacement/ Disposal of Gaming

Machinespubd gaz 22 February 2008 pp 848–9

Form 57A Version October 2003—Application for Repossession of Gaming Machinespubd gaz 22 February 2008 pp 848–9

Form 58 Version July 2008—Register of Gaming Machines-Licenseepubd gaz 26 September 2008 p 537

Form 59A Version August 2003—Register of Gaming Machines-Licensed Monitoring Operatorspubd gaz 22 February 2008 pp 848–9

Form 59B Version May 2001—Register of Gaming Machines–Licensed Monitoring Operators(Machines Owned or Leased)

pubd gaz 11 April 2008 p 1967Form 60 Version August 2003—Register of Gaming Machines-Approved Financiers

pubd gaz 22 February 2008 pp 848–9Form 61 Version March 2005—Monthly Variances Record

pubd gaz 22 February 2008 pp 848–9Form 64 Version July 2004—Gaming Licensee Quarterly Report

pubd gaz 22 February 2008 pp 848–9Form 65 Version November 2005—Fast- Track Upgrade Gaming Nominee Licence Application

pubd gaz 22 February 2008 pp 848–9Form 68 Version June 2011—Nomination of Gaming Nominee

pubd gaz 1 July 2011 p 585Form 67 Version February 2001—Gaming Nominee Licence





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Form 69 Version July 2004—Gaming Licensee Half Yearly Reportpubd gaz 22 February 2008 pp 848–9

Form 70 Version September 2003—Application for an Increase in Approved Hours of Gamingpubd gaz 22 February 2008 pp 848–9

Form 70A Version April 2002—Application for Approval of Extended Hours of Gaming Not On ARegular Basis Temporary Basis)

pubd gaz 11 April 2008 p 1967Form 71 Version August 2003—Registration Form for Operating Authorities

pubd gaz 11 April 2008 p 1967Form 73 Version May 2005—Application for Renewal of a Suppliers Licence (Operator, Major

Dealer or Secondary Dealer)pubd gaz 11 April 2008 p 1967

Form 74 Version May 2005—Statement of Payment of Benefitspubd gaz 22 February 2008 pp 848–9

Form 75A Version June 2005—Monthly Self Assessment Checklist-Hotelspubd gaz 22 February 2008 pp 848–9

Form 75B Version June 2005—Monthly Self Assessment Checklist-Clubspubd gaz 22 February 2008 pp 848–9

Form 76 Version August 2005—Statement against Minimum Requirements for a Gaming-RelatedCompliance Program

pubd gaz 22 February 2008 pp 848–9Form 77 Version 1—Application for the permanent transfer of gaming machine entitlements

between clubspubd gaz 4 December 2009 p 1105

Form 78 Version 1—Application for the temporary transfer of gaming machine entitlementsbetween clubs

pubd gaz 4 December 2009 p 1105Form 81 Version 1 October 2010—Responsible Service of Gambling course certificate

pubd gaz 22 October 2010 p 473Form 82 Version June 2011—Application for Liquor and Gaming Individual Employees

pubd gaz 1 July 2011 p 585Form 83 Version 1—Application for renewal of responsible service of gambling trainer approval



GEOTHERMAL EXPLORATION ACT 2004


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GEOTHERMAL EXPLORATION ACT 2004

Form 3 Version 1—Application for Renewal of Geothermal Exploration Permitpubd gaz 2 May 2008 p 161


GREENHOUSE GAS STORAGE ACT 2009


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GREENHOUSE GAS STORAGE ACT 2009

Form GHG-01 Version 1—Application to tender for GHG Exploration Permitpubd gaz 9 July 2010 p 1098

Form GHG-02 Version 1—Application to amend work program for GHG permitpubd gaz 9 July 2010 p 1098

Form GHG-03 Version 1—Application for renewal of GHG Exploration Permitpubd gaz 9 July 2010 p 1098

Form GHG-04 Version 1—Application for Potential Storage Areapubd gaz 9 July 2010 p 1098

Form GHG-05 Version 1—Application for permit-related GHG Leasepubd gaz 9 July 2010 p 1098

Form GHG-06 Version 1—Application to tender for GHG Leasepubd gaz 9 July 2010 p 1098

Form GHG-07 Version 1—Application to amend development plan for GHG Leasepubd gaz 9 July 2010 p 1098

Form GHG-09 Version 1—Application for approval of proposed GHG coordination arrangementpubd gaz 9 July 2010 p 1098

Form GHG-10 Version 1—Notice to decide authorised activitypubd gaz 9 July 2010 p 1098

Form GHG-11 Version 1—Application for Data Acquisition Authoritypubd gaz 9 July 2010 p 1098

Form GHG-14 Version 1—Application to mortgage a GHG authority or transfer, release, surrender amortgage

pubd gaz 9 July 2010 p 1098Form GHG-15 Version 1—Application to sublease or transfer a sublease for a GHG Lease

pubd gaz 9 July 2010 p 1098Form GHG-16 Version 1—Application for third party transfer of GHG authority

pubd gaz 9 July 2010 p 1098Form GHG-17 Version 1—Application for replacement of instrument

pubd gaz 9 July 2010 p 1098Form GHG-18 Version 1—Request to record change or correction of name

pubd gaz 9 July 2010 p 1098Form GHG-19 Version 1—Request to record change of address for service of correspondence



GUIDE, HEARING AND ASSISTANCE DOGS ACT 2009


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GUIDE, HEARING AND ASSISTANCE DOGS ACT 2009

Form 1 Version 1—Criminal History Screening Application Formpubd gaz 4 June 2010 p 381

Form 2 Version 1—Criminal History Disclosure/Change Application Formpubd gaz 4 June 2010 p 381

Form3 Version 1—Handler Identity Card Application Formpubd gaz 4 June 2010 p 381

Form 4 Version 1—Approved Trainer and Approved Training Institution Application Formpubd gaz 4 June 2010 p 381

Form 5 Version 1—Replacement Identity Card Change of Details Form - Handlerpubd gaz 4 June 2010 p 381

Form 6 Version 1—Replacement Identity Card Change of Details Form - Approved Trainerpubd gaz 4 June 2010 p 381

Form 7 Version 1—Review of a Decision Application Formpubd gaz 4 June 2010 p 381

Form 8 Version 1—Public Access Test 2pubd gaz 4 June 2010 p 381


HEALTH ACT 1937


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HEALTH ACT 1937

Form 1 Version 1—Application for a permit to keep more than one hundred vermin (rats, mice andguinea pigs)

pubd gaz 27 March 1998 p 1304Form 2 Version 1—Application for renewal of a permit to keep more than one hundred vermin (rats,

mice and guinea pigs)pubd gaz 27 March 1998 p 1304

Form 3 Version 1—Permit to keep more than one hundred vermin (rats, mice and guinea pigs)pubd gaz 27 March 1998 p 1304

Form 4 Version 1—Application for a licence to sell controlled drugs by wholesalepubd gaz 28 February 1997 p 818

Form 5 Version 1—Application for a licence to manufacture poisons and/or sell poisons bywholesale

pubd gaz 28 February 1997 p 820Form 6 Version 1—Application for a general licence to sell poisons

pubd gaz 28 February 1997 p 819Form 7 Version 1—Application for a wholesale representative’s authority

pubd gaz 28 February 1997 pp 811–12Form 8 Version 1—Application for a strychnine permit

pubd gaz 28 February 1997 pp 823–4Form 9 Version 1—Application for a cyanide permit

pubd gaz 28 February 1997 pp 825–6Form 10 Version March 97—Application for a licence to sell poisons for purposes other than human

therapeutic usepubd gaz 21 March 1997 p 1230

Form CDM—Application for a licence to manufacture controlled drugspubd gaz 7 May 1999 p 87

Form CDW—Application for a licence to sell controlled drugs by wholesalepubd gaz 7 May 1999 p 87

Form CG1 Version 1—Application for approval to use land as a camping groundpubd gaz 6 September 1996 pp 77–8

Form CG2 Version 1—Approval to use land as a camping groundpubd gaz 6 September 1996 pp 77–8

Form CG3 Version 1—Application for approval to make alterations or additions to a campingground

pubd gaz 6 September 1996 pp 77–8Form CG4 Version 1—Approval to make alterations or additions to a camping ground

pubd gaz 6 September 1996 pp 77–8Form CG5 Version 1—Application for approval to transfer an approval granted to use land as a

camping groundpubd gaz 6 September 1996 pp 77–8

Form CG6 Version 1—Approval to transfer an approval to use land as a camping groundpubd gaz 6 September 1996 pp 77–8

Form GP—Application for a general licence to sell poisonspubd gaz 7 May 1999 p 87

Form H1 Version 1—Application for a hairdresser’s shop licencepubd gaz 6 September 1996 pp 77–8

Form H2 Version 1—Application for renewal of a hairdresser’s shop licencepubd gaz 6 September 1996 pp 77–8

Form H3 Version 1—Hairdresser’s shop licence/licence renewalpubd gaz 6 September 1996 pp 77–8


HEALTH ACT 1937


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Form H4 Version 1—Application for transfer of a hairdresser’s shop licencepubd gaz 6 September 1996 pp 77–8

Form H5 Version 1—Application for a mobile hairdressing service licencepubd gaz 6 September 1996 pp 77–8

Form H6 Version 1—Application for renewal of a mobile hairdressing service licencepubd gaz 6 September 1996 pp 77–8

Form H7 Version 1—Mobile hairdressing service licence/licence renewalpubd gaz 6 September 1996 pp 77–8

Form H8 Version 1—Application for transfer of a mobile hairdressing service licencepubd gaz 6 September 1996 pp 77–8

Form HDPR Version 2 November 1998—Application for a strychnine permitpubd gaz 7 May 1999 p 87

Form HDPR Version 2 November 1998—Strychnine permitpubd gaz 7 May 1999 p 87

Form HDPR Version 2 November 1998—Application for a cyanide permitpubd gaz 7 May 1999 p 87

Form HDPR Version 2 November 1998—Cyanide permitpubd gaz 7 May 1999 p 87

Form HDPR18(3) Version January 2003—Reasons relating to the inclusion of conditions on anendorsement

pubd gaz 31 January 2003 p 315Form HDPR18(7) Version January 2003—Refusal to grant endorsement/renew licence/ treatment

approvalpubd gaz 31 January 2003 p 315

Form HDPR24(1) Version January 2003—Proposal to suspend/cancel endorsementpubd gaz 31 January 2003 p 315

Form HDPR24(5) Version January 2003—Suspension/cancellation of endorsementpubd gaz 31 January 2003 p 315

Form HDPR27(1) Version January 2003—Refusal to replace endorsementpubd gaz 31 January 2003 p 315

Form HDPR28(4) Version January 2003—Refusal to amend endorsementpubd gaz 31 January 2003 p 315

Form HDPR29(2) Version January 2003—Amendment of endorsement without applicationpubd gaz 31 January 2003 p 315

Form HDPR29(3) Version January 2003—Amendment of endorsement without applicationpubd gaz 31 January 2003 p 315

Form HDPR30(2) Version January 2003—Minor amendment of endorsementpubd gaz 31 January 2003 p 315

Form HDPR32(1) Version January 2003—Surrender of endorsementpubd gaz 31 January 2003 p 315

Form HDPR96.01 Version July 2004—Application for a General Licence to Sell Poisonspubd gaz 12 November 2004 p 879

Form HDPR96.02A Version July 2004—Application for a Licence to Manufacture Poisonspubd gaz 12 November 2004 p 879

Form HDPR96.02B Version July 2004—Application for a Licence to Sell Poisons by Wholesalepubd gaz 12 November 2004 p 879

Form HDPR96.03 Version July 2004—Application for a Licence to Sell Poisons for Purposes otherthan Human Therapeutic Use

pubd gaz 12 November 2004 p 879Form HDPR96.04 Version July 2004—Application for a Licence as a Wholesale Representative



HEALTH ACT 1937


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Form HDPR96.05 Version July 2004—Application for a Licence to Sell Controlled Drugs byWholesale

pubd gaz 12 November 2004 p 879Form HDPR96.06 Version July 2004—Application for a Licence to Manufacture Controlled Drugs

pubd gaz 12 November 2004 p 879Form HDPR96.07 Version July 2004—Application for a Licence to Sell Restricted Drugs by

Wholesalepubd gaz 12 November 2004 p 879

Form HDPR96.08 Version July 2004—Application for a Licence to Sell Controlled Drugs byWholesale

pubd gaz 12 November 2004 p 879Form HDPR96.09 Version July 2004—Application for Renewal of Licence

pubd gaz 12 November 2004 p 879Form P—Application for a licence to sell poisons for purposes other than human therapeutic use

pubd gaz 7 May 1999 p 87Form PMW—Application for a licence to manufacture poisons and/or sell poisons by wholesale

pubd gaz 7 May 1999 p 87Form RDM—Application for a licence to manufacture restricted drugs

pubd gaz 7 May 1999 p 87Form RDW—Application for a licence to sell restricted drugs by wholesale

pubd gaz 7 May 1999 p 87Form SP1 Version 1—Application for registration of premises for skin penetration

pubd gaz 6 September 1996 pp 77–8Form SP2 Version 1—Application for renewal of registration of premises for skin penetration

pubd gaz 6 September 1996 pp 77–8Form SP3 Version 1—Certificate of registration/renewal of registration of premises for skin

penetrationpubd gaz 6 September 1996 pp 77–8


HEALTH PRACTITIONERS (PROFESSIONAL STANDARDS) ACT 1999


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HEALTH PRACTITIONERS (PROFESSIONAL STANDARDS) ACT 1999

Form DHPPS385A Version March 2002—Notice of Convictionpubd gaz 8 March 2002 p 932

Form DHPPS385B Version March 2002—Notice of Certain Judgements and Settlementspubd gaz 8 March 2002 p 932

Form DHPPS385C Version March 2002—Notice of Certain Events Concerning Dental Registrationin Other Jurisdiction

pubd gaz 8 March 2002 p 932Form Opt HPPS385A Version February 2002—Notice of Conviction (Optometrists)

pubd gaz 8 February 2002 pp 439–441Form Opt HPPS385B Version February 2002—Notice of Certain Judgements and Settlements

(Optometrists)pubd gaz 8 February 2002 pp 439–441

Form Opt HPPS385C Version February 2002—Notice of Certain Events Concerning OptometristRegistration in Other Jurisdictions

pubd gaz 8 February 2002 pp 439–441Form OT HPPS385A Version February 2002—Notice of Conviction (Occupational Therapists)

pubd gaz 8 February 2002 pp 439–441Form OT HPPS385B Version February 2002—Notice of Certain Judgements and Settlements

(Occupational Therapists)pubd gaz 8 February 2002 pp 439–441

Form OT HPPS385C Version February 2002—Notice of Certain Events Concerning OccupationalTherapist Registration in Other Jurisdictions

pubd gaz 8 February 2002 pp 439–441Form P HPPS385A Version February 2002—Notice of Conviction (Pharmacists)

pubd gaz 8 February 2002 pp 439–441Form P HPPS385B Version February 2002—Notice of Certain Judgements and Settlements

(Pharmacists)pubd gaz 8 February 2002 pp 439–441

Form P HPPS385C Version February 2002—Notice of Certain Events Concerning PharmacistRegistration in Other Jurisdictions

pubd gaz 8 February 2002 pp 439–441Form Phy HPPS385A Version February 2002—Notice of Conviction (Physiotherapists)

pubd gaz 8 February 2002 pp 439–441Form Phy HPPS385B Version February 2002—Notice of Certain Judgements and Settlements

(Physiotherapists)pubd gaz 8 February 2002 pp 439–441

Form Phy HPPS385C Version February 2002—Notice of Certain Events ConcerningPhysiotherapist Registration in Other Jurisdictions

pubd gaz 8 February 2002 pp 439–441Form SP HPPS385A Version February 2002—Notice of Conviction (Speech Pathologists)

pubd gaz 8 February 2002 pp 439–441Form SP HPPS385B Version February 2002—Notice of Certain Judgements and Settlements

(Speech Pathologists)pubd gaz 8 February 2002 pp 439–441

Form SP HPPS385C Version February 2002—Notice of Certain Events Concerning SpeechPathologist Registration in Other Jurisdictions

pubd gaz 8 February 2002 pp 439–441


HOUSING ACT 2003


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HOUSING ACT 2003

Form 1 Version 2 March 2004—Housing Applicantspubd gaz 19 March 2004 p 1070

Form 2 Version 2 March 2004—Registered Providerspubd gaz 19 March 2004 p 1070

Form 3 Version 2—Application for Registrationpubd gaz 24 June 2011 p 532

Form 4 Version 2—Application for Cancellation of Registrationpubd gaz 24 June 2011 p 532

Form 5 Version 1 May 2004—Notice of Change of Addresspubd gaz 11 June 2004 p 406

Form 6 Version 1 May 2004—Notice of External Administrationpubd gaz 11 June 2004 p 406

Form 7 Version 5—Application for Housing Assistancepubd gaz 8 July 2011 p 631

Form 8 Version 1—Duration of Need Policy Noticepubd gaz 22 December 2006 p 1957

Form 9 Version 1—Property Details Formpubd gaz 22 December 2006 p 1957


INDUSTRIAL RELATIONS ACT 1999


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Form 1 Version 3—Infringement noticepubd gaz 6 November 2009 p 726

Form 2 Version 1—Application starting a proceeding – non-chapter 12 approved form (pubd gaz 2December 2011 p 655)

Form 3 Version 1—Amended application (pubd gaz 2 December 2011 p 655)Form 4 Version 1—Application in existing proceeding (pubd gaz 2 December 2011 p 655)Form 5 Version 1—Application to appeal (pubd gaz 2 December 2011 p 655)Form 6 Version 1—Application for leave to appeal to full bench (pubd gaz 2 December 2011 p 655)Form 7 Version 1—Notice of appeal (pubd gaz 2 December 2011 p 655)Form 8 Version 1—Application for stay of decision under appeal or review (pubd gaz 2 December

2011 p 655)Form 9 Version 1—WCR Notice of appeal (pubd gaz 2 December 2011 p 655)Form 10 Version 1—Notice of industrial dispute (pubd gaz 2 December 2011 p 655)Form 11 Version 1—Notice to show cause (pubd gaz 2 December 2011 p 655)Form 12 Version 1—Application for reinstatement (pubd gaz 2 December 2011 p 656)Form 13 Version 1—Application for payment instead of long service leave (pubd gaz 2 December

2011 p 656)Form 14 Version 1—Application under section 278 for proportionate payment for long service leave

(pubd gaz 2 December 2011 p 656)Form 15 Version 1—Application to recover unpaid wages etc (pubd gaz 2 December 2011 p 656)Form 16 Version 1—Wages attachment notice (pubd gaz 2 December 2011 p 656)Form 17 Version 1—Discharge by employee for payment received (pubd gaz 2 December 2011 p

656)Form 18 Version 1—Application for order for repayment of fee received by a private employment

agent (pubd gaz 2 December 2011 p 656)Form 19 Version 1—Affidavit of service (pubd gaz 2 December 2011 p 656)Form 20 Version 1—Affidavit (pubd gaz 2 December 2011 p 656)Form 21 Version 1—Certificate of exhibit to affidavit (pubd gaz 2 December 2011 p 656)Form 22 Version 1—Response (pubd gaz 2 December 2011 p 656)Form 23 Version 1—List of documents (pubd gaz 2 December 2011 p 656)Form 24 Version 1—Notice to admit facts (pubd gaz 2 December 2011 p 656)Form 25 Version 1—Notice to admit documents (pubd gaz 2 December 2011 p 656)Form 26 Version 1—Notice of discontinuance for section 74 (pubd gaz 2 December 2011 p 656)Form 27 Version 1—Request to discontinue application other than for section 74 (pubd gaz 2

December 2011 p 656)Form 28 Version 1—Attendance notice for compulsory conference (pubd gaz 2 December 2011 p

656)Form 29 Version 1—Request for attendance notice (pubd gaz 2 December 2011 p 656)Form 30 Version 1—Attendance notice for production and to give evidence (pubd gaz 2 December

2011 p 656)Form 31 Version 1—Attendance notice to give evidence (pubd gaz 2 December 2011 p 656)Form 32 Version 1—Attendance notice to produce (pubd gaz 2 December 2011 p 656)Form 33 Version 1—Notice of appointment of agent (pubd gaz 2 December 2011 p 656)Form 34 Version 1—Lawyer’s notice of address for service (pubd gaz 2 December 2011 p 656)Form 35 Version 1—Notice of withdrawal of appointment as lawyer or agent (pubd gaz 2 December

2011 p 656)Form 36 Version 1—Notice of change of lawyer or agent (pubd gaz 2 December 2011 p 656)Form 37 Version 1—Notice of change of address for service (pubd gaz 2 December 2011 p 656)Form 38 Version 1—Advice of intention to begin negotiations for a project agreement (pubd gaz 2

December 2011 p 656)




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Form 39 Version 1—Notice to be party to a project agreement (pubd gaz 2 December 2011 p 656)Form 40 Version 1—Application for certificate as to requested representation (pubd gaz 2 December

2011 p 656)Form 41 Version 1—Certificate as to requested representation (pubd gaz 2 December 2011 p 656)Form 42 Version 1—Application for certificate of cessation of requirement under section 144(3)

(pubd gaz 2 December 2011 p 656)Form 43 Version 1—Certificate of cessation of requirement under section 144(3) (pubd gaz 2

December 2011 p 656)Form 44 Version 1—Request for help to make certified agreement (pubd gaz 2 December 2011 p

656)Form 45 Version 1—Application to revoke determination (pubd gaz 2 December 2011 p 656)Form 46 Version 1—Application for certification of agreement (pubd gaz 2 December 2011 p 656)Form 47 Version 1—Application for decision about designated award for certified agreement (pubd

gaz 2 December 2011 p 656)Form 48 Version 1—Application to extend nominal expiry date of certified agreement (pubd gaz 2

December 2011 p 656)Form 49 Version 1—Application to amend certified agreement (pubd gaz 2 December 2011 p 656)Form 50 Version 1—Notice terminating certified agreement under section 172(1) or Notice of

intention to terminate certified agreement under section 173(2) (pubd gaz 2 December 2011 p656)

Form 51 Version 1—Application for approval of termination of certified agreement under section172(2) or section 173(1) (pubd gaz 2 December 2011 p 656)

Form 52 Version 1—Notice of giving of authorisation of industrial action (pubd gaz 2 December2011 p 656)

Form 53 Version 1—Certificate of amount to be paid under order (s336) (pubd gaz 2 December 2011p 656)

Form 54 Version 1—Application to Industrial Registrar for issue of an authority under section 364(pubd gaz 2 December 2011 p 656)

Form 55 Version 1—Certificate of exemption from membership of an organisation (pubd gaz 2December 2011 p 656)

Form 56 Version 1—Application starting a proceeding – chapter 12 approved form (pubd gaz 2December 2011 p 656)

Form 57 Version 1—Application starting a proceeding – other than chapter 12 approved form (pubdgaz 2 December 2011 p 656)

Form 58 Version 1—Notice of objection (pubd gaz 2 December 2011 p 656)Form 59 Version 1—Response to notice of objection (pubd gaz 2 December 2011 p 656)Form 60 Version 1—Notice of objection for amalgamations and ballot exemptions (pubd gaz 2

December 2011 p 656)Form 61 Version 1—Statement answering notice of objection (pubd gaz 2 December 2011 p 656)Form 62 Version 1—Notice of withdrawal of applications under chapter 12 (pubd gaz 2 December

2011 p 657)Form 63 Version 1—Ballot paper (pubd gaz 2 December 2011 p 657)Form 64 Version 1—Certificate of registration (pubd gaz 2 December 2011 p 657)Form 65 Version 1—Prescribed election information for industrial registrar to arrange for conduct of

elections (pubd gaz 2 December 2011 p 657)Form 66 Version 1—Officers Register (pubd gaz 2 December 2011 p 657)Form 67 Version 1—IM Notice of appeal (pubd gaz 2 December 2011 p 657)Form 68 Version 1—Application for a claim before an industrial magistrate (pubd gaz 2 December

2011 p 657)Form 69 Version 1—Warrant of commitment where punishment is by imprisonment (pubd gaz 2

December 2011 p 657)Form 70 Version 1—Application to industrial registrar for issue of WHS entry permit (pubd gaz 2




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December 2011 p 657)Form 71 Version 1—Application to revoke WHS entry permit (pubd gaz 2 December 2011 p 657)Form 72 Version 1—WHS show cause notice (pubd gaz 2 December 2011 p 657)Form 73 Version 1—Application to deal with a WHS dispute (pubd gaz 2 December 2011 p 657)Form 74 Version 1—Application for WHS review (pubd gaz 2 December 2011 p 657)Form 75 Version 1—Notice of intention to retire from an industrial agreement (pubd gaz 2

December 2011 p 657)Form 76 Version 1—Application for student’s work permit (pubd gaz 2 December 2011 p 657)Form 77 Version 1—Student’s work permit (pubd gaz 2 December 2011 p 657)Form 78 Version 1—Application for aged or infirm person’s permit (pubd gaz 2 December 2011 p

657)Form 79 Version 1—Notice of hearing of application by person who is aged or infirm (pubd gaz 2

December 2011 p 657)Form 80 Version 1—Permit for person who is aged or infirm (pubd gaz 2 December 2011 p 657)Form 81 Version 1—Notice of objection to proposed declaration (s31 TH Act) (pubd gaz 2

December 2011 p 657)Form WA. 1 Version 1—Wages Attachment Notice



INFORMATION PRIVACY ACT 2009


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INFORMATION PRIVACY ACT 2009

Form 1 paper Version 2—Right to Information and Information Privacy Access Application Formpubd gaz 5 March 2010 p 530

Form 1A electronic Version 2—Right to Information and Information Privacy Access ApplicationForm

pubd gaz 5 March 2010 p 530Form 2 Version 2—Information Privacy Personal Information Amendment Application Form



INTEGRITY ACT 2009


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INTEGRITY ACT 2009

Form 1 Version 1.3 January 2011—QIC – Lobbyists Form – Registration Formpubd gaz 7 January 2011 p 27

Form 1 Version 1.3e January 2011—QIC – Lobbyists Form –Registration Form (Electronic)pubd gaz 7 January 2011 p 27

Form 2 Version 2.2 January 2011—QIC – Lobbyists Form –Change of Details Formpubd gaz 7 January 2011 p 27

Form 2 Version 2.2e January 2011—QIC – Lobbyists Form –Change of Details Form (Electronic)pubd gaz 7 January 2011 p 27


INTERACTIVE GAMBLING (PLAYER PROTECTION) ACT 1998


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INTERACTIVE GAMBLING (PLAYER PROTECTION) ACT 1998

Form 1 Version February 2000—Application for an Interactive Gambling Licencepubd gaz 22 February 2008 p 849

Form 3 Version August 2003—Application for a Licence as Wagering Key Person, Keno Employee,Casino Key Employee, Key Monitoring Employee, Interactive Key Person or Lottery KeyPerson)

pubd gaz 22 February 2008 p 849Form 5 Version August 2001—Interactive Key Person Licence

pubd gaz 11 April 2008 p 1967Form 37 Version April 2003—Interactive Gambling Tax Return

pubd gaz 22 February 2008 p 849Form 38 Version July 2000—Application for Prohibition of Persons From Participating in

Interactive Gambling (Self Prohibition)pubd gaz 11 April 2008 p 1967

Form 39 Version July 2003—Application for Prohibition of Persons From Participating inInteractive Gambling (Prohibition by a Third Person)

pubd gaz 11 April 2008 p 1967Form 40 Version July 2003—Application to Rescind Prohibition From Participation in Interactive

Gamblingpubd gaz 11 April 2008 p 1967

Form 41 Version June 2000—Interactive Gambling Licensee Quarterly Reportpubd gaz 11 April 2008 p 1967

Form 42 Version June 2000—Interactive Gambling Licensee Annual Reportpubd gaz 11 April 2008 p 1967


INTRODUCTION AGENTS ACT 2001


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INTRODUCTION AGENTS ACT 2001

Form 1 Version 10—Application for introduction agents licencepubd gaz 15 July 2011 p 678

Form 2 Version 4—Reminder Notice–Licence–individualpubd gaz 7 December 2007 p 1975

Form 2 Version 4—Reminder Notice–Licence–corporationpubd gaz 7 December 2007 p 1975

Form 2 Version 8—Renewal Notice–Licence–individualpubd gaz 7 December 2007 p 1975

Form 2 Version 8—Renewal Notice–Licence–corporationpubd gaz 7 December 2007 p 1975

Mutual Recognition Form 2 Version 7—Application for an introduction agent’s licencepubd gaz 9 July 2010 p 1098


JURY ACT 1995


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JURY ACT 1995

Form 1 Version 2—Notice to prospective jurorpubd gaz 12 October 2001 p 488

Form 2 Version 2—Summons to a jurorpubd gaz 12 October 2001 p 488


JUSTICES ACT 1886


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JUSTICES ACT 1886

Form 1 Version 1—Complaint—Swornpubd gaz 16 August 1996 pp 1810–12

Form 2 Version 1—Warrant in the First Instance to Apprehend a Person charged with an IndictableOffence or a Simple Offence

pubd gaz 16 August 1996 pp 1810–12Form 3 Version 4—Complaint—Sworn, and Summons

pubd gaz 22 November 2002 p 1015Form 4 Version 2—Complaint—General Purposes—Made, and Summons

pubd gaz 31 January 1997 p 371Form 5 Version 2—Certificate of Indictment being found

pubd gaz 16 August 1996 pp 1810–12Form 6 Version 2—Certificate of Registrar that the costs of an Appeal are not paid

pubd gaz 16 August 1996 pp 1810–12Form 7 Version 4—Bench Charge Sheet

pubd gaz 25 February 2005 p 670Form 8 Version 3—Bench Cover Sheet

pubd gaz 11 October 1996 p 535Form 9 Version 1—Court Summary Sheet

pubd gaz 16 August 1996 pp 1810–12Form 10 Version 6—Summons of a witness

pubd gaz 19 December 2008 p 2173Form 12 Version 3—Warrant to apprehend witness who has neglected or refused to appear at a time

and place appointed by a summonspubd gaz 1 December 2006 pp 1584–5

Form 13 Version 2—Warrant for a Witness in the First Instancepubd gaz 16 August 1996 pp 1810–12

Form 14 Version 2—Warrant on Certificate of Indictment having been found to Apprehend PersonIndicted

pubd gaz 16 August 1996 pp 1810–12Form 14A Version 1—Warrant to apprehend absconding appellant

pubd gaz 16 September 1994 p 257Form 14C Version 1—Warrant to apprehend person who has not appeared after being granted bail by

a member of the Police Force by a deposit of moneypubd gaz 16 September 1994 p 257

Form 14D Version 1—Warrant to apprehend defendant who has not appeared on adjournmentpubd gaz 16 September 1994 p 257

Form 15 Version 1—Warrant to Apprehend Absconding Appellantpubd gaz 16 August 1996 pp 1810–12

Form 16 Version 2—Warrant to Apprehend Person who has not Appeared after being Granted Bailby a member of the Police Service by a Deposit of Money

pubd gaz 16 August 1996 pp 1810–12Form 17 Version 2—Warrant to Apprehend Defendant who has not appeared on Adjournment

pubd gaz 16 August 1996 pp 1810–12Form 17E Version 1—Notice of time and place of adjourned hearing of charge of simple offence or

breach of duty where these have been determined subsequently to the adjournmentpubd gaz 16 September 1994 p 257

Form 17F Version 1—Notice to defendant to enable him to appear at adjourned hearing for thepurpose of making submissions on question of disqualification, cancellation or suspension orpenalty



JUSTICES ACT 1886


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Form 17G Version 1—Certificate of service of notice to defendantpubd gaz 16 September 1994 p 257

Form 17H Version 1—Notice of re-hearing when case has been heard and determined ex parte in theabsence of the defendant

pubd gaz 16 September 1994 p 257Form 18 Version 3—Warrant remanding a defendant on a charge of an indictable offence or a simple

offence or breach of dutypubd gaz 8 December 2006 p 1737

Form 19 Version 1—Warrant of Committal for Safe Custody during an Adjournment of the Hearingpubd gaz 16 August 1996 pp 1810–12

Form 20 Version 1—Notice of Adjournmentpubd gaz 16 August 1996 pp 1810–12

Form 21 Version 1—Notice of Time and Place of Adjourned Hearing of charge of Simple Offence orBreach of Duty where these have been determined subsequently to the Adjournment

pubd gaz 16 August 1996 pp 1810–12Form 22 Version 2—Notice to defendant to appear at adjourned hearing for the purpose of making

submissions on question of disqualification, cancellation, suspension or penaltypubd gaz 1 December 2006 pp 1584–5

Form 23 Version 2—Certificate of service of notice to defendantpubd gaz 1 December 2006 pp 1584–5

Form 24 Version 2—Notice of rehearing when complaint has been heard and determined in theabsence of the defendant

pubd gaz 1 December 2006 pp 1584–5Form 25 Version 1—Notice to Witness to attend Court

pubd gaz 16 August 1996 pp 1810–12Form 26 Version 2—Notice to attend and give evidence at Trial

pubd gaz 16 August 1996 pp 1810–12Form 26A Version 1—Notice to attend and give evidence at trial (for prosecutions by the

Commonwealth Director of Public Prosecutions)pubd gaz 26 March 1999 p 1439

Form 27 Version 3—Notice of Appeal to a District Court Judgepubd gaz 8 August 1997 p 1738

Form 28 Version 2—Recognizance on Appeal to a District Court Judgepubd gaz 8 August 1997 p 1738

Form 29 Version 2—Depositions of Witnessespubd gaz 16 August 1996 pp 1810–12

Form 31 Version 3—Certificate of Orderpubd gaz 27 July 2007 p 1643

Form 32A Version 2—Advice of Conviction Orderpubd gaz 27 April 2007 p 1886

Form 33 Version 3—Order of dismissal of complaint and order for costspubd gaz 1 December 2006 pp 1584–5

Form 34 Version 3—Order and certificate of dismissal of complaintpubd gaz 1 December 2006 pp 1584–5

Form 35 Version 2—Warrant of Executionpubd gaz 16 August 1996 pp 1810–12

Form 36 Version 3—Warrant of commitment for trial or for sentencepubd gaz 1 December 2006 pp 1584–5

Form 37 Version 2—Warrant to convey accused person before a Justice at a place in the District inwhich the offence was committed

pubd gaz 16 August 1996 pp 1810–12


JUSTICES ACT 1886


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Form 38 Version 2—Warrant of Commitment of a Person Indictedpubd gaz 16 August 1996 pp 1810–12

Form 39 Version 2—Warrant of Commitment of a Person Indictedpubd gaz 16 August 1996 pp 1810–12

Form 40 Version 2—Warrant to detain a person Indicted who is already in Custody for anotherOffence

pubd gaz 16 August 1996 pp 1810–12Form 41 Version 3—Warrant of commitment of a witness for refusing to be sworn or to give

evidencepubd gaz 1 December 2006 pp 1584–5

Form 42 Version 2—Warrant of Commitmentpubd gaz 16 August 1996 pp 1810–12

Form 43 Version 2—Warrant of Commitment for want of Executionpubd gaz 16 August 1996 pp 1810–12

Form 44 Version 1—Transfer of Fine Certificatepubd gaz 16 August 1996 pp 1810–12

Form 45 Version 1—Memorandum of Receipt of Transfer of Fine Certificatepubd gaz 16 August 1996 pp 1810–12

Form 46 Version 1—Notice of Transfer of Fine Certificatepubd gaz 16 August 1996 pp 1810–12

Form 47 Version 2—Statement of the Defendantpubd gaz 16 August 1996 pp 1810–12

Form 48 Version 3—Notice of Alibipubd gaz 8 August 1997 p 1738

Form 49 Version 2—Reminder Noticepubd gaz 16 August 1996 pp 1810–12

Form 50 Version 2—Enforcement Noticepubd gaz 16 August 1996 pp 1810–12

Form 51 Version 3—Enforcement Order Noticepubd gaz 11 October 1996 p 535

Form 52 Version 2—Application for Extension of time to pay SETONS Finepubd gaz 16 August 1996 pp 1810–12

Form 53 Version 3—Notification of Election for Court Hearingpubd gaz 11 October 1996 p 535

Form 54 Version 2—Notice of Withdrawal of Infringement Noticepubd gaz 11 October 1996 p 535

Form 55 Version 2—Application to a Magistrates Court and consent by the parties for the Clerk ofthe Court to constitute a Magistrates Court and to make any order a magistrate may make

pubd gaz 8 August 1997 p 1738Form 57 Version 2—Order for disqualification of driver’s licence

pubd gaz 16 May 2008 p 405Form 58 Version 1—Warrant of commitment

pubd gaz 16 September 1994 p 257Form 58A Version 1—Return to a warrant of commitment

pubd gaz 16 September 1994 p 257Form 59 Version 1—Warrant of commitment on an order in the first instance

pubd gaz 16 September 1994 p 257Form 60 Version 1—Warrant of commitment on an order where the disobeying of it is punishable by

imprisonmentpubd gaz 16 September 1994 p 257


JUSTICES ACT 1886


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Form 61 Version 1—Warrant of commitment on a conviction where the punishment is byimprisonment

pubd gaz 16 September 1994 p 257Form 62 Version 1—Warrant of commitment for want of execution upon conviction for a penalty or

upon an order for payment of moneypubd gaz 16 September 1994 p 257

Form 63 Version 1—Warrant of commitment for want of execution for costs on dismissal of acomplaint

pubd gaz 16 September 1994 p 257Form 64 Version 1—Warrant of commitment for want of execution for costs where offence is

punishable by imprisonment, or upon an order where disobeying the order is punishable withimprisonment

pubd gaz 16 September 1994 p 257Form 65 Version 1—Warrant of commitment for want of execution for costs of appeal against

conviction or orderpubd gaz 16 September 1994 p 257

Form 66 Version 1—Gaoler’s receipt for the prisonerpubd gaz 16 September 1994 p 257

Form 70 Version 1—Transfer of fine certificatepubd gaz 16 September 1994 p 257

Form 71 Version 1—Memorandum of receipt of transfer of fine certificatepubd gaz 16 September 1994 p 257

Form 72 Version 1—Notice of transfer of fine certificatepubd gaz 16 September 1994 p 257

Form 73 Version 1—Bench record bookpubd gaz 16 September 1994 p 257

Form 74 Version 1—Notice of alibipubd gaz 16 September 1994 p 257

Form 75 Version 2—Reminder Noticepubd gaz 22 December 1995 p 1661

Form 76 Version 2—Enforcement Noticepubd gaz 22 December 1995 p 1661

Form 77 Version 2—Notice of Enforcement Orderpubd gaz 22 December 1995 p 1661

Form 78 Version 2—Application for Extension of Time to pay SETONS Finepubd gaz 22 December 1995 p 1661

Form 79 Version 1—Notice of Election for Court Hearingpubd gaz 9 December 1994 p 1560

Form 80 Version 2—Notice of withdrawal of Infringement Noticepubd gaz 22 December 1995 p 1661

Form 81 Version 1—Order for Detention of Offender Where Punishment is by Imprisonmentpubd gaz 13 April 2006 p 1459

Form 82 Version 1—Order of Imprisonment for Re-Offending During Suspended Imprisonmentpubd gaz 13 April 2006 p 1459

Form 84 Version 2—Warrant to apprehend defendant where summons is disobeyedpubd gaz 14 December 2007 p 2130

Form 85 Version 1—Application for a Direction Hearingpubd gaz 7 March 2008 p 1150

Form F3113/PT56 Version November 1995—Infringement Noticepubd gaz 4 April 1996 p 1531


JUSTICES ACT 1886


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Form PT 56D Version 4 November 1997—Infringement Notice (Photographic Detection DeviceOffence)



JUSTICES OF THE PEACE AND COMMISSIONERS FOR DECLARATIONS ACT 1991


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JUSTICES OF THE PEACE AND COMMISSIONERS FOR DECLARATIONS ACT 1991

Form 1 Version 2—Application for appointment as a Commissioner for Declarationspubd gaz 11 August 2006 p 1714

Form 2 Version 2—Application for appointment as a Justice of the Peace (Qualified)pubd gaz 11 August 2006 p 1714

Form 4 Version 2—Application for transfer to be registered as a Commissioner for Declarationspubd gaz 11 August 2006 p 1714

Form 5 Version 2—Application for upgrade to be registered as a Justice of the Peace (Qualified)pubd gaz 11 August 2006 p 1714

Form 5a Version 2—Application for upgrade to be registered as a Justice of the Peace (Qualified)pubd gaz 11 August 2006 p 1714


KENO ACT 1996


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KENO ACT 1996

Form 1 Version (August 2003)—Application for a Licence as Wagering Key Person, KenoEmployee, Casino Key Employee, Key Monitoring Employee, Interactive Key Person or LotteryKey Person

pubd gaz 11 April 2008 p 1967Form 2 Version (April 1997)—Application for a Keno Employee Licence by a Licensed Casino

Employeepubd gaz 11 April 2008 p 1967

Form 3 Version (August 2001)—Keno Employee Licencepubd gaz 11 April 2008 p 1967

Form 4 Version (April 1997)—Application for Replacement Licencepubd gaz 11 April 2008 p 1967

Form 5 Version (April 1997)—Notice of Chief Executive’s Decision to Refuse an application for aKeno Employee Licence or Replacement Keno Employee Licence

pubd gaz 11 April 2008 p 1967Form 6 Version (April 1997)—Notice of Chief Executive’s Decision to Change the conditions

subject to which a Keno Employee Licence was grantedpubd gaz 11 April 2008 p 1967

Form 7 Version (April 1997)—Notice to Keno Licensee of surrender of licence by a licensed KenoEmployee

pubd gaz 11 April 2008 p 1967Form 8 Version (April 1997)—Notice of Chief Executive’s Decision to immediately suspend a Keno

Employee’s Licencepubd gaz 11 April 2008 p 1967

Form 9 Version (April 1997)—Show Cause Noticepubd gaz 11 April 2008 p 1967

Form 10 Version (April 1997)—Notice of Chief Executive’s Decision to suspend or cancel a KenoEmployee’s Licence, following show cause notice

pubd gaz 11 April 2008 p 1967Form 11 Version (April 1997)—Notice of Chiefs Executive’s Decision to censure a Keno

Employee’s Licence, following show cause noticepubd gaz 11 April 2008 p 1967

Form 12 Version (April 1997)—Notice of Direction from the Chief Executive to a Licensed KenoEmployee to rectify a matter

pubd gaz 11 April 2008 p 1967Form 13 Version (April 1997)—Notice of Chief Executive's Decision to reduce the period of

suspension or cancel the suspension of a Keno Employee’s Licencepubd gaz 11 April 2008 p 1967

Form 14 Version (April 1997)—Notification of Termination or Cessation of Employmentpubd gaz 11 April 2008 p 1967

Form 15 Version (April 1997)—Notification of Commencement of Employmentpubd gaz 11 April 2008 p 1967

Form 17 Version (June 1997)—Keno Licencepubd gaz 11 April 2008 p 1967

Form 18 Version (June 1997)—Notification of Chief Executive’s Decision to Issue a KenoEmployee Licence on Conditions

pubd gaz 11 April 2008 p 1967Form 19 Version (June 1997)—Licensed and Exempt Keno Employee Return

pubd gaz 11 April 2008 p 1967Form 20 Version (June 1997)—Notice to End Licensed Keno Employee’s Employment



KENO ACT 1996


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Form 21 Version (June 1997)—Notice of End of Key Operator’s Rolepubd gaz 11 April 2008 p 1967

Form 22 Version (June 1997)—Notice to End Licensed Keno Operator’s Associationpubd gaz 11 April 2008 p 1967

Form 23 Version (May 2005)—Monthly Gross Revenue Returnpubd gaz 22 February 2008 p 849

Form 24 Version (June 1997)—Notice of Agency Agreementpubd gaz 11 April 2008 p 1967

Form 25 Version (June 1997)—Notice Delaying Start of Keno Agent’s Operationspubd gaz 11 April 2008 p 1967

Form 26 Version (June 1997)—Current Keno Agentspubd gaz 11 April 2008 p 1967

Form 27 Version (June 1997)—Notice of Change of Keno Agent’s Place of Operationpubd gaz 11 April 2008 p 1967

Form 28 Version (June 1997)—Notice of Keno Subagent’s Appointmentpubd gaz 11 April 2008 p 1967

Form 29 Version (June 1997)—Keno Subagent Returnpubd gaz 11 April 2008 p 1967

Form 30 Version (June 1997)—Notice of Change of Keno Subagent’s Place of Operationpubd gaz 11 April 2008 p 1967

Form 32 Version (September 2005)—Claim Review Requestpubd gaz 22 February 2008 p 849

Form 33 Version (June 1997)—Statewide Keno Monthly Reportpubd gaz 11 April 2008 p 1967

Form 33A Version (June 1997)—Statewide Keno Quarterly Reportpubd gaz 11 April 2008 p 1967

Form 34 Version (July 2004)—Gaming Licensee Quarterly Reportpubd gaz 22 February 2008 p 849

Form 68 Version June 2011—Nomination of Gaming Nomineepubd gaz 1 July 2011 p 585

Form 82 Version June 2011—Application for Liquor and Gaming Individual Employeespubd gaz 1 July 2011 p 585


LAND ACT 1994


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LAND ACT 1994

Form 1 Version 5—Transferpubd gaz 23 March 2007 p 1249

Form 2 Version 4—Mortgagepubd gaz 23 March 2007 p 1249

Form 3 Version 4—Release of Mortgagepubd gaz 23 March 2007 p 1249

Form 4 Version 5—Request to Record Deathpubd gaz 23 March 2007 p 1249

Form 5 Version 6—Transmission Application by Personal Representative (Grant in Queensland)pubd gaz 23 March 2007 p 1249

Form 5A Version 5—Transmission Application by Personal Representative (No Grant inQueensland)

pubd gaz 23 March 2007 p 1249Form 6 Version 6—Transmission Application for Registration as Devisee/Legatee

pubd gaz 23 March 2007 p 1249Form 7 Version 6—Lease/Sub-Lease

pubd gaz 23 March 2007 p 1249Form 8 Version 4—Surrender of Lease

pubd gaz 23 March 2007 p 1249Form 9 Version 4—Easement

pubd gaz 23 March 2007 p 1248Form 10 Version 4—Surrender of Easement

pubd gaz 23 March 2007 p 1248Form 12 Version 4—Request to Register Writ/Warrant of Execution

pubd gaz 23 March 2007 p 1249Form 13 Version 6—Amendment

pubd gaz 23 March 2007 p 1249Form 14 Version 4—General Request

pubd gaz 23 March 2007 p 1249Form 16 Version 4—Request to Register Power of Attorney/Revocation of Power of Attorney

pubd gaz 23 March 2007 p 1248Form 17 Version 4—Request to Dispense with Production of Instrument

pubd gaz 23 March 2007 p 1248Form 18 Version 5—General Consent

pubd gaz 23 March 2007 p 1249Form 20 Version 2—Schedule/Enlarged Panel/Declaration

pubd gaz 22 August 2003 p 1327Form 29 Version 3—Profit a Prendre

pubd gaz 23 March 2007 p 1248Form 30 Version 3—Mortgage Priority

pubd gaz 23 March 2007 p 1249Form 31 Version 3—Covenant

pubd gaz 23 March 2007 p 1248Form 32 Version 3—Building Management Statement

pubd gaz 23 March 2007 p 1248Form 33 Version 3—Release of Covenant/Profit a Prendre

pubd gaz 23 March 2007 p 1248Form 34 Version 3—Extinguishment of Building Management Statement



LAND SALES ACT 1984


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LAND SALES ACT 1984

Form 1 Version 9 July 2011—Notice to purchaser of proposed lotpubd gaz 8 July 2011 p 628

Form 2 Version 9 July 2011—Application for Exemptionpubd gaz 8 July 2011 p 628


LAND TAX ACT 2010


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LAND TAX ACT 2010

Form 11 Version 8—Exemption claim - Land used for the business of agriculture, pasturage or dairyfarming

pubd gaz 30 September 2011 p 235Form12 Version 7—Exemption claim - Land used as a home (individuals)

pubd gaz 30 September 2011 p 235Form 13 Version 6—Exemption claim - Land used as a home (trustees)

pubd gaz 30 September 2011 p 235Form 15 Version 7—Exemption claim - Charitable institution

pubd gaz 30 September 2011 p 235Form 18 Version 6—Exemption claim - Moveable dwelling park

pubd gaz 30 September 2011 p 235Form 19 Version 5—Exemption claim - Recreational and public land (societies, clubs and

associations)pubd gaz 30 September 2011 p 235

Form 20 Version 6—Exemption claim – generalpubd gaz 30 September 2011 p 235


LAND TITLE ACT 1994


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LAND TITLE ACT 1994










pubd gaz 23 March 2007 p 1249Form 9 Version 4—Easement

pubd gaz 23 March 2007 p 1248Form 10 Version 4—Surrender of Easement

pubd gaz 23 March 2007 p 1248Form 11 Version 4—Caveat




pubd gaz 23 March 2007 p 1249Form 15 Version 4—Request to Amalgamate

pubd gaz 23 March 2007 p 1250Form 16 Version 4—Request to Register Power of Attorney/Revocation of Power of Attorney

pubd gaz 23 March 2007 p 1248Form 17 Version 4—Request to Dispense with Production of Instrument


pubd gaz 23 March 2007 p 1249Form 19 Version 4—Application for Title


pubd gaz 22 August 2003 p 1327Form 21 Version 2—Survey plan

pubd gaz 4 July 1997 p 1093Form 21A Version 1—Additional page (Plan of survey)

pubd gaz 4 July 1997 p 1093Form 22 Version 1—Certificate of Title



LAND TITLE ACT 1994


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Form 23 Version 4—Settlement Noticepubd gaz 23 March 2007 p 1250

Form 24 Version 5—Property Information (Transfer)pubd gaz 9 September 2011 p 55

Form 24A Version 2—Property Information (Transmission Application)pubd gaz 9 September 2011 p 55

Form 29 Version 3—Profit a Prendrepubd gaz 23 March 2007 p 1248

Form 30 Version 3—Mortgage Prioritypubd gaz 23 March 2007 p 1249

Form 31 Version 3—Covenantpubd gaz 23 March 2007 p 1248

Form 32 Version 3—Building Management Statementpubd gaz 23 March 2007 p 1248

Form 33 Version 3—Release of Covenant/Profit a Prendrepubd gaz 23 March 2007 p 1248

Form 34 Version 3—Extinguishment of Building Management Statementpubd gaz 23 March 2007 p 1248


LAND VALUATION ACT 2010


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LAND VALUATION ACT 2010

Form 41 Version 1—Application for a Deduction for Site Improvementspubd gaz 21 April 2011 p 649

Form 58S Version 2—Notice of Objection—Site Land Valuation (non-rural land)pubd gaz 21 April 2011 p 649

Form 58U Version 2—Notice of Objection—Unimproved Land Valuation (rural land)pubd gaz 21 April 2011 p 649

Form 63 Version 2—Application for Suppression Directionpubd gaz 3 June 2011 p 235


LEGAL PROFESSION ACT 2007


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Form 1 Version 2—Complaint Formpubd gaz 30 May 2008 p 671

Form 1 JAG Version 1—Form of disclosure of costs to clients (Legal Costs—your right to know)pubd gaz 29 June 2007 p 1149

Form 1 QLS (LPA) Version 9—Application for Grant of a Practising Certificatepubd gaz 1 April 2011 pp 551–2

Form 1 QLS (LPR) Version 3—Notification by Interstate Legal Practitioner of Authority toWithdraw Money from Local Trust Account

pubd gaz 1 April 2011 pp 551–2Form 1 QLS (SR) Version 5—Application for Membership of Queensland Law Society

pubd gaz 1 April 2011 pp 551–2Form 1A QLS (LPA) Version 2—Application for Grant of a Principal Practising Certificate –

Upgrade from Non-Principal Practising Certificatepubd gaz 15 April 2011 p 622

Form 1A QLS (SR) Version 6—Application for Associate Membership of Queensland Law Societypubd gaz 1 April 2011 pp 551–2

Form 1A QLS Version 1—Application for Grant of a Principal Practising Certificate–upgrade fromnon-principal practising certificate

pubd gaz 16 November 2007 p 1510Form 1B QLS (SR) Version 3—Application for Associate (Law Student) Membership of

Queensland Law Societypubd gaz 1 April 2011 pp 551–2

Form 2 JAG Version 1—Form of notification of client’s rights (Your rights in relation to legal costs)pubd gaz 29 June 2007 p 1149

Form 2 QLS (LPA) Version 6—Application for Renewal of Practising Certificatepubd gaz 1 April 2011 pp 551–2

Form 2 QLS (LPR) Version 3—Notification by Interstate Legal Practitioner of Termination ofAuthorisation or Variation of Circumstances Relating to Authority to Withdraw Money fromLocal Trust Account

pubd gaz 1 April 2011 pp 551–2Form 2 QLS (SR) Version 6—Application for Renewal of Membership of Queensland Law Society

pubd gaz 1 April 2011 pp 551–2Form 2A QLS (LPA) Version 2—Application for Renewal of Practising Certificate

pubd gaz 1 April 2011 pp 551–2Form 2A QLS (SR) Version 3—Electronic Application for Renewal of Membership of Queensland

Law Societypubd gaz 1 April 2011 pp 551–2

Form 3 QLS (SR) Version 3—Nomination Paperpubd gaz 22 February 2008 p 849

Form 4 QLS (LPA) Version 3—Notice of Failure to Have Professional Indemnity Insurancepubd gaz 8 April 2011 p 585

Form 4 QLS (LPR) Version 5—Law Practice Declaration and Trust Money Statementpubd gaz 1 April 2011 pp 551–2

Form 4 QLS (SR) Version 2—Election of Council of Queensland Law Society Voting Paperpubd gaz 22 February 2008 p 849

Form 5 QLS (LPA) Version 3—Application by a Certificate Holder for Revocation of Conditionpubd gaz 1 April 2011 pp 551–2

Form 5 QLS (LPR) Version 4—External Examiners Reportpubd gaz 1 April 2011 pp 551–2




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Form 5 QLS (SR) Version 3—Appointment of Proxy for Annual General Meetingpubd gaz 1 April 2011 pp 551–2

Form 6 QLS (LPA) Version 3—Notice by a Practising Certificate Holder of a Conviction of anOffence or of a Charge for a Serious Offence

pubd gaz 1 April 2011 pp 551–2Form 6 QLS (SR) Version 3—Appointment of Proxy for Special General Meeting

pubd gaz 1 April 2011 pp 551–2Form 7 QLS (LPA) Version 3—Notice by Practitioner of a ‘Show Cause’ Event

pubd gaz 1 April 2011 pp 551–2Form 7 QLS (SR) Version 4—Application for Renewal of Associate Membership of Queensland

Law Societypubd gaz 1 April 2011 pp 551–2

Form 7A QLS (SR) Version 1—Application for Renewal of Associate Membership of QueenslandLawSociety

pubd gaz 1 April 2011 pp 551–2Form 8 QLS (LPA) Version 3—Application by Practitioner for Amendment or Cancellation of

Practising Certificatepubd gaz 1 April 2011 pp 551–2

Form 13 QLS (LPA) Version 3—Claim for Compensation from Fidelity Guarantee Fundpubd gaz 1 April 2011 pp 551–2

Form 14 QLS Version 3—Notice of Appointment of QLS Officer as Supervisorpubd gaz 20 July 2007 p 1523

Form 14 QLS (LPA) Version 7—Instrument of Appointment of Queensland Law Society Officer asSupervisor

pubd gaz 1 April 2011 pp 551–2Form 15 QLS Version 2—Notice of Appointment of Person Other Than QLS Officer as Supervisor

pubd gaz 20 July 2007 p 1523Form 15 QLS (LPA) Version 4—Instrument of Appointment of Person other than Queensland Law

Society Officer as Supervisorpubd gaz 1 April 2011 pp 551–2

Form 16 QLS (LPA) Version 3—Receipt Issued by Supervisorpubd gaz 1 April 2011 pp 551–2

Form 17 QLS Version 2—Notice Appointment of Managerpubd gaz 20 July 2007 p 1523

Form 17 QLS (LPA) Version 4—Instrument of Appointment of Managerpubd gaz 1 April 2011 pp 551–2

Form 18 QLS (LPA) Version 3—Receipt Issued by Managerpubd gaz 1 April 2011 pp 551–2

Form 19 QLS Version 2—Notice of Appointment of QLS Officer as Receiverpubd gaz 20 July 2007 p 1523

Form 19 QLS (LPA) Version 6—Instrument of Appointment of Queensland Law Society Officer asReceiver

pubd gaz 1 April 2011 pp 551–2Form 20 QLS Version 2—Notice of Appointment of Person Other Than QLS Officer as Receiver

pubd gaz 20 July 2007 p 1523Form 20 QLS (LPA) Version 4—Instrument of Appointment of Person Other than Queensland Law

Society Officer as Receiverpubd gaz 1 April 2011 pp 551–2

Form 21 QLS (LPA) Version 3—Authority to Receiver to Carry on Legal Practice Where theReceiver is a Legal Practitioner

pubd gaz 1 April 2011 pp 551–2




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Form 22 QLS (LPA) Version 3—Authority to a Legal Practitioner to Carry on Legal Practice OnBehalf of a Receiver Who is Not a Legal Practitioner

pubd gaz 1 April 2011 pp 551–2Form 23 QLS (LPA) Version 3—Notice of a Corporation’s Intention to Engage in Legal Practice in

Queenslandpubd gaz 1 April 2011 pp 551–2

Form 24 QLS (LPA) Version 2—Notice of a Corporation’s Failure to Comply with Subsection114(1)

pubd gaz 1 April 2011 pp 551–2Form 25 QLS (LPA) Version 2—Notice of Cessation of Legal Practice by a Former Incorporated

Legal Practicepubd gaz 1 April 2011 pp 551–2

Form 26 QLS (LPA) Version 2—Notice that an Incorporated Legal Practice No Longer has a LegalPractitioner Director

pubd gaz 1 April 2011 pp 551–2Form 27 QLS (LPA) Version 2—Notice of Intention by Australian Legal Practitioner to Provide

Legal Services as a Partner in a Multi-Disciplinary Partnershippubd gaz 1 April 2011 pp 551–2

Form 28 QLS (LPA) Version 3—Application by Foreign Lawyer for Grant of Registration toPractice Foreign Law in Queensland

pubd gaz 1 April 2011 pp 551–2Form 29 QLS (LPA) Version 3—Application for Grant of a Volunteer Practising Certificate

pubd gaz 1 April 2011 pp 551–2Form 29 QLS (LPA) Version 5—Instrument of Appointment of QLS Officer as Receiver

pubd gaz 26 June 2009 p 827Form 30 QLS (LPA) Version 2—Receipt Issued by Receiver

pubd gaz 1 April 2011 pp 551–2Form 31 QLS (LPA) Version 2—Notification of Appointment or Replacement of External Examiner

pubd gaz 1 April 2011 pp 551–2Form 32 QLS (LPA) Version 2—Notification Provided By External Examiner of Ceasing to Be

External Examinerpubd gaz 1 April 2011 pp 551–2

Form 33 QLS (LPA) Version 2—Statutory Declaration – Ceasing to Hold Trust Moneypubd gaz 1 April 2011 pp 551–2

Form 34 QLS (LPA) Version 2—Application by Foreign Lawyer for Renewal of Registration toPractice Foreign Law in Queensland



LIQUOR ACT 1992


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LIQUOR ACT 1992

Form 1 Version 3—Application for a Liquor Licence (pubd gaz 28 October 2011 pp 396–7)Form 3 Version 3—Transfer of Liquor Licence (pubd gaz 28 October 2011 pp 396–7)Form 4 Version 2d—Application for Acceptance of New Nominee (pubd gaz 15 August 2008 pp

2239–40)Form 5 Version 3—Personal Details Schedule (pubd gaz 28 October 2011 pp 396–7)Form 6 Version 3—Registration of Financial Interest (pubd gaz 28 October 2011 pp 396–7)Form 7 Version 4—Community Liquor Permit (pubd gaz 25 November 2011 p 601)Form 8 Version 3—Application for new restricted liquor permit (pubd gaz 28 October 2011 pp

396–7)Form 8 Version 3—Guide to applying for new restricted liquor permit (pubd gaz 28 October 2011 pp

396–7)Form 9 Version 2c—Application for Extended hours Permit (on a Regular or Permanent Basis)

(pubd gaz 15 August 2008 pp 2239–40)Form 9 Version 3—Application for approved extended trading hours (pubd gaz 28 October 2011 pp

396–7)Form 10 Version December 2011—Application for one-off extended trading hours (pubd gaz 9

December 2011 p 726)Form 11 Version 2c—Application for Extended hours for Restricted Club Permit (pubd gaz 15

August 2008 pp 2239–40)Form 12 Version 2—Community Liquor Permit effective (pubd gaz 30 July 2010 p 1251)Form 12 Version 2c—Application for Renewal of Extended Hours Permit to Trade Beyond 3.00am

(pubd gaz 15 August 2008 pp 2239–40)Form 13 Version 2c—Application for Catering Away Permit (one-off public event) (pubd gaz 15

August 2008 pp 2239–40)Form 13 Version 3—Application for commercial public event permit (regular) (pubd gaz 25

November 2011 p 601)Form 14 Version 2c—Application for Catering Away Permit (on a regular basis) (pubd gaz 15

August 2008 pp 2239–40)Form 14 Version 3—Application for renewal of a restricted liquor permit (pubd gaz 25 November

2011 p 601)Form 15 Version 2c—Application for Renewal of a Restricted Club Permit (pubd gaz 15 August

2008 pp 2239–40)Form 15 (booklet) Version 2b—Application for Renewal of a Restricted Club Permit–instruction

booklet (pubd gaz 16 November 2007 p 1508)Form 15 Version 3—Guide to applying for renewal of a restricted liquor permit (pubd gaz 25

November 2011 p 601)Form 16 Version 3—Application for temporary change in licensed area (pubd gaz 25 November

2011 p 601)Form 17 Version 3—Application for temporary variation of licence (pubd gaz 25 November 2011 p

601)Form 18 Version 3—Application for catering endorsement on licence (pubd gaz 25 November 2011

p 601)Form 19 Version 3—Application for permanent variation of licence (pubd gaz 28 October 2011 pp

396–7)Form 20 Version 3—Application for a detached bottle shop (pubd gaz 28 October 2011 pp 396–7)Form 21 Version 3—Application to relocate a detached bottle shop (pubd gaz 28 October 2011 pp

396–7)Form 22 Version 3—Application to transfer a detached bottle shop (pubd gaz 28 October 2011 pp

396–7)Form 23 Version 3—Application to alter, rebuild or change the premises (pubd gaz 28 October 2011


LIQUOR ACT 1992


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pp 396–7)

Form 24 Version 4—Application to change the licensed area (pubd gaz 28 October 2011 pp 396–7)

Form 25 Version 2c—Notification of House Policy (pubd gaz 15 August 2008 pp 2239–40)

Form 26 Version 4—Statement of completed works (pubd gaz 28 October 2011 pp 396–7)

Form 27 Version 4—Notification of absence from licensed premises (pubd gaz 28 October 2011 pp396–7)

Form 28 Version 4—Application for temporary authority (pubd gaz 28 October 2011 pp 396–7)

Form 29 Version 1b—Application for Restricted Area Permit (pubd gaz 15 August 2008 pp2239–40)

Form 30 Version 1b—Personal Details for a Restricted Area Permit (pubd gaz 15 August 2008 pp2239–40)

Form 31 Version 4—Site assessment for service station/fuel depot (pubd gaz 28 October 2011 pp396–7)

Form 32 Version 4—Guide to applying for adult entertainment permit (pubd gaz 28 October 2011 pp396–7)

Form 32 Version 4—Application for adult entertainment permit (pubd gaz 28 October 2011 pp396–7)

Form 33 Version 2c—Personal Details Schedule – Adult Entertainment Permit (pubd gaz 15 August2008 pp 2239–40)

Form 33 Version 4—Personal details schedule (pubd gaz 28 October 2011 pp 396–7)

Form 34 Version 4—Character reference (pubd gaz 28 October 2011 pp 396–7)

Form 35 Version 4—Application for change of controllers for adult entertainment permit (pubd gaz28 October 2011 pp 396–7)

Form 36 Version 1—Responsible Service of Alcohol Statement of Attainment certificate (pubd gaz2 June 2006 p 454)

Form 37 Version 1b—Review of Decision–Responsible Service of Alcohol Trainer (pubd gaz 16November 2007 p 1508)

Form 38 Version 1b—Review of Decision–Responsible Management of Licensed Venue Trainer(pubd gaz 16 November 2007 p 1508)

Form 39 Version 1a—Application for Renewal–Responsible Management of Licensed VenueTrainer (pubd gaz 16 November 2007 p 1508)

Form 40 Version 1b—Application for Renewal–Responsible Service of Alcohol Trainer (pubd gaz16 November 2007 p 1508)

Form 42 Version 1a—Application for Approval–Responsible Service of Alcohol Trainer (pubd gaz16 November 2007 p 1508)

Form 43 Version 1a—Application for Approval–Responsible Management of Licensed VenueTrainer (pubd gaz 16 November 2007 p 1508)

Form 48 Version 1—Responsible Service of Alcohol Training Course Certificate (pubd gaz 25 June2010 p 820)

Form 49 Version 2—Licensee's Course Certificate (pubd gaz 11 November 2011 p 492)

Form 50 Version 1—Application for approval of use of the car park(pubd gaz 5 August 2011 p 828)

Form 68 Version June 2011—Nomination of Gaming Nominee (pubd gaz 1 July 2011 p 585)

Form 82 Version June 2011—Application for Liquor and Gaming Individual Employees (pubd gaz 1July 2011 p 585)


LOCAL GOVERNMENT ACT 2009


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LOCAL GOVERNMENT ACT 2009

Form 1 Version 2—Application – Warrant to enterpubd gaz 13 August 2010 p 1359

Form 1 Version January 2012—Register of interests of a chief executive officer or senior contractemployee and their related persons (pubd gaz 23 December 2011 p 926)

Form 2 Version 2—Application – Court order to enterpubd gaz 13 August 2010 p 1359

Form 2 Version January 2012—Register of interests of a councillor and their related persons (pubdgaz 23 December 2011 p 926)

Management Certificate for consolidated entitiespubd gaz 27 May 2011 p 185

Management Certificate for non-consolidated entitiespubd gaz 27 May 2011 p 185


LOTTERIES ACT 1997


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LOTTERIES ACT 1997

Form 1 Version (July 1997)—Application for a Lottery Licencepubd gaz 11 April 2008 p 1968

Form 2A Version (May 2007)—Lottery Licencepubd gaz 11 April 2008 p 1968

Form 2B Version (May 2007)—Lottery Operator’s Licencepubd gaz 11 April 2008 p 1968


pubd gaz 11 April 2008 p 1968Form 4A Version (July 1997)—Notification of Chief Executive’s Decision to Grant a Key Person

Licencepubd gaz 11 April 2008 p 1968

Form 4B Version (July 1997)—Notification of Chief Executive’s Decision to Refuse a Key PersonLicence

pubd gaz 11 April 2008 p 1968Form 5 Version (August 2001)—Lottery Key Person Licence

pubd gaz 11 April 2008 p 1968Form 6 Version (July 1997)—Notification of Chief Executive’s Decision to Issue a Key Person

Licence on Conditionspubd gaz 11 April 2008 p 1968

Form 7 Version (July 1997)—Notice of Chief Executive’s Decision to Change the Conditions underwhich a Key Person Licence was granted

pubd gaz 11 April 2008 p 1968Form 8A Version (July 1997)—Application for Replacement Key Person Licence

pubd gaz 11 April 2008 p 1968Form 8B Version (July 1997)—Notice of Chief Executive’s Decision to Refuse an Application for a

Replacement Key Person Licencepubd gaz 11 April 2008 p 1968

Form 9 Version (July 1997)—Notice to Lottery Licensee of Surrender of Licence by a Key Personlicensee

pubd gaz 11 April 2008 p 1968Form 10 Version (July 1997)—Show Cause Notice

pubd gaz 11 April 2008 p 1968Form 11 Version (July 1997)—Notice of Chief Executive’s Decision to Immediately Suspend a Key

Person Licencepubd gaz 11 April 2008 p 1968

Form 12 Version (July 1997)—Notice of Chief Executive’s Decision to Censure a Key PersonLicence, following Show Cause Notice

pubd gaz 11 April 2008 p 1968Form 13 Version (July 1997)—Notice of Direction from the Chief Executive to a Key Person

Licensee to Rectify a Matterpubd gaz 11 April 2008 p 1968

Form 14 Version (July 1997)—Notice of Chief Executive’s Decision to suspend or cancel a KeyPerson’s Licence

pubd gaz 11 April 2008 p 1968Form 15 Version (July 1997)—Cancellation or Reduction of Period of Suspension

pubd gaz 11 April 2008 p 1968Form 16 Version (July 1997)—Notification of Commencement of Employment



LOTTERIES ACT 1997


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Form 17 Version (July 1997)—Employee Returnpubd gaz 11 April 2008 p 1968

Form 18 Version (September 2004)—Notification of Cessation of Employment as a Key PersonLicensee

pubd gaz 11 April 2008 p 1968Form 19 Version (July 1997)—Notice to End Key Person Licensee’s Employment

pubd gaz 11 April 2008 p 1968Form 20 Version (July 1997)—Notification of Cessation of Appointment of Key Operator who is a

Key Person Licenseepubd gaz 11 April 2008 p 1968

Form 21 Version (July 2004)—Notice to End Key Operator'spubd gaz 22 February 2008 p 849

Form 23 Version (July 2004)—Current Lottery Agents Returnpubd gaz 11 April 2008 p 1968

Form 30 Version (September 2008)—Monthly Gross Revenue Returnpubd gaz 26 September 2008 p 538

Form 31 Version (July 2004)—Gaming Licensee Quarterly Reportpubd gaz 29 February 2008 p 1010

Form 35 Version (December 1999)—Seizure Noticepubd gaz 22 February 2008 p 849


Form 38 Version (November 2007)—Request for Repayment of Relevant Amountpubd gaz 22 February 2008 p 849

Form 68 Version June 2011—Nomination of Gaming Nomineepubd gaz 1 July 2011 p 585

Form 82 Version June 2011—Application for Liquor and Gaming Individual Employeespubd gaz 1 July 2011 p 585


MANUFACTURED HOMES (RESIDENTIAL PARKS) ACT 2003


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MANUFACTURED HOMES (RESIDENTIAL PARKS) ACT 2003

Form 1 Version 6—Home owners information documentpubd gaz 25 February 2011 p 325

Form 2 Version 6—Site agreementpubd gaz 25 February 2011 p 325

Form 3 Version 6—Termination notice—by home owner within 28 days of entering site agreementpubd gaz 25 February 2011 p 325

Form 4 Version 6—Termination notice—by mutual agreementpubd gaz 25 February 2011 p 325

Form 5 Version 6—Termination notice—by home ownerpubd gaz 25 February 2011 p 325

Form 6 Version 6—Notice to remedy breachpubd gaz 25 February 2011 p 325

Form 7 Version 7—Notice of proposed sale and assignmentpubd gaz 25 February 2011 p 325

Form 8 Version 6—Form of assignment (transfer)pubd gaz 25 February 2011 p 325

Form 8a Version 2—Notice of variation of site agreement upon assignment to allow periodic siterent variations based on market review (pubd gaz 25 February 2011 p 325)

Form 9 Version 7—Selling authoritypubd gaz 25 February 2011 p 325

Form 10 Version 1—Information for record of residential parkspubd gaz 25 February 2011 p 325


MEDICAL RADIATION TECHNOLOGISTS REGISTRATION ACT 2001


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Form MRT101A Version July 2009—General Registration as a medical imaging technologist: Guideand application

pubd gaz 3 July 2009 p 930Form MRT101B Version July 2009—General Registration as a nuclear medicine technologist:

Guide and applicationpubd gaz 3 July 2009 p 930

Form MRT101C Version July 2009—General Registration as a radiation therapist: Guide andapplication

pubd gaz 3 July 2009 p 930Form MRT111 Version August 2002—Application for Registration under Mutual Recognition as a

Medical Radiation Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT201 Version December 2008—Application for General Registration with ProbationaryConditions

pubd gaz 19 December 2008 p 2173Form MRT201A Version October 2009—General Registration as a medical imaging technologist

with probationary conditions: Guide and application formpubd gaz 16 October 2009 p 522

Form MRT201B Version October 2009—General Registration as a nuclear medicine technologistwith probationary conditions: Guide and application form

pubd gaz 16 October 2009 p 522Form MRT201C Version October 2009—General Registration as a radiation therapist with

probationary conditions: Guide and application formpubd gaz 16 October 2009 p 522

Form MRT301A Version April 2004—Application for Special Purpose Registration as a MedicalImaging Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT301B Version April 2004—Application for Special Purpose Registration as a Nuclear

Medicine Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT301C Version April 2004—Application for Special Purpose Registration as a RadiationTherapist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT401A Version April 2003—Application for Renewal of General Registration as a

Medical Imaging Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT401B Version April 2003—Application for Renewal of General Registration as a NuclearMedicine Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT401C Version April 2003—Application for Renewal of General Registration as a

Radiation Therapist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT501A Version October 2004—Supervised Practice Program–Supervisor and ProfessionalPractice Setting Notification Form

pubd gaz 4 February 2005 pp 334–5Form MRT502 Version December 2004—Supervision Program–Supervisor and Professional

Practice Setting Notification Formpubd gaz 4 February 2005 pp 334–5




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Form MRT601A Version December 2004—Supervised Practice Program–Progress Report (MedicalImaging Technology)

pubd gaz 4 February 2005 pp 334–5Form MRT601B Version December 2004—Supervised Practice Program–Progress Report (Nuclear

Medicine Technology)pubd gaz 4 February 2005 pp 334–5

Form MRT601C Version December 2004—Supervised Practice Program–Progress Report(Radiation Therapy)

pubd gaz 4 February 2005 pp 334–5Form MRT701A Version December 2004—Supervised Practice Program–Final Report–(Medical

Imaging Technology)pubd gaz 4 February 2005 pp 334–5

Form MRT701B Version December 2004—Supervised Practice Program–Final Report–(NuclearMedicine Technology)

pubd gaz 4 February 2005 pp 334–5Form MRT701C Version December 2004—Supervised Practice Program–Final Report–(Radiation

Therapy)pubd gaz 4 February 2005 pp 334–5

Form MRT801A Version December 2004—Supervised Practice Program–Professional PracticeSetting Application Form–Medical Imaging Technology

pubd gaz 4 February 2005 pp 334–5Form MRT801B Version December 2004—Supervised Practice Program–Professional Practice

Setting Application Form–Nuclear Medicine Technologypubd gaz 4 February 2005 pp 334–5

Form MRT801C Version December 2004—Supervised Practice Program–Professional PracticeSetting Application Form–Radiation Therapy

pubd gaz 4 February 2005 pp 334–5Form MRT1401A Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Medical Imaging Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT1401B Version February 2002—Notice of Expiry of Registration and Application forRestoration of General Registration as a Nuclear Medicine Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT1401C Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Radiation Therapist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form TTMRMRT 311 Version October 2002—Application for Registration under Trans–TasmanMutual Recognition as a Medical Radiation Technologist in Queensland



MENTAL HEALTH ACT 2000


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Form dmh 16(a) Version 1—Request for assessmentpubd gaz 8 March 2002 p 929

Form dmh 16(b), 49(a) Version 3—Recommendation for assessmentpubd gaz 4 May 2007 p 114

Form dmh 27—Application for justices examination orderpubd gaz 28 May 2004 p 274

Form dmh 28—Justices examination orderpubd gaz 27 October 2006 p 934

Form dmh 32(1) Version 1—Justices examination orderpubd gaz 8 March 2002 p 929

Form dmh 32(2) Version 1—Justices examination orderpubd gaz 8 March 2002 p 929

Form dmh 35—Emergency examination order (police or ambulance officer)pubd gaz 28 May 2004 p 274

Form dmh 38 Version 1—Emergency examination order (psychiatrist)pubd gaz 8 March 2002 p 929

Form dmh 41 Version 1a—Emergency examination order (police or ambulance officer)pubd gaz 8 March 2002 p 929

Form dmh 41 Version 1—Emergency examination order (psychiatrist)pubd gaz 8 March 2002 p 929

Form dmh 62(1), 70 Version 3—Custodian’s assessment authoritypubd gaz 4 May 2007 p 114

Form dmh 70 Version 1—Custodian’s assessment authoritypubd gaz 8 March 2002 p 929

Form dmh 108, 112 Version 2—Involuntary treatment orderpubd gaz 4 May 2007 p 114

Form dmh 300 Version 1a—Notice of forensic order (criminal code) or custody orderpubd gaz 8 March 2002 p 929

Form dmh 301 Version 1a—Notice of forensic order (criminal code) or custody orderpubd gaz 8 March 2002 p 929

Form dmh.302 Version 1—Forensic order (Minister)pubd gaz 8 March 2002 p 929

Form dmh.311(2) Version 1—Notice of election to go to trialpubd gaz 8 March 2002 p 929

Form mc.228F(1–3) Version 1—Application to Magistrates Court for a Variation or Revocation of aNon-Contact Order

pubd gaz 8 March 2002 p 933Form Mhc 1 Version 2—Reference of person’s mental condition to the Mental Health Court by

Registrar of the Supreme or District Courtpubd gaz 19 July 2002 p 1135

Form Mhc 2 Version 2—Reference of person’s mental condition to Mental Health Courtpubd gaz 19 July 2002 p 1135

Form Mhc 3 Version 1—Forensic order 1pubd gaz 8 March 2002 p 928

Form MHC 3A—Forensic Order (Mental Health Court – Disability)pubd gaz 8 July 2011 p 631

Form Mhc 4 Version 1—Notice of appeal against decision of Mental Health Review Tribunalpubd gaz 8 March 2002 p 928

Form Mhc 5 Version 1—Court examination order 1pubd gaz 8 March 2002 p 928




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Form Mhc 6 Version 1—Application to inquire into a patient’s detentionpubd gaz 8 March 2002 p 928

Form MHC 32—Application for order changing existing forensic orderpubd gaz 8 July 2011 p 631

Form mhrt-140 Version 2—Treatment application (electroconvulsive therapy)pubd gaz 20 June 2003 p 628

Form mhrt-221—Application for notification orderpubd gaz 22 February 2002 p 748

Form mhrt-229 Version 2—Treatment application (electroconvulsive therapy)pubd gaz 20 June 2003 p 628

Form mhrt-230—Treatment application (psychosurgery)pubd gaz 22 February 2002 p 748

Form mhrt-232—Notice of hearing of review or treatment applicationpubd gaz 22 February 2002 p 748

Form mhrt-376—Appeal on refusal to allow a person to visit a patientpubd gaz 22 February 2002 p 748


MINERAL RESOURCES ACT 1989


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Form 4.2A—Certificate of Public Notice for mining claimpubd gaz 5 January 2001 pp 49–51

Form 4.4—Application for renewal of mining claimpubd gaz 5 January 2001 pp 49–51

Form 7.1A—Application for additional surface areapubd gaz 5 January 2001 pp 49–51

Form 7.2A—Certificate of Application for mining leasepubd gaz 5 January 2001 pp 49–51

Form 7.2B—Certificate of Public Notice for mining leasepubd gaz 5 January 2001 pp 49–51

Form 8 Version 4—Application for Mineral Development Licencepubd gaz 2 May 2008 p 161

Form 13.1 Version 1—Notice of intention to lodge or lodgement of application for a low impactprospecting permit

pubd gaz 22 September 2000 pp 306–8Form 13.2 Version 1—Notice of consultation start day low impact prospecting permit

pubd gaz 22 September 2000 pp 306–8Form 14.1 Version 1—Notice about proposed mining claim (application notice)

pubd gaz 22 September 2000 pp 306–8Form 14.2 Version 1—Notice of compliance mining claim

pubd gaz 22 September 2000 pp 306–8Form 14.3 Version 1—Advice to mining registrar


pubd gaz 22 September 2000 pp 306–8Form 14.5 Version 1—Negotiated agreement reached

pubd gaz 22 September 2000 pp 306–8Form 14.6 Version 1—Form of objection Registered native title rights and interests

pubd gaz 22 September 2000 pp 306–8Form 14.7 Version 1—Referral to Tribunal

pubd gaz 22 September 2000 pp 306–8Form 14.8 Version 1—Notice of grant

pubd gaz 22 September 2000 pp 306–8Form 14.9 Version 1—Role of State of Queensland

pubd gaz 22 September 2000 pp 306–8Form 14.10 Version 1—Notice of non-objection Registered native title rights and interests

pubd gaz 22 September 2000 pp 306–8Form 15 Version 4—Application for Mining Lease

pubd gaz 2 May 2008 p 161Form 15.1 Version 1—Notice of intention to lodge or lodgement of application for a low impact

exploration permit (application notice)pubd gaz 22 September 2000 pp 306–8

Form 15.2 Version 1—Notice of compliance low impact exploration permitpubd gaz 22 September 2000 pp 306–8

Form 15.3 Version 1—Notice of consultation period low impact exploration permitpubd gaz 22 September 2000 pp 306–8

Form 15.4 Version 1—Notice about proposed high impact exploration permit (application notice)pubd gaz 22 September 2000 pp 306–8

Form 15.5 Version 1—Notice of compliance high impact exploration permitpubd gaz 22 September 2000 pp 306–8




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Form 15.6 Version 1—Advice to mining registrarpubd gaz 22 September 2000 pp 306–8


Form 15.8 Version 1—Role of State of Queenslandpubd gaz 22 September 2000 pp 306–8

Form 15.9 Version 1—Negotiated agreement reachedpubd gaz 22 September 2000 pp 306–8

Form 15.10 Version 1—Form of objection Registered native title rights and interestspubd gaz 22 September 2000 pp 306–8

Form 15.11 Version 1—Referral to Tribunalpubd gaz 22 September 2000 pp 306–8

Form 16.1 Version 1—Notice of intention to lodge or lodgement of application for a low impactmineral development licence (application notice)

pubd gaz 22 September 2000 pp 306–8Form 16.2 Version 1—Notice of compliance low impact mineral development licence

pubd gaz 22 September 2000 pp 306–8Form 16.3 Version 1—Notice of consultation start day low impact mineral development licence

pubd gaz 22 September 2000 pp 306–8Form 16.4 Version 1—Notice about proposed high impact mineral development licence (application

notice)pubd gaz 22 September 2000 pp 306–8

Form 16.5 Version 1—Notice of compliance high impact mineral development noticepubd gaz 22 September 2000 pp 306–8



Form 16.8 Version 1—Role of State of Queenslandpubd gaz 22 September 2000 pp 306–8


Form 16.10 Version 1—Form of objection Registered native title rights and interests high impactmineral development licence

pubd gaz 22 September 2000 pp 306–8Form 16.11 Version 1—Referral to Tribunal

pubd gaz 22 September 2000 pp 306–8Form 16.12 Version 1–Notice of grant high impact mineral development licence

pubd gaz 22 September 2000 pp 306–8Form 17.1 Version 1—Notice about proposed mining lease (application notice)

pubd gaz 22 September 2000 pp 306–8Form 17.2 Version 1—Notice of compliance



pubd gaz 22 September 2000 pp 306–8Form 17.5 Version 1—Notice of non-objection Registered native title rights and interests

pubd gaz 22 September 2000 pp 306–8Form 17.6 Version 1—Role of the State of Queensland

pubd gaz 22 September 2000 pp 306–8




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Form 17.8 Version 1—Form of objection Registered native title rights and interestspubd gaz 22 September 2000 pp 306–8

Form 17.9 Version 1—Referral to Tribunalpubd gaz 22 September 2000 pp 306–8

Form 17.10 Version 1—Notice of grantpubd gaz 22 September 2000 pp 306–8

Form FDU1268 Version 1—Mineral Royalty Returnpubd gaz 6 May 2011 p 38

Form FDU1643 Version 2 07/09—Mineral Royalty Return (Annual)pubd gaz 1 October 2010 p 292

Form M1 Version 2—Form of Objectionpubd gaz 27 October 1995 pp 849–50

Form M2—Surrender of mining claim, mineral development licence or mining leasepubd gaz 5 January 2001 pp 49–51

Form M8B Version 2—Notice to Show Cause—Mining Claimpubd gaz 27 October 1995 pp 849–50

Form M9 Version 3—Notice of Intention of Initial Entry on Occupied Landpubd gaz 14 June 1996 p 986

Form M10 Version 3—Notice of Renewing Entry on Occupied Landpubd gaz 14 June 1996 p 986

Form M14A Version 2—Notice to Show Cause on Application for Renewalpubd gaz 27 October 1995 pp 849–50

Form M14B Version 2—Notice to Show Cause on Application for Renewal—Mining Claimpubd gaz 27 October 1995 pp 849–50

Form M15 Version 1—Notice of Availability of Draft Guidelines for the Preparation of EnvironmentImpact Statement for Exploration Permits or Mineral Development Licences

pubd gaz 27 October 1995 pp 849–50Form MRA–01 Version 3—Application for Parcel Prospecting Permit

pubd gaz 5 October 2007 p 721Form MRA–02 Version 3—Application for District Prospecting Permit

pubd gaz 5 October 2007 p 721Form MRA-03 Version 6—Application for Mining Claim

pubd gaz 9 July 2010 p 1098Form MRA–04 Version 3—Application for Renewal of Mining Claim

pubd gaz 5 October 2007 p 721Form MRA-05 Version 6—Application for Exploration Permit

pubd gaz 9 July 2010 p 1098Form MRA–06 Version 3—Application for Renewal of Exploration Permit

pubd gaz 5 October 2007 p 721Form MRA-07 Version 6—Application for Assignment of Exploration Permit or Mineral

Development Licencepubd gaz 9 July 2010 p 1098

Form MRA-08 Version 7—Application for Mineral Development Licencepubd gaz 9 July 2010 p 1098

Form MRA–09 Version 2—Notice to Owner of Land of Variation of Access of MineralDevelopment Licence

pubd gaz 5 October 2007 p 721Form MRA–10 Version 4—Application for Renewal of Mineral Development Licence





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Form MRA–11 Version 3—Notice to Owner of Land of Grant or Renewal of Mineral DevelopmentLicence

pubd gaz 5 October 2007 p 721Form MRA–12 Version 2—Notice of Intention of Entry on Occupied Land

pubd gaz 5 October 2007 p 721Form MRA–14 Version 3—Application to Record Agreement, Arrangement, Dealing or Interest

pubd gaz 5 October 2007 p 721Form MRA-15 Version 7—Application for Mining Lease

pubd gaz 9 July 2010 p 1098Form MRA–17 Version 5—Application for Renewal of Mining Lease

pubd gaz 28 November 2008 p 1695Form MRA-18 Version 4—Application for Additional Surface Area

pubd gaz 9 July 2010 p 1098Form MRA–19 Version 3—Application to Conduct Drilling and Other Activities on Land Not

Included in Surface Areapubd gaz 5 October 2007 p 721

Form MRA–20 Version 4—Objection Form (joint DME and EPA Form)pubd gaz 3 August 2007 p 1784

Form MRA–21 Version 2—Surrenderpubd gaz 5 October 2007 p 721

Form MRA–22 Version 3—Caveatpubd gaz 5 October 2007 p 721

Form MRA–23 Version 3—Consent of Caveatorpubd gaz 5 October 2007 p 721

Form MRA-24 Version 6—Application for Assignment of Mining Claim or Mining Leasepubd gaz 9 July 2010 p 1098

Form MRA–25 Version 3—Mortgagepubd gaz 5 October 2007 p 721

Form MRA–26 Version 3—Variation of Access of Mining Claim, Mineral Development Licenceand Mining Lease

pubd gaz 5 October 2007 p 721Form MRA–27 Version 2—Request for Registration of Execution

pubd gaz 28 July 2006 p 1392Form MRA–28 Version 3—Request to Record Transmission by Death—No Grant of Probate or

Letters of Administrationpubd gaz 11 July 2008 p 1582

Form MRA–29 Version 3—Request to Record Transmission by Death—Grant of Probate or Lettersof Administration

pubd gaz 11 July 2008 p 1582Form MRA–30 Version 3—Request to Record Transmission in Bankruptcy

pubd gaz 11 July 2008 p 1582Form MRA–31 Version 3—Request to Record Death of Joint Holder

pubd gaz 11 July 2008 p 1582Form MRA–32 Version 3—Request to Record Change or Correction of Name

pubd gaz 5 October 2007 p 721Form MRA–33 Version 3—Request to Record Change of Address for Service of Correspondence

pubd gaz 5 October 2007 p 721Form MRA–34 Version 3—Notice of Power of Sale by Mortgagee

pubd gaz 5 October 2007 p 721Form MRA–35 Version 1—Application to Sublease a Mining Lease





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Form MRA–36 Version 2—Notice to Show Cause (Section 160, 209, 308)pubd gaz 5 October 2007 p 721

Form MRA–37 Version 1—Notice to Show Cause (Section 147A)pubd gaz 5 October 2007 p 721



Form MRA–40 Version 1—Notice to Show Cause (Section 106)pubd gaz 5 October 2007 p 721

Form MRA–47 Version 1—Application to Amend Relinquishment Condition of Mining Leasepubd gaz 28 November 2008 p 1695

Form OSR-R01.1 Version 1—Mineral Royalty Return - Quarterlypubd gaz 30 September 2011 p 236

Form OSR-R01.2 Version 1—Mineral Royalty Return – Annualpubd gaz 30 September 2011 p 236

Form PL-01A Version 5—Application for ATP-Related Petroleum Leasepubd gaz 9 July 2010 p 1098

Form PL-01AA Version 4—Application for Petroleum Lease by or Jointly with Coal or Oil ShaleMining Tenement Holder

pubd gaz 9 July 2010 p 1098Form PL-02A Version 3—Application to Tender for Petroleum Lease

pubd gaz 9 July 2010 p 1098Part 3—Form 3 Version 1—Parcel Prospecting Permit

pubd gaz 13 April 1995 p 1624Part 3—Form 4 Version 1—District Prospecting Permit

pubd gaz 13 April 1995 p 1624Part 3—Form 5 Version 2—Notice of Cancellation of Prospecting Permit

pubd gaz 13 April 1995 p 1624Part 4—Form 3—Version 2—Certificate of Grant of Mining Claim

pubd gaz 27 October 1995 pp 849–50Parts 4 & 7—Common application details—mining tenement and environmental authority

pubd gaz 5 January 2001 pp 49–51Parts 4 & 7—Form of objection

pubd gaz 5 January 2001 pp 49–51Part 5—Form 2 Version 3—Instrument of Exploration Permit

pubd gaz 4 November 2005 p 799Part 6—Form 2 Version 2—Instrument of Mineral Development Licence

pubd gaz 27 October 1995 pp 849–50Part 6—Form 3 Version 2—Notice to Owner of Land of Grant of Mineral Development Licence

pubd gaz 27 October 1995 pp 849–50Part 6—Form 5 Version 2—Notice to Owner of Land of Variation of Access of Mineral

Development Licencepubd gaz 27 October 1995 pp 849–50

Part 7—Form 2 Version 2—Certificate of Application for Mining Leasepubd gaz 27 October 1995 pp 849–50

Part 7—Form 3 Version 2—Notice of Study into Environmental Impact for Mining Leasepubd gaz 27 October 1995 pp 849–50

Part 7—Form 3A Version 1—Notice of Availability of Draft Guidelines for the Preparation ofEnvironmental Impact Statement for Mining Lease

pubd gaz 27 October 1995 pp 849–50




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Part 7—Form 4 Version 2—Notice of Receipt of Environmental Impact Statement for Mining Leasepubd gaz 27 October 1995 pp 849–50

Part 7 Form 5 Version 3—Instrument of Mining Leasepubd gaz 28 July 2006 p 1392

Part 8—Form 1 Version 2—Notification of Mining Land on Town Planning Scheme Mapspubd gaz 27 October 1995 pp 849–50

Part 11—Form 5 Version 2—Request to Record Change or Correction of Namepubd gaz 27 October 1995 pp 849–50

Part 11—Form 6 Version 2—Notification of Change of Address and/or Change of PersonNominated for Service of Correspondence

pubd gaz 27 October 1995 pp 849–50


MIXED USE DEVELOPMENT ACT 1993


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MIXED USE DEVELOPMENT ACT 1993

Form 26 Version 1—Planpubd gaz 9 June 1995 p 1112

Form 27 Version 1—Additional Sheetpubd gaz 9 June 1995 p 1112

Form 28 Version 1—Management Statement (cover sheet)pubd gaz 9 June 1995 p 1112


MOTOR ACCIDENT INSURANCE ACT 1994


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MOTOR ACCIDENT INSURANCE ACT 1994

Form 1 MAIC Version December 2001—Queensland Compulsory Third Party Insurance (CTP)Notice of Accident Claim Form (Non-Fatal Injury)

pubd gaz 12 April 2002 p 1386Form 2 MAIC Version December 2001—Queensland Compulsory Third Party Insurance (CTP)

Additional Information Formpubd gaz 12 April 2002 p 1386

Form 3 MAIC Version December 2001—Queensland Compulsory Third Party Insurance (CTP)Report of Traffic Incident to Police

pubd gaz 12 April 2002 p 1386Form 4 MAIC Version December 2001—Queensland Compulsory Third Party Insurance (CTP)

Notice of Accident Claim Form (Fatal Injury)pubd gaz 12 April 2002 p 1386


MOTOR VEHICLES AND BOATS SECURITIES ACT 1986


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MOTOR VEHICLES AND BOATS SECURITIES ACT 1986

Form 1 Version 12 July 2011—Application to Register a Security Interestpubd gaz 8 July 2011 p 629

Form 2 Version 11 July 2011—Application for Assignment of a Security Interestpubd gaz 8 July 2011 p 629

Form 3 Version 10 July 2011—Application for Discharge of a Registered Security Interestpubd gaz 8 July 2011 p 629

Form 4 Version 11 July 2011—Application to Change Particulars of a Registered Security Interestpubd gaz 8 July 2011 p 629

Form 5 Version 12 July 2011—Application to Renew Registration of a Security Interestpubd gaz 8 July 2011 p 629

Form 6 Version 7 July 2011—Application for Approved Account Holder Statuspubd gaz 8 July 2011 p 629

Form 7 Version 5—Security Interest Certificatepubd gaz 29 February 2008 p 1010

Form 7A Version 2—Security Interest Certificatepubd gaz 25 July 2003 p 1093

Form 7B Version 2—Security Interest Certificatepubd gaz 25 July 2003 p 1093

Form 7C Version 3—Security Interest Certificatepubd gaz 29 February 2008 p 1010

Form 8 Version 1—Security Interest Extractpubd gaz 27 June 2003 p 730

Form 8A Version 2—Security Interest Extractpubd gaz 25 July 2003 p 1093

Form 8B Version 2—Security Interest Extractpubd gaz 25 July 2003 p 1093

Form 9 Version 1—Application to Transfer a Security Interest Over a Boat and/or Outboard Motorpubd gaz 27 June 2003 p 731

Form 10 Version 10 July 2011—Security Interest Certificate Request Formpubd gaz 8 July 2011 p 629

Form 11 Version 11 July 2011—Security Interest Fax Request Form for Motor Vehicle Searchespubd gaz 8 July 2011 p 629

Form 12 Version 7 July 2011—Security Interest Fax Request Form for Boat and/or Motor Searchespubd gaz 8 July 2011 p 629

Form 13 Version 6 July 2011—Dealer’s stolen vehicle enquiry formpubd gaz 8 July 2011 p 629

Form 14 Version 6 July 2011—Dealer’s systems enquiry formpubd gaz 8 July 2011 p 629


MUTUAL RECOGNITION (QUEENSLAND) ACT 1992


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MUTUAL RECOGNITION (QUEENSLAND) ACT 1992

Form 1 Version 5—Application for mutual recognition of occupational licence for — Real estateagent, resident letting agent, auctioneer, property developer, motor dealer, commercial agent

pubd gaz 18 December 2009 p 1290Form 2 Version 6—Application for mutual recognition of certificate of registration/occupational

licence for—Salespersons (real estate and motor), second-hand dealers, pawnbrokers,introduction agents

pubd gaz 18 December 2009 p 1290Form 3-1 Version 3—Application for a security provider Class1 —Individual licence

pubd gaz 18 December 2009 p 1290Form 3-2 Version 3—Application for a security provider Class 2 —Individual licence

pubd gaz 18 December 2009 p 1290Form MR OT111 Version February 2002—Application for Registration under Mutual Recognition

as an Occupational Therapist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form MR Opt111 Version February 2002—Application for Registration under Mutual Recognitionas an Optometrist in Queensland

pubd gaz 8 February 2002 pp 439–41Form MR P111 Version February 2002—Application for Registration under Mutual Recognition as

a Pharmacist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form MR Phy111 Version February 2002—Application for Registration under Mutual Recognitionas a Physiotherapist in Queensland

pubd gaz 8 February 2002 pp 439–41Form MR DS111 Version February 2002—Application for Registration under Mutual Recognition

as a Dental Specialist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form MR D111 Version February 2002—Application for Registration under Mutual Recognition asa Dentist in Queensland



NATURE CONSERVATION ACT 1992


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NATURE CONSERVATION ACT 1992

Form FM497 Version 2 February 1995—Licence Applicationpubd gaz 24 March 1995 p 1307

Form FM498 Version 2 February 1995—Licence/Permit/Authority Renewalpubd gaz 24 March 1995 p 1307

Form FM499 Version 2 February 1995—Macropod Commercial Wildlife and CommercialMacropod Harvesting Licence Application

pubd gaz 24 March 1995 p 1307Form FM500 Version 2 February 1995—Permit/Authority Application

pubd gaz 24 March 1995 p 1307Form FM534 Version November 1994—Stock permit application

pubd gaz 24 March 1995 p 1307Form FM535 Version November 1994—Permit application for activities on Protected Areas

pubd gaz 24 March 1995 p 1307Form FM536 Version November 1994—Commercial activity permit application



OCCUPATIONAL THERAPISTS REGISTRATION ACT 2001


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OCCUPATIONAL THERAPISTS REGISTRATION ACT 2001

Form OT101 Version July 2009—General Registration as an occupational therapist: Guide andapplication

pubd gaz 3 July 2009 p 930Form OT301 Version February 2002—Application for Special Purpose Registration as an

Occupational Therapist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form OT401 Version April 2002—Application for Renewal of General Registration as anOccupational Therapist in Queensland

pubd gaz 4 February 2005 p 336Form OT1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as an Occupational Therapist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form OT1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 8 February 2002 pp 439–41

Form OTN158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 8 February 2002 pp 439–41


PARTNERSHIP ACT 1891


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PARTNERSHIP ACT 1891

Form 1 Version 7 July 2011—Application for Registration of a Limited Partnershippubd gaz 8 July 2011 p 629

Form 2A Version 1—Limited Partnership Registration Certificatepubd gaz 26 November 2004 p 1035

Form 2B Version 1—Limited Partnership Registration Certificate on Change of Namepubd gaz 26 November 2004 p 1035

Form 3 Version 7 July 2011—Change of Details Relating to Limited Partnershippubd gaz 8 July 2011 p 629

Form 4 Version 7 July 2011—Dissolution or Cessation of Limited Partnershippubd gaz 8 July 2011 p 629

Form 5 Version 7 July 2011—Application for Registration of Incorporated Limited Partnershippubd gaz 8 July 2011 p 629

Form 6 Version 7 July 2011—Changes in Registered Details of Incorporated Limited Partnershipspubd gaz 8 July 2011 p 629

Form 8 Version 7 July 2011—Notice of Revocation as a Venture Capital Limited Partnership(VCLP), Early Stage Venture Capital Limited Partnership (ESVCLP) or Australian VentureCapital Fund of Funds (AFOF)

pubd gaz 8 July 2011 p 629Form 9 Version 7 July 2011—Notice of Cessation as a Venture Capital Management Partnership

(VCMP)pubd gaz 8 July 2011 p 629

Form 10 Version 7 July 2011—Cessation of Business by an Incorporated Limited Partnershippubd gaz 8 July 2011 p 629


PAYROLL TAX ACT 1971


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PAYROLL TAX ACT 1971

Form OSR-P1 Version 3—Periodic returnpubd gaz 30 September 2011 p 236

Form OSR-P2 Version 1—Application for Pay-roll Tax Registrationpubd gaz 11 November 2005 p 944

Form OSR-P5 Version 1—Final Returnpubd gaz 11 November 2005 p 944

Form OSR-P6 Version 1—Final Return/Notification of Fixed Periodic Deductionpubd gaz 11 November 2005 p 944

Form OSR-P7 Version 1—Notification of Fixed Periodic Deductionpubd gaz 11 November 2005 p 944

Form OSR-P8 Version 1—Notification of Designated Group Employerpubd gaz 11 November 2005 p 944

Form OSR-P9 Version 2—Employment Agency Contracts – Declaration by Exempt Clientpubd gaz 30 September 2011 p 236

Form OSR-P10 Version 4—Application for payroll tax registration/ Notification of designated groupemployer

pubd gaz 30 September 2011 p 236Form OSR-P11 Version 3—Annual return/ Notification of designated group employer

pubd gaz 30 September 2011 p 236Form OSR-P12 Version 4—Final return/ Notification of designated group employer

pubd gaz 30 September 2011 p 236Form PR7 Version 1—2004–2005 Annual Return

pubd gaz 11 November 2005 p 944Form PR8 Version 1—2004–2005 Annual Return/Notification of Fixed Periodic Deduction



PEACE AND GOOD BEHAVIOUR ACT 1982


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PEACE AND GOOD BEHAVIOUR ACT 1982

Form 1 Version 2—Complaintpubd gaz 30 September 2010 p 220

Form 2 Version 2—Summonspubd gaz 30 September 2010 p 220


PENALTIES AND SENTENCES ACT 1992


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Form 1 Version 2—Recognisance to be of good behaviour and appear for sentencepubd gaz 1 December 2006 pp 1585–6

Form 2 Version 2—Warrant to apprehend offender for contravention of recognisancepubd gaz 1 December 2006 pp 1585–6

Form 5 Version 2—Warrant to apprehend offender for failing to appear under conditions ofrecognisance

pubd gaz 1 December 2006 pp 1585–6Form 7 Version 2—Warrant imprisoning an offender until a recognisance is entered into

pubd gaz 8 August 1997 p 1737Form 9 Version 2—Recognisance to appear for sentence and keep the peace and be of good

behaviourpubd gaz 1 December 2006 pp 1585–6

Form 17 Version 3—Notice to Offender of Your Failure to Pay a Court Ordered Penalty and of YourAbility to Apply for a Fine Option Order

pubd gaz 11 October 1996 p 534Form 21 Version 3—Fine Option Order

pubd gaz 8 December 2006 p 1738Form 33 Version 4—Probation Order

pubd gaz 8 December 2006 p 1738Form 35 Version 3—Community Service Order

pubd gaz 8 December 2006 p 1738Form 36 Version 2—Intensive Correction Order

pubd gaz 1 December 2006 pp 1585–6Form 61 Version 6—Warrant of Arrest and Imprisonment for Non-Payment of Penalty (pubd gaz 23

December 2011 p 926)Form 62 Version 2—Warrant of commitment for an offence committed during the operational period

of suspended imprisonmentpubd gaz 1 December 2006 pp 1585–6

Form 64 Version 1—Part 3A—Non-Contact Orderpubd gaz 21 June 2002 p 775

Form 65 Version 1—Part 3A—Application to Amend/Revoke a Non-Contact Orderpubd gaz 21 June 2002 p 775

Form 66 Version 1—Part 3A—Amendment/Revocation of Non-Contact Orderpubd gaz 21 June 2002 p 775

Form 67 Version 3—Presentence custody certificatepubd gaz 1 December 2006 pp 1585–6

Form 68 Version 2—Order for commitment of offender where punishment is by imprisonmentpubd gaz 27 July 2007 p 1644

Form 69 Version 1—Order For Commitment Of Offender For Re-offending During SuspendedImprisonment

pubd gaz 25 August 2006 p 1985Form 70 Version 1—Recognisance to appear for sentence of an offence relating to property

pubd gaz 1 December 2006 pp 1585–6Form 71 Version 1—Recognisance to keep the peace and be of good behaviour

pubd gaz 1 December 2006 pp 1585–6Form 73 Version 1—Court Ordered Parole Reporting Notice

pubd gaz 27 July 2007 p 1643Form 74 Version 1—Warrant to Arrest Offender for Failure to Appear in Answer to a Summons





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Form 74A Version 1—Banning Order – section 43Jpubd gaz 10 December 2010 p 1081

Form 75 Version 1—Application for amendment/revocation of a banning order – section 43Lpubd gaz 10 December 2010 p 1081

Form 76 Version 1—Order to amend a banning order – section 43Lpubd gaz 10 December 2010 p 1081

Form 77 Version 1—Order to revoke a banning order – section 43Lpubd gaz 10 December 2010 p 1081

Form 1024 Version 2—Notice to stop contravening a requirement of a Fine Option Orderpubd gaz 8 December 2006 p 1738


PERSONAL INJURIES PROCEEDINGS ACT 2002


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PERSONAL INJURIES PROCEEDINGS ACT 2002

Form 1 Version 4—Notice of Claim (Non Health Care Claims)pubd gaz 30 November 2007 p 1823

Form 2 Version 5—Notice of Claim (Health Care Claims)pubd gaz 30 November 2007 p 1823

Form 3 Version 3—Notice of Claim (Dependency Claims)pubd gaz 30 November 2007 p 1823


PEST MANAGEMENT ACT 2001


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PEST MANAGEMENT ACT 2001

Form PMA03.01 Version 1 January 2009—Application to Chief Executive Licence as a PestManagement Technician

pubd gaz 13 March 2009 p 1199Form PMA03.02 Version 1 January 2009—Notice to Chief Executive Licence as a Pest

Management Technician in Queensland (Mutual Recognition)pubd gaz 13 March 2009 p 1199

Form PMA03.07 Version July 2004—Application–Renewalpubd gaz 12 November 2004 p 880

Form PMA03.08 Version 1 January 2009—Photographic and Signature Identification Formpubd gaz 13 March 2009 p 1199

Form PMA03.10 Version July 2004—Application–Variationpubd gaz 12 November 2004 p 880

Form PMA03.10 Version 1 January 2009—Application to Chief Executive Variation of Licence as aPest Management Technician

pubd gaz 13 March 2009 p 1199Form PMA03.12 Version 1 January 2009—Application to Chief Executive Replacement Licence

pubd gaz 13 March 2009 p 1199Form PMA03.13 Version 1 January 2009—Notice to Chief Executive Surrender of Licence

pubd gaz 13 March 2009 p 1199Form PMA03.17 Version 1 January 2009—Notice to Chief Executive of Certain Events

pubd gaz 13 March 2009 p 1199Form PMA 03.18 Version 1 January 2009—Notice to Chief Executive Change in Circumstances

pubd gaz 13 March 2009 p 1199Form PMA03.19 Version 1 January 2009—Notice to Chief Executive of Notifiable Event

pubd gaz 13 March 2009 p 1199Form PMA03.20 Version July 2004—Licence as a Pest Management Technician

pubd gaz 12 November 2004 p 880Form PMA03.20 Version January 2007—Notice to Chief Executive–Licence as a Pest Management

Technician (For recognition of licences under the Mutual Recognition Act 1992)pubd gaz 2 February 2007 p 532

Form PMA03.21 Version 1 January 2009—Notice to Chief Executive Licence as a PestManagement Technician in Queensland (Trans-Tasman New Zealand Mutual Recognition)



PETROLEUM ACT 1923


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PETROLEUM ACT 1923

Form ATP-02A Version 1—Application for Renewal of Authority to Prospectpubd gaz 17 December 2004 p 1215

Form PA-01A Version 1—Application for Surrender of Petroleum Authorities (Whole or Part)pubd gaz 17 December 2004 p 1215

Form PA-05A Version 2—Application for Approval to Transfer a Petroleum Authority or Tenurepubd gaz 9 September 2005 p 94

Form PA-05AA Version 1—Application for Approval to Mortgage a Petroleum Authority or Tenure,or to Release, Transfer or Surrender a Mortgage

pubd gaz 9 September 2005 p 94Form PA-05AB Version 1—Application for Approval to Sublease, or Transfer a Sublease, for a

Petroleum Leasepubd gaz 9 September 2005 p 94

Form PA-10A Version 2—Application to Amend Licencepubd gaz 9 September 2005 p 94

Form PA-11A Version 1—Administrative Notificationspubd gaz 17 December 2004 p 1215

Form PA-18A Version 1—Lodging a Prescribed Agreementpubd gaz 17 December 2004 p 1215

Form PA-21A Version 3—Notice of Intention to Carry Out Seismic Survey or Scientific orTechnical Survey

pubd gaz 9 September 2005 p 94Form PA-22A Version 3—Notice of Completion of Seismic Survey or Scientific or Technical Survey

pubd gaz 14 October 2005 p 528Form PA-23AAA Version 1—The Rights and Obligations of Holders, Owners and Occupiers

Relating to the Entry of Land under a Petroleum Authoritypubd gaz 11 February 2005 p 455

Form PFL-01A Version 2—Application for Petroleum Facility Licencepubd gaz 28 November 2008 p 1695

Form PGGD01 Version 1—Notice of intention to drill a well or borepubd gaz 9 July 2010 p 1099

Form PGGD02 Version 1—Notice of completion, alteration, abandonment of a well or borepubd gaz 9 July 2010 p 1099


PETROLEUM AND GAS (PRODUCTION AND SAFETY) ACT 2004


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Form ATP-01A Version 2—Application to Tender for Authority to Prospectpubd gaz 28 November 2008 p 1695

Form ATP-02A Version 1—Application for Renewal of Authority to Prospectpubd gaz 17 December 2004 pp 1215–6

Form ATP-04A Version 1—Application to Divide Granted Authority to Prospectpubd gaz 17 December 2004 pp 1215–6

Form ATP-07A Version 1—Application for the Minister to Declare Potential Commercial Areapubd gaz 17 December 2004 pp 1215–6

Form DAA-01A Version 2—Application for Data Acquisition Authoritypubd gaz 28 November 2008 p 1695

Form FDU1605 Version 1—Petroleum Royalty Returnpubd gaz 19 September 2008 p 400

Form OSR-R02.1 Version 1—Petroleum Royalty Returnpubd gaz 30 September 2011 p 236

Form PA-01A Version 1—Application for Surrender of Petroleum Authorities (Whole or Part)pubd gaz 17 December 2004 pp 1215–6

Form PA-05A Version 4—Application for Approval to Transfer a Petroleum Authority or Tenurepubd gaz 28 November 2008 p 1695

Form PA-05AA Version 1—Application for Approval to Mortgage a Petroleum Authority or Tenure,or to Release, Transfer or Surrender a Mortgage

pubd gaz 9 September 2005 p 94Form PA-05AB Version 1—Application for Approval to Sublease, or Transfer a Sublease, for a

Petroleum Leasepubd gaz 9 September 2005 p 94

Form PA-10A Version 2—Application to Amend Licencepubd gaz 9 September 2005 p 94

Form PA-11A Version 1—Administrative Notificationspubd gaz 17 December 2004 pp 1215–6

Form PA-16A Version 1—Review of Applicationpubd gaz 24 March 2005 p 951

Form PA-18A Version 1—Lodging a Prescribed Agreementpubd gaz 17 December 2004 pp 1215–6

Form PA-19A Version 3—Notice of Intention to Drill a Petroleum Well or a Water Borepubd gaz 9 September 2005 p 94

Form PA-20A Version 3—Notice of the Completion, Alteration or Abandonment of a PetroleumWell or Water Bore

pubd gaz 9 September 2005 p 94Form PA-21A Version 3—Notice of Intention to Carry Out Seismic Survey or Scientific or

Technical Surveypubd gaz 9 September 2005 p 94

Form PA-22A Version 3—Notice of Completion of Seismic Survey or Scientific or Technical Surveypubd gaz 14 October 2005 p 528

Form PA-23AAA Version 1—The Rights and Obligations of Holders, Owners and OccupiersRelating to the Entry of Land under a Petroleum Authority

pubd gaz 11 February 2005 p 455Form PA-38 Version 1—Application to Record Change of Name

pubd gaz 2 May 2008 p 161Form PFL-01A Version 3—Application for Petroleum Facility Licence





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Form PFL-02A Version 1—Application for Renewal of Petroleum Facility Licencepubd gaz 17 December 2004 pp 1215–6

Form PGA389 Version 1—Application for Exemption From Additional SMP Content Requirementspubd gaz 24 March 2005 p 951

Form PGA622 Version 1—Application for gas quality approvalpubd gaz 1 April 2005 p 1016

Form PGA658 Version 1—Application to install and use pre-payment gas meterspubd gaz 1 April 2005 p 1016

Form PGA697 Version 2—Operating Plant Compliance certificatepubd gaz 16 February 2007 p 759

Form PGA728A Version 7—Application for Gas Work Authorisation (Industrial Appliances orServicing)

pubd gaz 24 June 2011 p 532Form PGA728AH Version 5—Application for Gas Work Authorisation (Hydrocarbon Refrigerants)

pubd gaz 28 August 2009 p 1489Form PGA728AM Version 6—Application for Gas Work Authorisation (Major Project)

pubd gaz 24 June 2011 p 532Form PGA728AV Version 7—Application for Gas Work Authorisation (Motor Fuel)

pubd gaz 24 June 2011 p 532Form PGA728L Version 12—Application for Gas Work Licence

pubd gaz 24 June 2011 p 532FormPGA728LH Version 3—Application for Gas Work Licence (Hydrocarbon Refrigerants)

pubd gaz 24 June 2011 p 532Form PGA733(1) Version 2—Import/Manufacturer Compliance certificate

pubd gaz 16 February 2007 p 759Form PGA733(2) Version 1—Application to offer for sale, install or use a gas device or gas fitting

pubd gaz 1 April 2005 p 1016Form PGA733(2)N Version 1—Type B Gas Device Approval Notice

pubd gaz 21 May 2010 p 183Form PGA734 Version 2—Gas System Compliance Certificate

pubd gaz 11 November 2005 p 888Form PGA734(2) Version 1—Gas System Defect Notice

pubd gaz 6 November 2009 p 726Form PGA747 Version 1—Acknowledgement of Consent to Entry

pubd gaz 14 March 2008 p 1467Form PGR76 Version 1—Application for section 76 exemption from regulations

pubd gaz 1 April 2005 p 1016Form PGR91B3 Version 1—Gas System Compliance Plate

pubd gaz 1 July 2011 p 586Form PGR101/102 Version 1—Vehicle/vessel Inspection Certificate

pubd gaz 1 April 2005 p 1016Form PGR114 Version 1—Application for approval to decant LPG

pubd gaz 1 April 2005 p 1016Form PGR139 Version 7—Queensland Petroleum and Gas Safety and Health Fee Return Form

pubd gaz 30 July 2010 p 1251Form PL-01A Version 5—Application for ATP-Related Petroleum Lease

pubd gaz 9 July 2010 p 1098Form PL-01AA Version 4—Application for Petroleum Lease by or Jointly with Coal or Oil Shale

Mining Tenement Holderpubd gaz 9 July 2010 p 1098

Form PL-02A Version 3—Application to Tender for Petroleum Leasepubd gaz 9 July 2010 p 1098




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Form PL-03AA Version 2—Application for Renewal of Petroleum Leasepubd gaz 16 May 2008 p 405

Form PL-05A Version 1—Application to Amend Relinquishment Condition of Petroleum Leasepubd gaz 17 December 2004 pp 1215–6

Form PL-06A Version 1—Application to Divide Granted Conventional Petroleum Leasepubd gaz 17 December 2004 pp 1215–6

Form PL-07A Version 1—Application to Divide Granted Coal Seam Gas Petroleum Leasepubd gaz 17 December 2004 pp 1215–6

Form PPL-01A Version 2—Application for Pipeline Licencepubd gaz 28 November 2008 p 1695

Form PPL-02A Version 1—Application for Renewal of Pipeline Licencepubd gaz 17 December 2004 pp 1215–6

Form PPL-03A Version 1—Application for Permission to Enter Land for the Purpose of ExercisingRights Under a Pipeline Licence or Petroleum Facility Licence (A “Part 5 Permission”)

pubd gaz 17 December 2004 pp 1215–6Form PSL-01A Version 2—Application for Survey Licence

pubd gaz 28 November 2008 p 1695Form WRA-01A Version 2—Application for Water Monitoring Authority

pubd gaz 28 November 2008 p 1695Form WRA-02A Version 2—Notification of Transfer of Water Supply Bore or Water Observation

Bore to Landownerpubd gaz 28 November 2008 p 1695

Form WRA-03A Version 1—Notification of Transfer of Petroleum Well to Holder of GeothermalExploration Permit or Mining Tenement

pubd gaz 17 December 2004 pp 1215–6Form WRA-04A Version 1—Notification of Transfer of Water Observation Bore to Holder of

Petroleum Tenure or Water Monitoring Authoritypubd gaz 17 December 2004 pp 1215–6

Form WRA-05A Version 1—Notification of Conversion of Petroleum Well to Water Supply Borepubd gaz 17 December 2004 pp 1215–6

Form WRA-06A Version 1—Application to Amend a Water Monitoring Authoritypubd gaz 17 December 2004 pp 1215–6

Form WRA-07A Version 1—Application for a Trigger Thresholdpubd gaz 17 December 2004 pp 1215–6

Form WRA-08A Version 1—Water Monitoring Authority–Authoritypubd gaz 17 December 2004 pp 1215–6

Version 2—Gas Work Licence Notes 2011pubd gaz 24 June 2011 p 532


PETROLEUM (SUBMERGED LANDS) ACT 1982


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PETROLEUM (SUBMERGED LANDS) ACT 1982

Form PPL-01AA Version 1—Application for Pipeline Licence (Adjacent Area)pubd gaz 14 October 2005 p 528


PHARMACY BUSINESS OWNERSHIP ACT 2001


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PHARMACY BUSINESS OWNERSHIP ACT 2001

Form P101 Version July 2009—General Registration as a pharmacist: Guide and applicationpubd gaz 3 July 2009 p 930

Form P301 Version February 2002—Application for Special Purpose Registration as a Pharmacist inQueensland

pubd gaz 8 February 2002 pp 439–41Form P401 Version October 2004—Application from Graduates completing Supervised Practice, for

General Registration as a Pharmacist in Queenslandpubd gaz 4 February 2005 p 338

Form P1401 Version February 2002—Notice of Expiry of Registration and Application forRestoration of General Registration as a Pharmacist in Queensland

pubd gaz 8 February 2002 pp 439–41Form P1601 Version February 2002—Application for Review of Conditions on Registration

pubd gaz 8 February 2002 pp 439–41Form Ph401 Version March 2002—Application for Renewal of General Registration as a Pharmacist

in Queenslandpubd gaz 4 February 2005 p 338

Form PN163 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 8 February 2002 pp 439–41


PLANT PROTECTION ACT 1989


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PLANT PROTECTION ACT 1989

Form 1—Application for Accreditation of a Business for a Plant Health Certification Assurance(CA) Arrangement

pubd gaz 26 July 1996 p 1541Form 2—Certificate of Accreditation of a Business

pubd gaz 26 July 1996 p 1541Form 3—Plant Health Assurance Certificate

pubd gaz 26 July 1996 p 1541Form 4—Plant Health Certificate for Movement of Fruit from a Papaya Fruit Fly Pest Quarantine

Areapubd gaz 26 July 1996 p 1541

Form 4A—Directionspubd gaz 8 March 2001 p 980A

Form 12—Undertaking Given by Ownerpubd gaz 8 March 2001 p 980A

Form FDU1525 Version 1—Seizure Receiptpubd gaz 15 June 2007 p 889

Form FDU1529 Version 1—Requirement to Produce Documentspubd gaz 15 June 2007 p 889

Form FDU1591 Version 1—Fire Ant Sample Submission and Claim Applicationpubd gaz 2 May 2008 p 162


PLUMBING AND DRAINAGE ACT 2002


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PLUMBING AND DRAINAGE ACT 2002

Form 1 Version 1—Compliance assessment application for Plumbing, drainage and on-site seweragework

pubd gaz 21 January 2011 p 107Form 2 Version 5—Proposed Plumbing & Drainage & On-Site Sewerage Work

pubd gaz 25 June 2010 p 821Form 3 Version 4—Verification of Covered Work

pubd gaz 25 June 2010 p 821Form 4 Version 1—Notifiable minor work

pubd gaz 21 January 2011 p 107Form 5 Version 4—(section 86A)

pubd gaz 25 June 2010 p 821Form 6 Version 4—Notice of Compliance Remote Area

pubd gaz 25 June 2010 p 821Form 7 Version 4—Notification of Responsible Person

pubd gaz 25 June 2010 p 821Form 8 Version 4—Notice of Compliance On-site Sewerage Work

pubd gaz 25 June 2010 p 821Form 9 Version 3—Report on Inspection and Testing of Backflow Prevention Devices, Registered

Air Gaps and Registered Break Tankspubd gaz 25 June 2010 p 821

Form 10 Version 2—Application for Chief Executive Approvalpubd gaz 25 June 2010 p 821

Form 21 Version 1—Application for a new licence and/or new endorsementpubd gaz 10 December 2010 p 1081

Form 22 Version 1—Application for renewal or restoration of licencepubd gaz 10 December 2010 p 1081

Form 23 Version 1—Application for a licence replacement or review of licence conditionspubd gaz 10 December 2010 p 1081

Form 26 Version 1—Notice of change in circumstancespubd gaz 10 December 2010 p 1081

Form 27 Version 1—Proof of identity and document declaration formpubd gaz 10 December 2010 p 1081

Form 28 Version 1—Mutual recgnition declaration noticepubd gaz 10 December 2010 p 1081

Form 29 Version 1—Trade experience form – provisional plumber and/or provisional drainerpubd gaz 10 December 2010 p 1081

Form 33 Version 1—Declaration of plumbing qualifications and experiencepubd gaz 10 December 2010 p 1081

Form 34 Version 1—Declaration of drainage qualifications and experiencepubd gaz 10 December 2010 p 1081

Form 35 Version 1—Declaration of fire protection qualification and experiencepubd gaz 10 December 2010 p 1081


POLICE POWERS AND RESPONSIBILITIES ACT 2000


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Form 8 Version 2—Statement to Occupier (Summary of the Occupier’s Rights and ObligationsUnder a Crime Scene Warrant)

pubd gaz 8 September 2006 pp 168–9Form 11 Version 4—Statement to Occupier (Summary of the Occupier’s Rights and Obligations

Under a Search Warrant)pubd gaz 26 August 2011 p 994

Form 21 Version 2—01/08/2001—Application for Order Authorising the Performance of aMedical/Dental Procedure

pubd gaz 15 April 2005 p 1207Form 22 Version 2—01/08/2001—Order Authorising the Performance of a Medical Procedure by a

Doctor/a Dental Procedure by a Dentistpubd gaz 15 April 2005 p 1207

Form 23 Version 2—01/08/2001—Consent to Medical/Dental Procedurepubd gaz 15 April 2005 p 1207

Form 36 Version 2—Information for Support Persons About Their Rolepubd gaz 8 September 2006 pp 168–9

Form 44 Version 2—Place of Safety Undertakingpubd gaz 8 September 2006 pp 168–9

Form 45 Version 1—01/07/2000—Application for Order regarding Ownership Disputepubd gaz 15 April 2005 p 1207

Form 49 Version 2—Destruction Notice (Drugs)pubd gaz 8 September 2006 pp 168–9

Form 51 Version 2—01/03/2001—Statement of Informed Consent for Taking a DNA Sample froman Adult

pubd gaz 15 April 2005 p 1207Form 52 Version 2—01/03/2001—Statement of Informed Consent for Taking a DNA Sample from a

Childpubd gaz 15 April 2005 p 1207

Form 53 Version 2—01/03/2001—Statement of Informed Consent for Taking a DNA Sample from aPerson with Impaired Capacity (other than a child)

pubd gaz 15 April 2005 p 1207Form 69 Version 2—Notice to Occupier (Summary of the Occupier’s Rights and Obligations Under

a Coroner’s Search Warrant)pubd gaz 8 September 2006 pp 168–9

Form 71 Version 1—02/02/2004—DNA Sample Notice–Prisoner–Subject to Post-PrisonCommunity Based Release Order

pubd gaz 15 April 2005 pp 1208–9Form 74 Version 2—Notice of Application for Forensic Procedure Order

pubd gaz 8 September 2006 pp 168–9Form 75 Version 2—Application for Forensic Procedure Order

pubd gaz 8 September 2006 pp 168–9Form 77 Version 2—Application for Order to Detain to Perform a Forensic Procedure (Fail to

Comply with Reporting Notice)pubd gaz 8 September 2006 pp 168–9

Form 79 Version 2—Notice of Intent to Challenge an Evidentiary Certificatepubd gaz 8 September 2006 pp 168–9

Form 80A Version 2—Statement of Explanation for Forensic Procedure Consent to an AdultSuspected of Committing an Offence





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Form 80B Version 2—Forensic Procedure Consent (Written) Signed by the Adult Suspected ofCommitting an Offence

pubd gaz 8 September 2006 pp 168–9Form 81A Version 2—Statement of Explanation for Forensic Procedure Consent to an Adult for the

Taking of a DNA Sample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 8 September 2006 pp 168–9Form 81B Version 2—Forensic Procedure Consent (Written) Signed by the Adult for the Taking of a

DNA Sample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 8 September 2006 pp 168–9Form 82A Version 2—Statement of Explanation for Forensic Procedure Consent to a Parent of a

Child Under 14 Suspected of Committing an Offencepubd gaz 8 September 2006 pp 168–9

Form 82B Version 2—Forensic Procedure Consent (Written) Signed by the Parent of a Child Under14 Suspected of Committing an Offence

pubd gaz 8 September 2006 pp 168–9Form 83A Version 2—Statement of Explanation for Forensic Procedure Consent to a Parent for the

Taking of a DNA Sample from a child under 14(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 8 September 2006 pp 168–9Form 83B Version 2—Forensic Procedure Consent (Written) Signed by the Parent for the Taking of

a DNA Sample from the child under 14(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 8 September 2006 pp 168–9Form 84A Version 2—Statement of Explanation for Forensic Procedure Consent to a Child at least

14 Suspected of Committing an Offencepubd gaz 8 September 2006 pp 168–9

Form 84B Version 2—Forensic Procedure Consent (Written) Signed by the Child at least 14Suspected of Committing an Offence

pubd gaz 8 September 2006 pp 168–9Form 85A Version 2—Statement of Explanation for Forensic Procedure Consent to a Child at least

14 for the Taking of a DNA Sample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 8 September 2006 pp 168–9Form 85B Version 2—Forensic Procedure Consent (Written) Signed by the Child at least 14 for the

Taking of a DNA Sample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)





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Form 86A Version 2—Statement of Explanation for Forensic Procedure Consent to Person withImpaired Capacity or to a Parent of a Person with Impaired Capacity Suspected of Committingan Offence

pubd gaz 8 September 2006 pp 168–9Form 86B Version 2—Forensic Procedure Consent (Written) Signed by the Person with Impaired

Capacity or Signed by the Parent of the Person with Impaired Capacity Suspected of Committingan Offence

pubd gaz 8 September 2006 pp 168–9Form 87A Version 2—Statement of Explanation for Forensic Procedure Consent to a Person with

Impaired Capacity or to a Parent of a Person with Impaired Capacity for the Taking of a DNASample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 8 September 2006 pp 168–9Form 87B Version 2—Forensic Procedure Consent (Written) Signed by the Person with Impaired

Capacity or Signed by the Parent of the Person with Impaired Capacity for the Taking of a DNASample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 8 September 2006 pp 168–9Form 88 Version 1—02/02/2004—Notice to Prisoner and Forensic Procedure Consent

pubd gaz 15 April 2005 pp 1208–9Form 90 Version 1—02/02/2004—Application for an Order to Take a DNA Sample from an Adult

after finding of Guilt (Prisoner)pubd gaz 15 April 2005 pp 1208–9

Form 92 Version 2—Place of Safety (Carer Undertaking)pubd gaz 8 September 2006 pp 168–9

Form 95 Version 1—Noise Abatement Direction (Motorbike)pubd gaz 8 September 2006 pp 168–9

Form 96 Version 1—Application for a Noise Abatement Order (Motorbike)pubd gaz 8 September 2006 pp 168–9

Form 97 Version 1—Notice of Application for a Noise Abatement Order (Motorbike)pubd gaz 8 September 2006 pp 168–9

Form 98 Version 1—Noise Abatement Order (Motorbike)pubd gaz 8 September 2006 pp 168–9

Form 103 Version 2—Impounding Notice (Motorbike Noise Direction Notice)pubd gaz 30 May 2008 p 673

Form 104 Version 2—Impounding Notice (First Motorbike Noise Order Offence)pubd gaz 30 May 2008 p 673

Form 105 Version 3—Impounding Notice (Second or Subsequent Motorbike Noise Order Offence)pubd gaz 30 May 2008 p 673

Form 106 Version 1—Application for an Impounding Order (Motorbike Noise Order Offence)pubd gaz 8 September 2006 pp 168–9

Form 107 Version 1—Application Forfeiture Order (Motorbike Noise Order Offence)pubd gaz 8 September 2006 pp 168–9

Form 109 Version 1—Challenge Noticepubd gaz 8 September 2006 pp 168–9

Form 110 Version 2—Application for an Impounding Order (Evasion Offence)pubd gaz 30 October 2009 p 655




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Form 111 Version 1—Application for a Forfeiture Order (Evasion Offence)pubd gaz 8 September 2006 pp 168–9

Form 150 Version 1—Impounding Notice (Type 1 Vehicle Related Offence)pubd gaz 30 October 2009 p 655

Form 151 Version 1— Impounding Notice (Type 2 Vehicle Related Offence)pubd gaz 30 October 2009 p 655

Form 152 Version 3—Application for Impounding Order (Type 1 Vehicle Related Offence)pubd gaz 30 May 2008 p 673

Form 153 Version 3—Application for Impounding Order (Type 2 Vehicle Related Offence)pubd gaz 30 May 2008 p 673

Form 154 Version 3—Application for Forfeiture Order (Type 1 Vehicle Related Offence)pubd gaz 30 May 2008 p 673

Form 155 Version 3—Application for Forfeiture Order (Type 2 Vehicle Related Offence)pubd gaz 30 May 2008 p 673

Form 156 Version 1— Statement of Explanation (Type 1 and Type 2 Vehicle Related Offences andMotorbike Noise Offences)

pubd gaz 30 October 2009 p 655Form 157 Version 1—Impounding Notice (Vehicle Related Offence)

pubd gaz 30 May 2008 p 673Form 2869 Version August 2002—Defect Notice

pubd gaz 15 April 2005 pp 1208–9Form 3162 Version November 2002—Vehicle Movement Prohibition Notice

pubd gaz 30 October 2009 p 655Form 3632 Version November 2002—Driver Prohibition Notice



POLICE SERVICE ADMINISTRATION ACT 1990


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POLICE SERVICE ADMINISTRATION ACT 1990

Form 1 Version 1—Advice of Details of Medication (Targeted Substance Test)pubd gaz 29 July 2011 p 787

Form 2 Version 1—Notice Disciplinary Grounds Against a Former Officerpubd gaz 29 July 2011 p 787


POWERS OF ATTORNEY ACT 1998


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POWERS OF ATTORNEY ACT 1998

Form 1 Version 3—General Power of Attorneypubd gaz 28 June 2002 p 860

Form 2 Version 2—Enduring Power of Attorney (Short Form)pubd gaz 6 June 2003 p 465

Form 3 Version 2—Enduring Power of Attorney (Long Form)pubd gaz 28 June 2002 p 860

Form 4 Version 4—Advance Health Directivepubd gaz 9 January 2004 p 65

Form 5 Version 3—Revocation of General Power of Attorneypubd gaz 28 June 2002 p 860


PRIVATE EMPLOYMENT AGENTS ACT 2005


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PRIVATE EMPLOYMENT AGENTS ACT 2005

Form 1 Version 3—Information Statement for Work Seekers (Other than Models and Performers)pubd gaz 23 July 2010 p 1195

Form 2 Version 3—Information Statement for Work Seekers (Models and Performers)pubd gaz 23 July 2010 p 1195


PRIVATE HEALTH FACILITIES ACT 1999


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PRIVATE HEALTH FACILITIES ACT 1999

Form 812A Version 1—Approval for a Private Health Facilitypubd gaz 1 December 2000 p 1286

Form 812L Version 1—Licence to Operate a Private Health Facilitypubd gaz 1 December 2000 p 1286

Form 890 Version 1—Application for Transfer of a Private Health Facility Licencepubd gaz 1 December 2000 p 1286

Form 891 Version 3—Application for Approval of Prescribed Alteration to a Licensed PrivateHealth Facility

pubd gaz 16 September 2011 p 133Form 8935 Version 3—Application for a Licence to Operate a Private Health Facility

pubd gaz 16 September 2011 p 133Form 8936 Version 1—Application for Approval to Extend the Term of an Approval

pubd gaz 1 December 2000 p 1286Form 8937 Version 3—Application for Renewal of a Private Health Facility Licence

pubd gaz 16 September 2011 p 133Form 8938 Version 3—Application for Approval to a Private Health Facility

pubd gaz 16 September 2011 p 133Form 89211 Version 1—Application for a Change to an Approval

pubd gaz 1 December 2000 p 1286Form 89212 Version 1—Application for a Change to a Licence to Operate

pubd gaz 1 December 2000 p 1286


PROFESSIONAL ENGINEERS ACT 2002


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PROFESSIONAL ENGINEERS ACT 2002

Form 2 Version 3—Application for Registrationpubd gaz 16 April 2010 p 951

Form 3 Version 3—Application for Renewal of Registrationpubd gaz 16 April 2010 p 951

Form 4 Version 3—Application for Restoration of Registrationpubd gaz 16 April 2010 p 951

Form 6 Version 1—Complaint: Unsatisfactory Professional Conductpubd gaz 11 November 2005 p 943

Form 7 Version 1—Application for Approval of a Proposed Assessment Schemepubd gaz 2 May 2008 p 162


PROPERTY AGENTS AND MOTOR DEALERS ACT 2000


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Form 1 Version 2—Application for a Property Agents and Motor Dealers Licencepubd gaz 28 June 2002 p 873

Form 1-1 Version 9—Application for individual licencepubd gaz 15 July 2011 p 678

Form 1-2 Version 11—Application for corporation’s licencepubd gaz 15 July 2011 p 678

Form 1-3 Version 10—Application for resident letting licencepubd gaz 15 July 2011 p 678

Form 1-4 Version 10—Application for pastoral house licencepubd gaz 15 July 2011 p 678

Form 1-5 Version 2—Application for individual’s licence – Commercial Agentpubd gaz 15 July 2011 p 678



Form 2 Version 9—Restoration Notice–Licence–individualpubd gaz 7 December 2007 p 1975

Form 2 Version 9—Restoration Notice–Licence–corporationpubd gaz 7 December 2007 p 1975

Form 3 Version 10—Application for a property agent and motor dealers registration certificatepubd gaz 15 July 2011 p 678

Form 4 Version 8—Renewal Notice–Registration Certificatepubd gaz 7 December 2007 p 1976

Form 4 Version 8—Restoration Notice–Registration Certificatepubd gaz 7 December 2007 p 1976

Form 11 Version 15—Application for appointment/extension of appointment of substitute licenseepubd gaz 15 July 2011 p 678

Form 14 Version 5—Application for approval as an Auditorpubd gaz 8 July 2011 p 631

Form 18 Version 6—Notice of intention to open a trust accountpubd gaz 9 July 2010 p 1099

Form 19 Version 2—Notification of opening, closing or change of name of trust accountpubd gaz 8 July 2011 p 631

Form 20—Appointment to Act as Restricted Letting Agentpubd gaz 6 July 2001 pp 915–6

Form 20a Version 5—Appointment of agent – letting and property managementpubd gaz 3 July 2009 p 930

Form 21—Sole or Exclusive Agency Notice for Sale of Property (Real Estate Agent)pubd gaz 6 July 2001 pp 915–6

Form 21a Version 5—Appointment of real estate agent (commercial and industrial sales, leasing andproperty management

pubd gaz 3 July 2009 p 930Form 22—Appointment to Act as Real Estate Agent

pubd gaz 6 July 2001 pp 915–6Form 22a Version 5—Appointment of real estate agent sales and purchases

pubd gaz 3 July 2009 p 930Form 23 Version 6—Reappointment of real estate agent, pastoral house or auctioneer





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Form 24a Version 3—Appointment to act as auctioneerpubd gaz 3 July 2009 p 930

Form 25 Version 4—Sole or exclusive agency notice for sale of property – pastoral housepubd gaz 3 July 2009 p 931

Form 26 Version 6—Appointment to act as pastoral housepubd gaz 3 July 2009 p 931

Form 27—Disclosure to Buyer (By a Real Estate Agent, Real Estate Salesperson or PropertyDeveloper)

pubd gaz 6 July 2001 pp 915–6Form 27b Version 2—Selling Agent’s Disclosure to Buyer

pubd gaz 7 June 2002 p 571Form 27c Version 4—Selling agent’s disclosure to buyer

pubd gaz 3 July 2009 p 931Form 28 Version 5—Disclosure of beneficial interest to seller

pubd gaz 3 July 2009 p 931Form 29—Warning Statement (For Sale of Residential Property No Cooling-Off Period)

pubd gaz 6 July 2001 pp 915–6Form 30—Warning Statement (For Sale of Residential Property Cooling-Off Period)

pubd gaz 6 July 2001 pp 915–6Form 30C Version 6—Warning Statement

pubd gaz 1 October 2010 p 303Form 31—Declaration by Seller Sale of Residential Property

pubd gaz 6 July 2001 pp 915–6Form 31a—Declaration by Seller (Sale of Residential Property)

pubd gaz 16 November 2001 p 976Form 32—Lawyer’s Certificate Waiving Cooling-Off Period

pubd gaz 6 July 2001 pp 915–6Form 32a Version 6—Lawyer's Certificate

pubd gaz 3 July 2009 p 931Form 33—Lawyer’s Certificate Shortening Cooling-Off Period

pubd gaz 6 July 2001 pp 915–6Form 34 Version 5—Appointment of motor dealer to sell a motor vehicle on consignment

pubd gaz 3 July 2009 p 931Form 35 Version 5—Disclosure of beneficial interest to seller

pubd gaz 3 July 2009 p 931Form 36 Version 4—Guarantee of Title to Buyer (By a Motor Dealer)

pubd gaz 1 June 2007 p 581Form 37a Version 3—Important pre-purchase information cooling-off period

pubd gaz 3 July 2009 p 931Form 38a-1 Version 3—Notice of statutory warranty

pubd gaz 3 July 2009 p 931Form 38a-2 Version 3—Statutory warranty period

pubd gaz 3 July 2009 p 931Form 39 Version 5—Option top purchase during cooling-off period

pubd gaz 3 July 2009 p 931Form 40 Version 6—Guarantee of title to buyer—by an auctioneer (pubd gaz 20 January 2012 p

110)Form 41 Version 6—Buyer’s acknowledgement of receipt of documents (pubd gaz 20 January 2012

p 110)Form 42 Version 5—Statutory warranty by an auctioneer





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Form 43 Version 3—Notice of no statutory warrantypubd gaz 3 July 2009 p 931

Form 50 Version 9—Claim against the Claim Fundpubd gaz 8 July 2011 p 631

Form 50-1 Version 8—Notice of intention to claim for a marketeering contraventionpubd gaz 8 July 2011 p 631

Form 51 Version 1—Notice of Intention to Claim for a Marketeering Contraventionpubd gaz 26 March 2004 p 1166

Form 52 Version 6—Claim out of time noticepubd gaz 8 July 2011 p 631

Form 60 Version 3—Notice of cooling-off and statutory warrantypubd gaz 3 July 2009 p 931

Form 61 Version 3—Notice of cooling-off and no statutory warrantypubd gaz 3 July 2009 p 931

Form 62 Version 4—Statutory Warranty period and guarantee of title to buyer (pubd gaz 20 January2012 p 110)

Form 63 Version 4—Guarantee of title to buyer—by a motor dealer (pubd gaz 20 January 2012 p110)

Mutual Recognition Form 1 Version 8—Application for mutual recognition of occupational licencepubd gaz 15 July 2011 p 678

Mutual Recognition Form 2 Version 9—Application for mutual recognition of certificate ofregistration/occupational licence



PROPERTY LAW ACT 1974


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PROPERTY LAW ACT 1974

Form 1 Version 1—Department of Natural Resources Registry Form—Form 14—General Requestpubd gaz 17 May 1996 p 621

Form 2 Version 1—Notice of Defaultpubd gaz 17 May 1996 p 621

Form 3 Version 1—Department of Natural Resources Registry Form–Form13—Amendment/Priority

pubd gaz 17 May 1996 p 621Form 4 Version 1—Notice of Exercise of Power of Sale

pubd gaz 17 May 1996 p 621Form 5 Version 1—Notice of Completion of Sale

pubd gaz 17 May 1996 p 621Form 6 Version 1—Appointment of Receiver

pubd gaz 17 May 1996 p 621Form 7 Version 1—Notice to Remedy Breach of Covenant

pubd gaz 17 May 1996 p 621Form 8 Version 1—Notice to Tenant

pubd gaz 17 May 1996 p 621Form 9 Version 1—Notice to Landlord

pubd gaz 17 May 1996 p 621Form 10 Version 1—Complaint for Recovery of Possession

pubd gaz 17 May 1996 p 621Form 11 Version 1—Summons for Complaint

pubd gaz 17 May 1996 p 621Form 12 Version 1—Warrant for Possession



PROSTITUTION ACT 1999


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PROSTITUTION ACT 1999

Form 1 Version 1—Notice of appeal to the Independent Assessor Against a Decision of a LocalGovernment

pubd gaz 22 February 2002 p 749Form 2 Version 2—Brothel Licence Application

pubd gaz 14 March 2008 p 1467Form 2 Version 2—Form A—Statement of Personal Details

pubd gaz 14 March 2008 p 1467Form 2 Version 2—Form B—Associates’ Details

pubd gaz 14 March 2008 p 1467Form 2 Version 2—Form C—Proposed Brothel Details

pubd gaz 14 March 2008 p 1467Form 3 Version 2—Licence Renewal


pubd gaz 14 March 2008 p 1467Form 3 Version 2—Form B—Brothel Details

pubd gaz 14 March 2008 p 1467Form 4 Version 2—Approval Manager’s Certificate Application


pubd gaz 14 March 2008 p 1467Form 4 Version 2—Form B—Associates’ Details

pubd gaz 14 March 2008 p 1467Form 4 Version 2—Form C—Proposed Brothel Details

pubd gaz 14 March 2008 p 1467Form 5 Version 2—Certificate Renewal

pubd gaz 14 March 2008 p 1467Form 6 Version 2—Application for Variation of an Approved Manager’s Certificate

pubd gaz 14 March 2008 p 1467Form 7 Version 1—Annual Return Licence

pubd gaz 14 March 2008 p 1467Form 8 Version 1—Annual Return Certificate



PUBLIC HEALTH ACT 2005


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PUBLIC HEALTH ACT 2005

Form PHA S70 Version 1.6—Notifiable Conditions Report Form (1) for Queensland Clinicians(Clinical and Provisional Diagnoses)



QUEENSLAND BUILDING SERVICES AUTHORITY ACT 1991


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QUEENSLAND BUILDING SERVICES AUTHORITY ACT 1991

Form 1 Version 6—Independent Review Report (For Turnover Categories 1-3 only)pubd gaz 12 March 2010 p 599

Form 2 Version 5—Audit Report (For Turnover Categories 4 to 8)pubd gaz 26 June 2009 p 829

Form 3 Version 6—Independent Review report (for Turnover Categories 4-8 – 1st year only) (pubdgaz 20 January 2012 p 110)

Form 4 Version 5—Request to Change renewal date (pubd gaz 20 January 2012 p 110)Form 5 Version 4—Declaration – Professional Indemnity Insurance

pubd gaz 26 June 2009 p 829Form 6 Version 5—Deed of Covenant and Assurance

pubd gaz 26 June 2009 p 829Form 9 Version 6—Insurance Notification Form

pubd gaz 26 June 2009 p 829Form 10 Version 3—Independent Review Report – Audit Exemption (For Turnover Categories 4-8)

pubd gaz 12 March 2010 p 599Form 11 Version 2—Declaration – Allowable Annual Turnover under $100,000 per annum

pubd gaz 26 June 2009 p 829Form 12 Version 2—Declaration – Allowable Annual Turnover under $300,000 per annum

pubd gaz 26 June 2009 p 829Form 13 Version 2—Covenantor’s Statement of Financial Position

pubd gaz 26 June 2009 p 829Form 14 Version 2—Review Control Sheet

pubd gaz 26 June 2009 p 829Form 15 Version 1—Application to be Categorised as a Permitted Individual

pubd gaz 26 June 2009 p 829Form 16 Version 14—Owner Builder Permit Application Form (pubd gaz 20 January 2012 p 110)


QUEENSLAND CIVIL AND ADMINISTRATIVE TRIBUNAL ACT 2009


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Form 1 Version 2—Application for minor civil dispute – consumer disputepubd gaz 15 October 2010 p 430

Form 2 Version 2—Application for minor civil dispute – residential tenancy disputepubd gaz 15 October 2010 p 430

Form 3 Version 2—Application for minor civil dispute – minor debtpubd gaz 15 October 2010 p 430

Form 4 Version 1—Electronic application for minor civil dispute – minor debtpubd gaz 27 November 2009 pp 998–9

Form 5 Version 1—Electronic request for decision by defaultpubd gaz 27 November 2009 pp 998–9

Form 6 Version 2—Request for decision by default – minor civil dispute – minor debtpubd gaz 15 October 2010 p 430

Form 7 Version 2—Response to minor civil dispute – minor debtpubd gaz 15 October 2010 p 430

Form 8 Version 1—Minor civil dispute – counter-applicationpubd gaz 27 November 2009 pp 998–9

Form 9 Version 2—Affidavit of Servicepubd gaz 15 October 2010 p 430

Form 10 Version 1—Application for Administration/Guardianship Appointment or Review –Guardianship and Administration Act 2000

pubd gaz 27 November 2009 pp 998–9Form 11 Version 1—Application for a declaration about capacity – Guardianship and

Administration Act 2000pubd gaz 27 November 2009 pp 998–9

Form 12 Version 1—Application for miscellaneous matters – Guardianship and Administration Act2000

pubd gaz 30 November 2009 p 1045Form 13 Version 1—Application for approval to conduct special medical research – Guardianship

and Administration Act 2000pubd gaz 27 November 2009 pp 998–9

Form 14 Version 1—Application for approval to conduct experimental health care – Guardianshipand Administration Act 2000

pubd gaz 27 November 2009 pp 998–9Form 15 Version 1—Application for stay of a decision pending a hearing – Guardianship and

Administration Act 2000pubd gaz 27 November 2009 pp 998–9

Form 16 Version 1—Application for approval to conduct clinical research – Guardianship andAdministration Act 2000

pubd gaz 27 November 2009 pp 998–9Form 17 Version 1—Application to review a decision – childrens matters

pubd gaz 27 November 2009 pp 998–9Form 18 Version 1—Child Guardian application

pubd gaz 27 November 2009 pp 998–9Form 19 Version 1—Application for prohibition on entering premises of instructional institutions –

Education (General Provisions) Act 2006pubd gaz 27 November 2009 pp 998–9

Form 20 Version 1—Application for exemption or renewal of exemption from Anti-DiscriminationAct 1991

pubd gaz 27 November 2009 pp 998–9




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Form 21 Version 1—Application to review a decision of the Anti-Discrimination Commissionerregarding lapsed complaint

pubd gaz 27 November 2009 pp 998–9Form 22 Version 1—Application or referral – disciplinary proceeding

pubd gaz 27 November 2009 pp 998–9Form 23 Version 1—Application to review a decision

pubd gaz 27 November 2009 pp 998–9Form 24 Version 1—Application for review of decision – Prostitution Act 1999 (ss 64A and 64B)

pubd gaz 27 November 2009 pp 998–9Form 25 Version 1—Application for commercial building disputes – Queensland Building Services

Authority Act 1991pubd gaz 27 November 2009 pp 998–9

Form 26 Version 1—Application for domestic building disputes – Queensland Building ServicesAuthority Act 1991

pubd gaz 27 November 2009 pp 998–9Form 27 Version 1—Application for debt recovery proceeding – Queensland Building Services

Authority Act 1991pubd gaz 27 November 2009 pp 998–9

Form 28 Version 1—Application to resolve a complex dispute (excluding lot entitlement disputes) –Body Corporate and Community Management Act 1997

pubd gaz 27 November 2009 pp 998–9Form 29 Version 1—Application for the adjustment of a lot entitlement schedule – Body Corporate

and Community Management Act 1997pubd gaz 27 November 2009 pp 998–9

Form 30 Version 1—Application – Manufactured Homes (Residential Parks) Act 2003pubd gaz 27 November 2009 pp 998–9

Form 31 Version 1—Application for a tribunal hearing – Retirement Villages Act 1999pubd gaz 27 November 2009 pp 998–9

Form 32 Version 1—Application for a reimbursement order – Property Agents and Motor DealersAct 2000

pubd gaz 27 November 2009 pp 998–9Form 33 Version 1—Application for marketeering proceeding (complaint) – Property Agents and

Motor Dealers Act 2000pubd gaz 27 November 2009 pp 998–9

Form 34 Version 1—Application for an order to resolve a retail tenancy dispute – Retail Shop LeasesAct 1994

pubd gaz 27 November 2009 pp 998–9Form 35 Version 1—Referral of a matter (non-disciplinary)

pubd gaz 27 November 2009 pp 998–9Form 36 Version 1—Response and/or counter-application

pubd gaz 27 November 2009 pp 998–9Form 37 Version 2—Request for decision by default in matters other than minor civil dispute

pubd gaz 30 November 2009 p 1045Form 38 Version 1—Application for notice requiring witness to attend or produce document or thing

pubd gaz 27 November 2009 pp 998–9Form 39 Version 1—Application for leave to appeal or appeal

pubd gaz 27 November 2009 pp 998–9Form 40 Version 1—Application for miscellaneous matters

pubd gaz 27 November 2009 pp 998–9Form 41 Version 1—Application for interim order or injunction

pubd gaz 27 November 2009 pp 998–9




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Form 42 Version 1—Application to extend or shorten a time limit or for waiver of compliance withprocedural requirement

pubd gaz 27 November 2009 pp 998–9Form 43 Version 1—Application for reopening, correction, renewal or amendment

pubd gaz 27 November 2009 pp 998–9Form 44 Version 1—Application to stay a decision

pubd gaz 27 November 2009 pp 998–9Form 45 Version 1—Application to be joined to a proceeding

pubd gaz 27 November 2009 pp 998–9Form 46 Version 1—Application for punishment for contempt

pubd gaz 27 November 2009 pp 998–9Form 47 Version 1—Warrant to witness to attend or produce document or thing

pubd gaz 27 November 2009 pp 998–9Form 48 Version 2—Certificate of mediation outcome (pubd gaz 13 January 2012 p 45)Form 49 Version 1—Application for waiver of fees by reason of financial hardship

pubd gaz 27 November 2009 pp 998–9Form 50 Version 1—Request for decision by default – unliquidated damages

pubd gaz 3 September 2010 p 60Form 51 Version 1—Application for a tree dispute

pubd gaz 4 November 2011 p 432Form 52 Version 1—Response to an application for a tree dispute

pubd gaz 4 November 2011 p 432Form 53 Version 1—Application for minor civil dispute - dividing fences



RACING ACT 2002


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RACING ACT 2002

Form 1 Version February 2009—Application For Eligibility Certificate By An Individual


Form 2 Version February 2009—Application For Eligibility Certificate By A Corporation


Form 3 Version 3—Application for Approval as a Control Body


Form 4 Version 3—Agreement to pay cost of mediation


Form 5 Version 3—Consent and authority for information about associate to be obtained for chief

executive


Form 7 Version 3—Notice of any changes to information contained in Control Body Approval

Application


Form 8 Version 3—Application for a variation of a Control Body Approval


Form 9 Version 1—Annual Audit Program


Form 10 Version 3—Annual management plan for a Control Body


Form 11 Version 3—Notice of cessation of an executive officer of a Control Body


Form 12 Version 3—Notice of appointment of executive officer of a Control Body


Form 13 Version 3—Notice of event resulting in a Control Body not being an eligible corporation


Form 14 Version 3—Notice of event resulting in an executive officer of a Control Body no longer

being an eligible individual


Form 15 Version 3—Application for Accreditation as an Accredited Facility


Form 16 Version 3—Application for a variation of accreditation


Form 17 Version 3—Receipt of a seized thing


Form 18 Version 3—Notice to person in control of a thing


Form 19 Version 1—Probity Form

pubd gaz 25 August 2004 p 1321


RADIATION SAFETY ACT 1999


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Form 1 Version 1.4—Application for a Licence to Possess a Radioactive Substancepubd gaz 9 January 2004 p 63

Form 2 Version 1.4—Application for a Licence to Possess Radiation Apparatuspubd gaz 9 January 2004 p 63

Form 3 Version 1.4—Application for a Licence to Use a Radioactive Substancepubd gaz 9 January 2004 p 63

Form 4 Version 1.4—Application for a Licence to Use Radiation Apparatuspubd gaz 9 January 2004 p 63

Form 5 Version 1.4—Application for a Licence to Use Ionising Radiation Apparatus for VeterinaryPurposes

pubd gaz 9 January 2004 p 63Form 6 Version 1.4—Application for a Licence to Use Ionising Radiation Apparatus for Dental

Purposespubd gaz 9 January 2004 p 63

Form 7 Version 1.7—Application for a Licence to Use Ionising Radiation Apparatus for DiagnosticRadiography or Radiation Therapy

pubd gaz 6 November 2009 p 726Form 7s Version 1.3—Application for a licence to Use Ionising Radiation Apparatus for Radiation

Therapy or Diagnostic Radiography (Student)pubd gaz 4 February 2011 p 196

Form 8 Version 1.5—Application for a radiation safety officer certificatepubd gaz 15 January 2010 p 115

Form 9 Version 1.5—Application for a licence to Transport Radioactive Substancespubd gaz 15 May 2009 p 256

Form 10 Version 1.6—Application for an Accreditation Certificate 1.6pubd gaz 18 February 2011 p 266

Form 11 Version 2—Possession Licencepubd gaz 9 January 2004 p 63

Form 12 Version 2—Use Licencepubd gaz 9 January 2004 p 63

Form 13 Version 2—Transport Licencepubd gaz 9 January 2004 p 63

Form 14 Version 2—Radiation Safety Officer Certificatepubd gaz 9 January 2004 p 63

Form 15 Version 2—Accreditation Certificatepubd gaz 9 January 2004 p 63

Form 16 Version 2.3—Application for approval to acquire a sealed radioactive substancepubd gaz 15 January 2010 p 115

Form 17 Version 2.4—Application for Approval to Acquire a Radiation Apparatuspubd gaz 15 July 2011 p 678

Form 18 Version 3—Application Form–Renewal of an Accreditation Certificatepubd gaz 9 January 2004 p 63

Form 19 Version 3—Application Form–Renewal of a Radiation Safety Officer Certificatepubd gaz 9 January 2004 p 63

Form 20 Version 2.3—Application for approval to acquire an unsealed radioactive substance oriodine-125 seeds

pubd gaz 15 January 2010 p 115Form 21 Version 3—Application Form–Renewal of a Transport Licence





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Form 22 Version 3—Application Form–Renewal of a Possession Licencepubd gaz 9 January 2004 p 63

Form 23 Version 2.2—Application for Approval to Dispose of Radioactive Materialpubd gaz 9 January 2004 p 63

Form 24 Version 2.5—Application for Approval to Relocate a Radiation Sourcepubd gaz 15 July 2011 p 678

Form 25 Version 3—Application Form–Renewal of a Possession Licence (State Entity)pubd gaz 9 January 2004 p 63

Form 26 Version 3—Application Form–Renewal of a Use Licencepubd gaz 9 January 2004 p 63

Form 27 Version 2.1—Application to Change an Approved Radiation Safety and Protection Planpubd gaz 25 August 2006 p 1986

Form 28 Version 2.3—Application for the issue of another Act Instrumentpubd gaz 15 January 2010 p 115

Form 29 Version 1.0—Application to Change the Conditions of an Act Instrumentpubd gaz 25 August 2006 p 1986

Form 30 Version 1—Application form—Renewal of an X-ray Operator Use Licencepubd gaz 17 August 2007 p 2021

Form 32 Version 1—Application for Approval of a Transport Security Planpubd gaz 28 January 2011 p 154

Form HR001A:2004 Version 1—Assessment Report–HR001:2004 Standard for radiation apparatusused to carry out plain film diagnostic radiography

pubd gaz 24 December 2004 p 1348Form HR001C:2004 Version 1—Certificate of Compliance–HR001:2004 Standard for radiation

apparatus used to carry out plain film diagnostic radiographypubd gaz 24 December 2004 p 1348

Form HR002A:2004 Version 1—Assessment Report–HR002:2004 Standard for radiation apparatusused to carry out radioscopy

pubd gaz 24 December 2004 p 1348Form HR002C:2004 Version—Certificate of Compliance–HR002:2004 Standard for radiation

apparatus used to carry out radioscopypubd gaz 24 December 2004 p 1348

Form HR003:1999 Version 1—Assessment Report—Computed Tomography Radiation Apparatuspubd gaz 16 May 2003 p 207

Form HR003:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form HR004:1999 Version 1—Assessment Report—Film-Screen Mammography RadiationApparatus

pubd gaz 16 May 2003 p 207Form HR004:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form HR005A:2004 Version 1—Assessment Report–HR005:2004 Standard for radiation apparatus

used to carry out intra-oral dental diagnostic radiographypubd gaz 24 December 2004 p 1348

Form HR005C:2004 Version 1—Certificate of Compliance–HR005:2004 Standard for radiationapparatus used to carry out intra-oral dental diagnostic radiography

pubd gaz 24 December 2004 p 1348Form HR006:1999 Version 1—Assessment Report—Laser Apparatus

pubd gaz 16 May 2003 p 207Form HR006:1999 Version 1—Certificate of Compliance





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Form NM001:1999 Version 1—Assessment Report—Radiation Apparatus used for Plain FilmRadiography of Inanimate Objects

pubd gaz 16 May 2003 p 207Form NM001:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form NM002:1999 Version 1—Assessment Report—Cabinet Radiation Apparatus


pubd gaz 16 May 2003 p 208Form NM003:1999 Version 1—Assessment Report—Radiation Apparatus used for Diagnostic

Radiography of Animalspubd gaz 16 May 2003 p 207

Form NM003:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM004:1999 Version 1—Assessment Report—Industrial Radiography Radiation Apparatuspubd gaz 16 May 2003 p 207


Form NM005:1999 Version 1—Assessment Report—Analytical Radiation Apparatuspubd gaz 16 May 2003 p 207


Form NM006:1999 Version 1—Assessment Report—Industrial X-ray Gaugespubd gaz 16 May 2003 p 207


Form NM007:1999 Version 1—Assessment Report—Industrial Radiography Sealed SourceApparatus


pubd gaz 16 May 2003 p 208Form NM008:1999 Version 1—Assessment Report—Analytical Sealed Source Apparatus


pubd gaz 16 May 2003 p 208Form NM009:1999 Version 1—Assessment Report—Industrial Gauges


pubd gaz 16 May 2003 p 208Form NM010:1999 Version 1—Assessment Report—Borehole Logging Apparatus

pubd gaz 16 May 2003 p 207Form NM011:1999 Version 1—Assessment Report—Moisture/Density Gauges


pubd gaz 16 May 2003 p 208Form NM012:1999 Version 1—Assessment Report—Machine Source Irradiators


pubd gaz 16 May 2003 p 208Form NM013:1999 Version 1—Assessment Report—Sealed Source Irradiators





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Form PR001:1999 Version 1—Assessment Report—Premises where a Radiation Practice is carriedout

pubd gaz 16 May 2003 p 207Form PR001:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form PR100A:2010 Version 1—Assessment Report – PR100:2010 Standard for Premises – Ionising

Radiation Sourcespubd gaz 18 February 2011 p 266

Form PR100C:2010 Version 1—Certificate of Compliance – PR100:2010 Standard for Premises –Ionising Radiation Sources

pubd gaz 18 February 2011 p 266Form PR002:1999 Version 1—Assessment Report—Radioactive Substances Store


pubd gaz 16 May 2003 p 208Form PR003:1999 Version 1—Assessment Report—Industrial Radiography Premises


pubd gaz 16 May 2003 p 208Form PR004A:2004 Version 1—Assessment Report–PR004:2004 Standard for premises in which

an ionising radiation apparatus is used to carry out health related diagnostic radiography orradiation therapy

pubd gaz 24 December 2004 p 1348Form PR004C:2004 Version 1—Certificate of Compliance–PR004:2004 Standard for premises in

which an ionising radiation apparatus is used to carry out health related diagnostic radiography orradiation therapy

pubd gaz 24 December 2004 p 1348Form PR005:1999 Version 1—Assessment Report—Veterinary Diagnostic Radiography or

Veterinary Radiation Therapy Premisespubd gaz 16 May 2003 p 207

Form PR005:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form PR006:1999 Version 1—Assessment Report—Industrial Gauging Premisespubd gaz 16 May 2003 p 207


Form PR007:1999 Version 1—Assessment Report—Analytical X-ray Premisespubd gaz 16 May 2003 p 207


Form PR008:1999 Version 1—Assessment Report—Laser Apparatus Premisespubd gaz 16 May 2003 p 207


Form PR009:1999 Version 1—Assessment Report—Sterilisation Premisespubd gaz 16 May 2003 p 207



RESIDENTIAL SERVICES (ACCREDITATION) ACT 2002


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RESIDENTIAL SERVICES (ACCREDITATION) ACT 2002

Form 1 Version 8—Application for registration of a residential servicepubd gaz 9 July 2010 p 1099

Form 2 Version 7—Application for accreditation of a residential servicepubd gaz 9 July 2010 p 1099

Form 3 Version 7—Application for renewal accreditation of a residential servicepubd gaz 9 July 2010 p 1099

Form 4 Version 8—Application to become a registered service provider of a currently registeredresidential service

pubd gaz 9 July 2010 p 1099Form 5 Version 6—Application for review of decision

pubd gaz 9 July 2010 p 1099Form 6 Version 10—Notice of commencement as an associate



RESIDENTIAL TENANCIES AND ROOMING ACCOMMODATION ACT 2008


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Form 1A Version 13 January 2011— Entry Condition Report– General Tenancy (pubd gaz 28January 2011 p 154)

Form 1b Version Pv9 July 2009—Entry Condition Report – Moveable Dwellings/site (pubd gaz 12June 2009 pp 617–8)

Form 2 Version Pv12 Mar 2010—Bond Lodgement (pubd gaz 5 March 2010 p 530)Form 2c Version Hv7 Mar 2010—Bond Lodgement Bond Loan (pubd gaz 5 March 2010 p 530)Form 3 Version Pv8 Mar 2010—Transfer of Bond (pubd gaz 5 March 2010 p 530)Form 4 Version 4—Refund of Rental Bond - General Tenancy (pubd gaz 18 February 2011 p 266)Form 5 Version Pv13 Mar 2010—Change of Lessor or Lessor’s Agent (pubd gaz 5 March 2010 p

530)Form 6 Version Pv8 Mar 2010—Change of Shared Bond Arrangement (pubd gaz 5 March 2010 p

530)Form 7 Version Pv9 Mar 2010—Part-Payment of Rental Bond (pubd gaz 5 March 2010 p 530)Form 8 Version Pv6 Mar 2010—Lessor’s Agent Signature Record (pubd gaz 5 March 2010 p 530)Form 9 Version Pv11 July 2009—Entry Notice (pubd gaz 12 June 2009 pp 617–8)Form 9c Version Hv11 July 2009—Entry Notice (pubd gaz 3 July 2009 p 931)Form 10 Version Pv8 July 2009—Notice of Lessor’s Intention to Sell Premises (pubd gaz 12 June

2009 pp 617–8)Form 11 Version Pv9 July 2009—Notice to Remedy Breach (pubd gaz 12 June 2009 pp 617–8)Form 11c Version Hv9 July 2009—Notice to Remedy Breach – Rent Arrears (pubd gaz 3 July 2009

p 931)Form 11c Version Hv9 July 2009—Notice to Remedy Breach – Other Than Rent Arrears (pubd gaz

3 July 2009 p 931)Form 12 Version Pv8 July 2009—Notice to Leave (pubd gaz 12 June 2009 pp 617–8)Form 12c Version Hv8 July 2009—Notice to Leave – Rent Arrears (pubd gaz 3 July 2009 p 931)Form 12c Version Hv8 July 2009—Notice to Leave – Other Than Rent Arrears (pubd gaz 3 July

2009 p 931)Form 12c Version Hv8 July 2009—Notice to Leave – Without Grounds (pubd gaz 3 July 2009 p

931)Form 13 Version Pv10 July 2009—Notice of Intention to Leave (pubd gaz 12 June 2009 pp 617–8)Form 14a Version Pv8 July 2009—Exit Condition Report – General Tenancies (pubd gaz 12 June

2009 pp 617–8)Form 14b Version Pv2 July 2009—Exit Condition Report – Moveable Dwellings/site (pubd gaz 12

June 2009 pp 617–8)Form 15 Version Pv6 July 2009—Abandonment Termination Notice (pubd gaz 12 June 2009 pp

617–8)Form 15c Version Hv6 July 2009—Abandonment Termination Notice (pubd gaz 3 July 2009 p 931)Form 16 Version Pv10 September 2010—Dispute Resolution Request (pubd gaz 24 September 2010

p 207)Form 17A Version 20 January 2011—Renting in Queensland – General Tenancy (pubd gaz 4 March

2011 p 376)Form 17b Version 17 December 2011—Renting a Caravan or Mobile Dwelling in Queensland (pubd

gaz 6 January 2012 p 21)Form 18A Version 12—Tenancy Agreement – General Tenancy (pubd gaz 21 April 2011 p 666)Form 18b Version Pv8 July 2009—Moveable Dwelling Tenancy Agreement (pubd gaz 12 June 2009

pp 617–8)Form 18c Version 12 March 2011—State Tenancy Agreement - Department of Communities

Housing and Homelessness Services (pubd gaz 18 November 2011 p 545)Form 19 Version Ev1 July 2009—Notice to vacate from mortgagee to tenant/s (pubd gaz 12 June

2009 pp 617–8)




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Form R1 Version Pv3 July 2009—Condition Report (pubd gaz 12 June 2009 pp 617–8)Form R2 Version Pv5 Mar 2010—Bond Lodgement (pubd gaz 5 March 2010 p 530)Form R2c Version Hv7 Mar 2010—Bond Lodgement Bond Loan (pubd gaz 5 March 2010 p 530)Form R3 Version— Pv4 Mar 2010—Transfer of Bond (pubd gaz 5 March 2010 p 530)Form R4 Version Pv5 Mar 2010—Refund of Rental Bond (pubd gaz 5 March 2010 p 530)Form R5 Version Pv4 Mar 2010—Change of Provider/Agent (pubd gaz 5 March 2010 p 530)Form R6 Version— Pv4 Mar 2010—Change of Shared Bond Arrangement (pubd gaz 5 March 2010

p 530)Form R7 Version Pv4 Mar 2010—Part-Payment of Rental Bond (pubd gaz 5 March 2010 p 530)Form R8 Version Pv5 Mar 2010—Provider/Agent Signature Record (pubd gaz 5 March 2010 p 530)Form R9 Version Pv3 July 2009—Entry Notice (pubd gaz 12 June 2009 pp 617–8)Form R11 Version Pv2 July 2009—Notice to Remedy Breach (pubd gaz 12 June 2009 pp 617–8)Form R12 Version Pv2 July 2009—Notice to Leave (pubd gaz 12 June 2009 pp 617–8)Form R13 Version Pv2 July 2009—Resident Leaving Form (pubd gaz 12 June 2009 pp 617–8)Form R16 Version 6 December 2010—Dispute Resolution Request—Rooming Accommodation

(pubd gaz 24 December 2010 p 1186)Form R18 Version Pv5 July 2009—Rooming Accommodation Agreement (pubd gaz 12 June 2009

pp 617–8)Form R19 Version Ev1 July 2009—Notice to vacate from mortgagee to resident/s (pubd gaz 12 June

2009 pp 617–8)


RETAIL SHOP LEASES ACT 1994


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RETAIL SHOP LEASES ACT 1994

Form 4 Version 2—Notice of disputepubd gaz 27 November 2009 p 999

Form 7 Version 1—Lessor disclosure statementpubd gaz 27 November 2009 p 999

Form 8 Version 1—Lessee disclosure statementpubd gaz 27 November 2009 p 999

Form 9 Version 1—Assignor disclosure statementpubd gaz 27 November 2009 p 999

Form 10 Version 1—Assignee disclosure statementpubd gaz 27 November 2009 p 999

Form 11 Version 1—Financial advice reportpubd gaz 27 November 2009 p 999

Form 12 Version 1—Legal advice reportpubd gaz 27 November 2009 p 999

Form 13 Version 1—Annual estimate of outgoingspubd gaz 27 November 2009 p 999

Form 14 Version 1—Audited statement of outgoingspubd gaz 27 November 2009 p 999


RETIREMENT VILLAGES ACT 1999


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RETIREMENT VILLAGES ACT 1999

Form 1 Version 8 July 2011—Public information documentpubd gaz 8 July 2011 p 629

Form 2 Version 16—Application for registration as a retirement village schemepubd gaz 12 August 2011 p 894

Form 3 Version November 2009—Dispute notice for referral to mediationpubd gaz 27 November 2009 p 1000


RIGHT TO INFORMATION ACT 2009


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RIGHT TO INFORMATION ACT 2009

Form 1 paper Version 2—Right to Information and Information Privacy Access Application Formpubd gaz 5 March 2010 p 530

Form 1A electronic Version 2—Right to Information and Information Privacy Access ApplicationForm

pubd gaz 5 March 2010 p 530Form 1 RTI-IP Version 3—Right to Information and Information Privacy Access Application



ROMAN CATHOLIC CHURCH (INCORPORATION OF CHURCH ENTITIES) ACT 1994


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ROMAN CATHOLIC CHURCH (INCORPORATION OF CHURCH ENTITIES) ACT 1994

Form 2 Version 2—Request to Incorporate a Church Entitypubd gaz 22 February 2002 p 747

Form 4 Version 2—Request to Establish an Existing Church Corporation under Part 4 of the Actpubd gaz 22 February 2002 p 747

Form 9 Version 2—Request to Dissolve an Incorporated Church Entitypubd gaz 22 February 2002 p 747


SECOND-HAND DEALERS AND PAWNBROKERS ACT 2003


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SECOND-HAND DEALERS AND PAWNBROKERS ACT 2003

Form 1 Version 10—Application for second-hand dealer’s and or pawnbroker’s licencepubd gaz 15 July 2011 p 678

Form 4 Version 9—Application for approval of an authorised place / new associated personpubd gaz 15 July 2011 p 678



Mutual Recognition Form 2 Version 7—Application for a second-handdealer’s and/or pawnbroker’slicence

pubd gaz 9 July 2010 p 1100Sample transaction register Version 2—Sample transaction register for second-hand dealers

pubd gaz 15 July 2011 p 678Sample transaction register Version 2—Sample transaction register for pawnbrokers

pubd gaz 15 July 2011 p 678Version as at 1 July 2010—Second-hand dealers and pawnbrokers fees



SECURITY PROVIDERS ACT 1993


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SECURITY PROVIDERS ACT 1993

Form 1-1 Version 6—Application for a security provider class 1 individual licencepubd gaz 15 July 2011 p 679

Form 1-2 Version 6—Application for a security provider class 2 individual licencepubd gaz 15 July 2011 p 679

Form 2 Version 7—Application for a security firm’s licencepubd gaz 15 July 2011 p 679

Form 5 Version 11—Security Firm Renewal (Class 1 and Class 2)pubd gaz 11 February 2011 p 225

Form 5 Version 11—Security Firm Renewal (Class 1)pubd gaz 11 February 2011 p 225

Form 5 Version 11—Security Firm Renewal (Class 2)pubd gaz 11 February 2011 p 225

Form 5 Version 11—Security Firm Renewalpubd gaz 11 February 2011 p 225

Mutual Recognition Form 3-1 Version 5—Application for a security provider class 1 individuallicence

pubd gaz 15 July 2011 p 679Mutual Recognition Form 3-2 Version 5—Application for a security provider class 2 individual

licencepubd gaz 15 July 2011 p 679


SOUTH BANK CORPORATION ACT 1989


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SOUTH BANK CORPORATION ACT 1989

Form DA 1 Version 1—Common Detailspubd gaz 21 July 2006 p 1373

Form DA 2 Version 1—Planning Applicationpubd gaz 21 July 2006 p 1373

Form DA 3 Version 1—Reconfiguration of a Lotpubd gaz 21 July 2006 p 1373

Form DA 4 Version 1—Operational Workspubd gaz 21 July 2006 p 1373

Form DA 5 Version 1—Request to Change an Existing Approval or Request to Extend CurrencyPeriod of an Existing Approval



SPEECH PATHOLOGISTS REGISTRATION ACT 2001


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SPEECH PATHOLOGISTS REGISTRATION ACT 2001

Form SP101 Version July 2009—General Registration as a Speech Pathologist: Guide andapplication

pubd gaz 3 July 2009 p 930Form SP301 Version February 2002—Application for Special Purpose Registration as a Speech

Pathologist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form SP401 Version April 2002—Application for Renewal of General Registration as a SpeechPathologist in Queensland

pubd gaz 4 February 2005 p 341Form SP1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Speech Pathologist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form SP1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 8 February 2002 pp 439–41

Form SPN158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 8 February 2002 pp 439–41


STATE PENALTIES ENFORCEMENT ACT 1999


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Form 1001 Version 5—Fine option order applicationpubd gaz 30 October 2009 p 656

Form 1002 Version 5—Instalment plan applicationpubd gaz 30 October 2009 p 656

Form 1003 Version 1—Enforcement Orderpubd gaz 1 December 2000 pp 1284–5

Form 1004 Version 3—Fine option orderpubd gaz 30 October 2009 p 656

Form 1005 Version 1—Fine Option Order Withdrawal Noticepubd gaz 1 December 2000 pp 1284–5

Form 1006 Version 1—Fine Option Order Reinstatement Noticepubd gaz 1 December 2000 pp 1284–5

Form 1007 Version 3—Fine option order revocation noticepubd gaz 30 October 2009 p 656

Form 1008 Version 1—Correspondence Letterpubd gaz 1 December 2000 pp 1284–5

Form 1009 Version 24—Instalment payment noticepubd gaz 15 May 2009 p 256

Form 1010 Version 25—Voluntary instalment payment noticepubd gaz 15 May 2009 p 256

Form 1011 Version 1—Statement of Accountpubd gaz 1 December 2000 pp 1284–5

Form 1012 Version 1—Fine Option Referral Noticepubd gaz 1 December 2000 pp 1284–5

Form 1013 Version 1—Official Receiptpubd gaz 1 December 2000 pp 1284–5

Form 1014 Version 1—SPER—Direct Debit Request Form and Direct Debit Request ServiceAgreement

pubd gaz 1 December 2000 pp 1284–5Form 1015 Version 1—Financial Assessment

pubd gaz 1 December 2000 pp 1284–5Form 1016 Version 1—Election for Court Hearing

pubd gaz 1 December 2000 pp 1284–5Form 1017 Version 1—SPER—Direct Debit Request Form (Referring Agency) and Direct Debit

Request Service Agreementpubd gaz 1 December 2000 pp 1284–5

Form 1018 Version 1—Reinstatement of Suspended Fine Option Orderpubd gaz 1 December 2000 pp 1284–5

Form 1019 Version 1—Fine Option Order Suspension Noticepubd gaz 1 December 2000 pp 1284–5

Form 1020 Version 1—Notification of Debt Suspensionpubd gaz 1 December 2000 pp 1284–5

Form 1021 Version 1—Notification of Debt Reinstatementpubd gaz 1 December 2000 pp 1284–5

Form 1022 Version 3— Application to cancel enforcement orderpubd gaz 5 November 2010 p 655

Form 1023 Version 1—Request to Cancel Infringement Notice for Mistake of Factpubd gaz 1 December 2000 pp 1284–5

Form 1024 Version 2—Notice to stop contravening a requirement of a Fine Option Orderpubd gaz 8 December 2006 p 1737




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Form 1025 Version 1—Warning Letter of defaulting Voluntary Instalment Planpubd gaz 1 December 2000 pp 1284–5

Form 1026 Version 1—Warning Letter of defaulting Instalment Planpubd gaz 1 December 2000 pp 1284–5

Form 1027 Version 1—Letter cancelling Instalment Planpubd gaz 1 December 2000 pp 1284–5

Form 1028 Version 12—Voluntary instalment payment noticepubd gaz 15 May 2009 p 256

Form 1029 Version 1—Referral Notice—Copy to Enforcement Debtorpubd gaz 1 December 2000 pp 1284–5

Form 1030 Version 1—Referral Notice—Copy for Court Lodgementpubd gaz 1 December 2000 pp 1284–5

Form 1031 Version 1—Withdrawal of Infringement Noticepubd gaz 1 December 2000 pp 1284–5

Form 1032 Version 1—Invoicepubd gaz 1 December 2000 pp 1284–5

Form 1033 Version 1—Statutory Declaration—Vehicle Related Infringementpubd gaz 1 December 2000 pp 1284–5

Form 1034 Version 1—Default Certificatepubd gaz 1 December 2000 pp 1284–5

Form 1035 Version 1—Application for Extension of Time to Paypubd gaz 1 December 2000 pp 1284–5

Form 1036 Version 2—Application to appeal against refusal to cancel enforcement orderpubd gaz 5 November 2010 p 655

Form 1037 Version 1—Application for Review of Fine Option Order Revocationpubd gaz 1 December 2000 pp 1284–5

Form 1038 Version 1—Account Summarypubd gaz 1 December 2000 pp 1284–5

Form 1039 Version 1—Warrant of Arrest and Imprisonmentpubd gaz 1 December 2000 pp 1284–5

Form 1501 Version 1 November 2010—Prosecution Unit Infringement Noticepubd gaz 28 January 2011 p 155

Form 1054 Version 1— Notice of approval to cancel enforcement orderpubd gaz 5 November 2010 p 655

Form 1061 Version 2— Notice of refusal to cancel enforcement orderpubd gaz 5 November 2010 p 655

Form 2001 Version 19—Reminder noticepubd gaz 30 October 2009 p 656

Form 3009 Version 2—Fine Collection Notice for the Redirection of a Debtpubd gaz 17 August 2007 p 2022

Form 3012 Version 6—Enforcement Warrant (Seizure and Sale)pubd gaz 14 May 2010 p 120

Form 4003 Version 1—Certificate of Registrarpubd gaz 9 May 2008 p 276

Form 4008 Version 5—Enforcement order (infringements)pubd gaz 30 October 2009 p 656

Form 4009 Version 5—Enforcement order (court orders)pubd gaz 30 October 2009 p 656

Form 4010 Version 3—Good behaviour order applicationpubd gaz 30 October 2009 p 656

Form 4014 Version 3—Application for individual considerationpubd gaz 30 October 2009 p 656




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Form 4016 Version 2—Fine Collection Notice for Redirection of Earningspubd gaz 17 August 2007 p 2022

Form 4019 Version 2—Fine Collection Notice for a Regular Redirectionpubd gaz 17 August 2007 p 2022

Form 4026 Version 2—Instalment payment noticepubd gaz 30 October 2009 p 656

Form 4029 Version 2—Instalment payment notice (Centrepay payment notice)pubd gaz 30 October 2009 p 656

Form 4031 Version 2—Financial assessmentpubd gaz 30 October 2009 p 656

Form 4033 Version 2—Financial assessment (field)pubd gaz 30 October 2009 p 656

Form 4048 Version 2—Enforcement Order (VAQ)pubd gaz 29 October 2010 p 589

Form 5000 Version 1—Notice of Intention to Issue an Immobilisation Warrantpubd gaz 18 December 2009 p 1301

Form 5001 Version 1—Imobilisation notice (sticker) – banner 750mmx200mmpubd gaz 27 November 2009 p 1000

Form 5002 Version 1—Imobilisation notice (sticker) – A4 sizepubd gaz 27 November 2009 p 1000

Form F1501 November 2009—Prosecution Unit Infringement Noticepubd gaz 18 December 2009 p 1288

Form F3113/PT56 Version Oct 2003—(P)—Infringement Notice—First and Final Noticepubd gaz 24 August 2007 p 2149

Form 4562 Version 1 November 2010—Prosecution Unit Infringement Notice – PhotographicDetection

pubd gaz 28 January 2011 p 155Form 4725 Version 1 November 2010—Tolling Offence Unit Infringement Notice (Fail to Comply

with a Toll Road Demand Notice)pubd gaz 28 January 2011 p 155

Form PT56D Version 10 September 2002—Infringement Notice—Photographic Detection DeviceOffence)

pubd gaz 3 October 2003 p 379Form SPER3005-2/2003 Version 1—Notice of Cessation of Employment

pubd gaz 4 April 2003 p 1194Form SPER3010-2/2003 Version 1—Return of Non-Payments Schedule

pubd gaz 4 April 2003 p 1194Form SPER3011-2/2003 Version 1—Return of Payments Schedule

pubd gaz 4 April 2003 p 1194Form SPER3012-5/2003 Version 1—Enforcement Warrant Seizure and Sale of Property

pubd gaz 23 May 2003 p 275Form SPER4019 Version 3—Fine collection notice for a regular redirection

pubd gaz 25 March 2011 p 482Form SPER5005 Version1—Immobilisation Search Warrant



STATUS OF CHILDREN ACT 1978


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STATUS OF CHILDREN ACT 1978

Form 1 Version 2—Parentage Testing Procedure Affidavit by/in relation to Donorpubd gaz 2 February 2007 p 532

Form 2 Version 2—Parentage Testing Procedure, Collection of Bodily Samplespubd gaz 2 February 2007 p 532

Form 3 Version 1—Parentage Testing Procedure Reportpubd gaz 30 August 2002 p 1550


STOCK ACT 1915


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STOCK ACT 1915

Form 1 Approved Tags—Identification of Stockpubd gaz 5 November 1999 p 912



Form 4 Approved Tags—Identification of Stockpubd gaz 11 February 2000 p 529

Form 22A Version 1—Horse Health Declaration and Waybillpubd gaz 20 May 2011 p 141

Form 979—Certificate of Health/Waybill for the entry of Stock into Queenslandpubd gaz 22 December 2000 p 1551

Form 1007—Permit to Introduce Animal Pathogens, Biological Preparations, Articles or Things

pubd gaz 22 December 2000 p 1551Form FDU504 Version 1—Multiple Movement Travel Permit under an Approved Scheme

Applicationpubd gaz 6 July 2007 p 1279

Form FDU1094—Application for Permanent Tags (Devices)pubd gaz 15 June 2001 p 610

Form FDU1199—Application for Permanent Sheep Tags (NFIS)

pubd gaz 28 June 2002 p 870Form FDU1425 Version 01/06—Penalty Infringement Notice

pubd gaz 23 June 2006 p 879Form FDU1500 Version 1—Cattle Tick Inspection and/or Treatment Certificate

pubd gaz 8 April 2011 p 586Form FDU1520 Version 1—Information Notice–Stock Act 1915

pubd gaz 6 July 2007 p 1279Form FDU1521 Version 1—Information Notice–Stock Act 1915


Form FDU1524 Version 1—Travel Permit for Competition Stock from the Queensland InfectedZone Application

pubd gaz 6 July 2007 p 1279Form FDU1526 Version 1—Seizure Receipt

pubd gaz 6 July 2007 p 1279Form FDU1530 Version 1—Requirement to Produce Documents


Form FDU1531 Version 1—Multiple Movement Travel Permit for Secondary Host Species ofManageable Groomed Stock Application

pubd gaz 6 July 2007 p 1279Form FDU1535 Version 1—Chief Inspectorial Approval for Types of Stock Movement Application



STORAGE LIENS ACT 1973


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STORAGE LIENS ACT 1973

Form 1—Notice of Storage Lienpubd gaz 28 November 2008 p 1694


STRATEGIC CROPPING LAND ACT 2011


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STRATEGIC CROPPING LAND ACT 2011

Form 1A Version 1—Part A—Strategic cropping land validation—All applications (pubd gaz 27January 2012 p 120)

Form 1B Version 1—Part B—Strategic cropping land validation—Cropping history (pubd gaz 27January 2012 p 120)

Form 1C Version 1—Part C—Strategic cropping land validation—Zonal criteria (pubd gaz 27January 2012 p 120)

Form 2 Version 1—Strategic cropping land compliance certificate (pubd gaz 27 January 2012 p 120)Form 3 Version 1—Strategic cropping land protection decision (pubd gaz 27 January 2012 p 120)Form 4 Version 1—Strategic cropping land exceptional circumstances (pubd gaz 27 January 2012

p 120)


SUBCONTRACTORS’ CHARGES ACT 1974


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SUBCONTRACTORS’ CHARGES ACT 1974

Form 1 Version 1—Notice of Claim of Chargepubd gaz 21 June 2002 p 774

Form 1A Version 1—Notice of Claim of Charge—Retention Money onlypubd gaz 21 June 2002 p 774

Form 2 Version 1—Notice to Contractor of Claim of Charge Being Givenpubd gaz 21 June 2002 p 774

Form 2A Version 1—Notice to Contractor of Claim of Charge Being Given—Retention Money onlypubd gaz 21 June 2002 p 774

Form 3 Version 1—Notice to Security Holder of Claim of Charge Being Givenpubd gaz 21 June 2002 p 774

Form 3A Version 1—Notice to Security Holder of Claim of Charge Being Given—Retention Moneyonly

pubd gaz 21 June 2002 p 774Form 4 Version 1—Contractor’s Notice

pubd gaz 21 June 2002 p 774Form 5 Notice of Withdrawal of Claim



SUMMARY OFFENCES ACT 2005


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SUMMARY OFFENCES ACT 2005

Form 1 Version 1—Graffiti Removal Notice (Removal of Public Graffiti)pubd gaz 19 February 2010 p 406


SUPREME COURT OF QUEENSLAND ACT 1991


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The following forms are used under the provisions of the Criminal Code, the Criminal PracticeRules 1999, the Bail Act 1980 and the District Court of Queensland Act 1967 (prev DistrictCourt Act 1967)

Form 1 Version 1—General form of application to courtpubd gaz 4 August 2000 pp 1217–8

Form 2 Version 1—Application for bail in the Supreme Courtpubd gaz 4 August 2000 pp 1217–8

Form 2A Version 1—Employment claimpubd gaz 14 December 2007 p 2130

Form 3 Version 1—Application for bail in the court before which the indictment was presentedpubd gaz 4 August 2000 pp 1217–8

Form 4 Version 1—Application for variation of bailpubd gaz 4 August 2000 pp 1217–8

Form 5 Version 1—Application by surety for dischargepubd gaz 4 August 2000 pp 1217–8

Form 6 Version 1—Application for revocation (or variation) of bail by prosecutorpubd gaz 4 August 2000 pp 1217–8

Form 6A Version 1—Notice of intention to defend employment claim and defencepubd gaz 14 December 2007 p 2130

Form 7 Version 1—Notice to suretypubd gaz 4 August 2000 pp 1217–8

Form 8 Version 1—Notice to defendantpubd gaz 4 August 2000 pp 1217–8

Form 9 Version 1—Application for a direction or rulingpubd gaz 4 August 2000 pp 1217–8

Form 10 Version 1—Application to transmit summary charge to the Supreme or District Courtpubd gaz 4 August 2000 pp 1217–8

Form 11 Version 1—Affidavitpubd gaz 4 August 2000 pp 1217–8

Form 12 Version 1—General form of orderpubd gaz 4 August 2000 pp 1217–8

Form 13 Version 1—Application for leave to present informationpubd gaz 4 August 2000 pp 1217–8

Form 14 Version 1—Security by prosecutorpubd gaz 4 August 2000 pp 1217–8

Form 15 Version 1—Summons to appear to information (to be indorsed on copy for service)pubd gaz 4 August 2000 pp 1217–8

Form 16 Version 1—Notice of prosecutor’s address to be indorsed on informationpubd gaz 4 August 2000 pp 1217–8

Form 17 Version 1—Notice of trialpubd gaz 4 August 2000 pp 1217–8

Form 18 Version 1—Notice to attend for sentencepubd gaz 4 August 2000 pp 1217–8

Form 19 Version 1—Warrant to arrest accused person who does not attend to receive sentence onjudgment by default

pubd gaz 4 August 2000 pp 1217–8Form 20 Version 1—Bench warrant

pubd gaz 4 August 2000 pp 1217–8Form 21 Version 1—Subpoena to attend court

pubd gaz 4 August 2000 pp 1217–8




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Form 22 Version 1—Subpoena to produce a document to the proper officer of the courtpubd gaz 4 August 2000 pp 1217–8

Form 23 Version 1—Notice to be served with form 21 subpoenapubd gaz 4 August 2000 pp 1217–8

Form 24 Version 1—Notice to be served with form 22 subpoenapubd gaz 4 August 2000 pp 1217–8

Form 25 Version 1—Judge’s certificatepubd gaz 4 August 2000 pp 1217–8

Form 26 Version 5—Notice of appeal or application for leave to appeal against conviction orsentence (for appeals other than under the District Court Act 1967, s 116)

pubd gaz 22 March 2002 p 1108Form 27 Version 4—Notice of application for leave to appeal

pubd gaz 25 May 2001 p 324Form 28 Version 4—Notice of application for extension of time within which to appeal

pubd gaz 22 March 2002 p 1108Form 33 Version 1—Notice of order for detention or admission to bail pending appeal to High Court

pubd gaz 4 August 2000 pp 1217–8Form 34 Version 2—Notice of Attorney-General’s appeal against sentence

pubd gaz 15 December 2000 p 1471Form 35 Version 2—Notice of Attorney-General’s reference

pubd gaz 15 December 2000 p 1471Form 36 Version 1—Notice to appellant of judge’s decision

pubd gaz 4 August 2000 pp 1217–8Form 36A Version 1—Conciliation Certificate

pubd gaz 14 December 2007 p 2130Form 37 Version 1—Notice of application for rehearing by Court of Appeal

pubd gaz 4 August 2000 pp 1217–8Form 38 Version 1—Application for leave to adduce evidence

pubd gaz 4 August 2000 pp 1217–8Form 39 Version 1—Order to witness to attend court for examination

pubd gaz 4 August 2000 pp 1217–8Form 40 Version 1—Order to witness to attend before examiner for examination

pubd gaz 4 August 2000 pp 1217–8Form 41 Version 1—Registrar’s certificate of expenses

pubd gaz 4 August 2000 pp 1217–8Form 42 Version 1—Order to general manager of a prison after dismissal of appeal to take appellant

on bail into custodypubd gaz 4 August 2000 pp 1217–8

Form 43 Version 1—Order to general manager of a prison after High Court reverses the order of theCourt of Appeal quashing a conviction

pubd gaz 4 August 2000 pp 1217–8Form 44 Version 1—Verdict and judgment record

pubd gaz 4 August 2000 pp 1217–8Form 45 Version 1—Affidavit of service

pubd gaz 4 August 2000 pp 1217–8Form 46 Version 1—Certificate under section 408D(3)

pubd gaz 1 June 2007 p 581Form 74A Version 1—Retaliation against a (family member of a) judicial officer (or juror or

witness)pubd gaz 21 March 2003 p 1054

Form 75 Version 2—Judicial corruptionpubd gaz 21 March 2003 p 1054




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Form 77 Version 2—Corruption of a jurorpubd gaz 21 March 2003 p 1054

Form 213 Version 2—Stealing stockpubd gaz 21 March 2003 p 1054

Form 225 Version 2—Stealing property values at over $5 000pubd gaz 21 March 2003 p 1054

Form 279 Version 2—Unlawfully using stockpubd gaz 21 March 2003 p 1054

Form 280 Version 2—Possessing stolen stockpubd gaz 21 March 2003 p 1054

Form 283 Version 2—Possessing stock with a defaced brandpubd gaz 21 March 2003 p 1054

The following forms are used under the provisions of the Supreme Court (Admission) Rules 2004(prev Supreme Court (Legal Practitioner Admission) Rules 2004)

Form 1 Version 2—Originating Application for Admission as a Legal Practitionerpubd gaz 23 November 2007 p 1680

Form 2 Version 4—Notice of Traineeshippubd gaz 23 November 2007 p 1680

Form 3 Version 2—Notice of Intention to Sit Examinationpubd gaz 23 November 2007 p 1680

Form 4 Version 4—Supervisor’s Statementpubd gaz 23 November 2007 p 1680

Form 5 Version 4—Former Master’s Statementpubd gaz 23 November 2007 p 1680

Form 6 Version 2—Response Statementpubd gaz 23 November 2007 p 1680

Form 7 Version 2—Statement of Eligibility and Suitabilitypubd gaz 23 November 2007 p 1680

Form 8 Version 2—Certificate of Suitabilitypubd gaz 23 November 2007 p 1680

Form 9 Version 2—Notice of Intention to Apply for Admission as a Legal Practitionerpubd gaz 23 November 2007 p 1680

Form 10 Version 3—Response Statement (Associate)pubd gaz 23 November 2007 p 1680

Form 11 Version 2—Response Statement (Articled Clerk)pubd gaz 23 November 2007 p 1680

The following forms are used under the provisions of the Uniform Civil Procedure RulesForm 1 Version 1—Title

pubd gaz 11 June 1999 pp 662–6Form 2 Version 1—Claim

pubd gaz 11 June 1999 pp 662–6Form 4 Version 2—Notice of intention to defend and defence to a minor debt claim

pubd gaz 23 June 2000 p 638Form 5 Version 1—Originating application

pubd gaz 11 June 1999 pp 662–6Form 6 Version 1—Notice of intention to defend

pubd gaz 11 June 1999 pp 662–6Form 7 Version 1—Conditional notice of intention to defend

pubd gaz 11 June 1999 pp 662–6




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Form 8 Version 1—Notice of address for servicepubd gaz 11 June 1999 pp 662–6

Form 9 Version 1—Applicationpubd gaz 11 June 1999 pp 662–6

Form 10 Version 1—Certificate of service of foreign processpubd gaz 11 June 1999 pp 662–6

Form 10A Version 1—Request for service abroad of judicial documents and certificatepubd gaz 29 October 2010 p 589

Form 10B Version 1—Summary of document to be servedpubd gaz 29 October 2010 p 589

Form 11 Version 1—Consent adjournment of applicationpubd gaz 11 June 1999 pp 662–6

Form 12 Version 1—Memorandum of agreement to change of venuepubd gaz 11 June 1999 pp 662–6

Form 13 Version 1—Consent of litigation guardianpubd gaz 11 June 1999 pp 662–6

Form 14 Version 1—Third party noticepubd gaz 11 June 1999 pp 662–6

Form 15 Version 1—Notice claiming contributionpubd gaz 11 June 1999 pp 662–6

Form 16 Version 2—Statement of claimpubd gaz 23 June 2000 p 638

Form 17 Version 2—Defencepubd gaz 23 June 2000 p 638

Form 18 Version 2—Counterclaimpubd gaz 23 June 2000 p 638

Form 19 Version 2—List of documentspubd gaz 30 July 2004 p 1006

Form 20 Version 1—Certificate of solicitor under Rule 244pubd gaz 11 June 1999 pp 662–6

Form 21 Version 1—Notice of non-party disclosurepubd gaz 11 June 1999 pp 662–6

Form 22 Version 1—Notice to admit documentspubd gaz 11 June 1999 pp 662–6

Form 23 Version 1—Notice to admit factspubd gaz 11 June 1999 pp 662–6

Form 24 Version 1—Solicitor’s certificate about disclosurepubd gaz 11 June 1999 pp 662–6

Form 25 Version 1—Request for default judgmentpubd gaz 11 June 1999 pp 662–6

Form 26 Version 1—Default judgmentpubd gaz 11 June 1999 pp 662–6

Form 27 Version 1—Notice of discontinuancepubd gaz 11 June 1999 pp 662–6

Form 28 Version 1—Notice of withdrawal of notice of intention to defendpubd gaz 11 June 1999 pp 662–6

Form 33 Version 1—ADR referring orderpubd gaz 11 June 1999 pp 662–6

Form 34 Version 1—Consent order for ADRpubd gaz 11 June 1999 pp 662–6

Form 35 Version 1—Mediator’s certificatepubd gaz 11 June 1999 pp 662–6




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Form 36 Version 1—Case appraiser’s certificatepubd gaz 11 June 1999 pp 662–6

Form 37 Version 1—Notice of election to trial or hearing in the ordinary waypubd gaz 11 June 1999 pp 662–6

Form 38 Version 1—Notice of acceptance of offerpubd gaz 11 June 1999 pp 662–6

Form 39 Version 1—Letter of requestpubd gaz 11 June 1999 pp 662–6

Form 40 Version 1—Undertaking in relation to letter of requestpubd gaz 11 June 1999 pp 662–6

Form 41 Version 1—Subpoena for productionpubd gaz 11 June 1999 pp 662–6

Form 42 Version 1—Subpoena to give evidencepubd gaz 11 June 1999 pp 662–6

Form 43 Version 1—Subpoena for production and to give evidencepubd gaz 11 June 1999 pp 662–6

Form 44 Version 1—Request for subpoenapubd gaz 11 June 1999 pp 662–6

Form 45 Version 1—Warrant for arrest for noncompliance with subpoenapubd gaz 11 June 1999 pp 662–6

Form 46 Version 1—Affidavitpubd gaz 11 June 1999 pp 662–6

Form 47 Version 2—Certificate of exhibit or exhibitspubd gaz 5 April 2002 p 1298

Form 48 Version 5—Request for trial datepubd gaz 11 June 2010 p 458

Form 49 Version 2—Notice proposing application without oral hearingpubd gaz 23 June 2000 p 638

Form 50 Version 1—Notice requiring oral hearingpubd gaz 11 June 1999 pp 662–6

Form 51 Version 1—Affidavit accompanying payment into courtpubd gaz 11 June 1999 pp 662–6

Form 52 Version 1—Notice of payment into court in defamationpubd gaz 11 June 1999 pp 662–6

Form 53 Version 1—Notice of acceptance of money paid into courtpubd gaz 11 June 1999 pp 662–6

Form 54 Version 1—Application for a statutory order of reviewpubd gaz 11 June 1999 pp 662–6

Form 55 Version 1—Application relating to statement of reasonspubd gaz 11 June 1999 pp 662–6

Form 56 Version 1—Application for reviewpubd gaz 11 June 1999 pp 662–6

Form 57 Version 1—Writ of Habeas Corpuspubd gaz 11 June 1999 pp 662–6

Form 58 Version 1—Judgmentpubd gaz 11 June 1999 pp 662–6

Form 59 Version 1—Orderpubd gaz 11 June 1999 pp 662–6

Form 59A Version 2—Request for Consent Order of Registrarpubd gaz 2 July 2010 p 1032

Form 60 Version 1—Application for costs assessmentpubd gaz 7 December 2007 p 1977




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Form 60A Version 1—Costs statementpubd gaz 7 December 2007 p 1977

Form 61 Version 1—Notice of Objectionpubd gaz 7 December 2007 p 1977

Form 62 Version 1—Costs Assessor’s certificatepubd gaz 7 December 2007 p 1977

Form 63 Version 1—Application for approval as a costs assessorpubd gaz 7 December 2007 p 1977

Form 63A Version 1—Registrar’s order for costspubd gaz 7 December 2007 p 1977

Form 64 Version 4—Notice of Appealpubd gaz 30 July 2004 p 1006

Form 65 Version 1—Notice of cross appealpubd gaz 11 June 1999 pp 662–6

Form 66 Version 1—Notice of contentionpubd gaz 11 June 1999 pp 662–6

Form 67 Version 1—Undertaking about appeal bookpubd gaz 11 June 1999 pp 662–6

Form 68 Version 1—Memorandum of agreement to dismissal of appealpubd gaz 11 June 1999 pp 662–6

Form 69 Version 4—Application to Court of Appealpubd gaz 11 March 2005 p 842

Form 70 Version 3—Enforcement Hearing Summonspubd gaz 11 June 2010 p 458

Form 71 Version 3—Statement of Financial Positionpubd gaz 26 November 2010 p 809

Form 71A Version 1—Statement of Financial Position (Company)pubd gaz 26 November 2010 p 809

Form 72 Version 1—Subpoena to attend enforcement hearingpubd gaz 11 June 1999 pp 662–6

Form 73 Version 1—Enforcement hearing warrantpubd gaz 11 June 1999 pp 662–6

Form 74 Version 1—Statement supporting application for enforcement warrantpubd gaz 11 June 1999 pp 662–6

Form 75 Version 3—Enforcement warrant–seizure and sale of propertypubd gaz 30 July 2004 p 1006

Form 76 Version 3—Enforcement warrant–redirection of debtpubd gaz 30 July 2004 p 1006

Form 77 Version 2—Enforcement warrant for regular redirectionpubd gaz 13 July 2001 p 1034

Form 78 Version 1—Enforcement warrant—redirection of earningspubd gaz 11 June 1999 pp 662–6

Form 79 Version 1—Notice to employer—redirection of earningspubd gaz 11 June 1999 pp 662–6

Form 80 Version 1—Notice that debtor not employeepubd gaz 11 June 1999 pp 662–6

Form 81 Version 1—Notice of cessation of employmentpubd gaz 11 June 1999 pp 662–6

Form 82 Version 2—Order authorising payment by instalmentspubd gaz 30 July 2004 p 1006

Form 83 Version 2—Notice of cessation or defaultpubd gaz 30 July 2004 p 1006




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Form 84 Version 1—Enforcement warrant—charging orderpubd gaz 11 June 1999 pp 662–6

Form 85 Version 3—Enforcement warrant–possession of landpubd gaz 30 July 2004 p 1006

Form 86 Version 3—Enforcement warrant–delivery of goodspubd gaz 30 July 2004 p 1006

Form 87 Version 2—Enforcement warrant–seizure and detentionpubd gaz 30 July 2004 p 1006

Form 88 Version 1—Warrant for arrest pending hearing for contemptpubd gaz 11 June 1999 pp 662–6

Form 89 Version 2—Warrant for defendant’s arrestpubd gaz 23 June 2000 p 638

Form 89A Version 1—Order for Registration of Foreign Judgmentpubd gaz 22 April 2005 p 1302

Form 89B Version 1—Notice of Registration of Foreign Judgmentpubd gaz 22 April 2005 p 1302

Form 89C Version 1—Certificate of Judgmentpubd gaz 22 April 2005 p 1302

Form 90 Version 1—Notice of change of addresspubd gaz 11 June 1999 pp 662–6

Form 91 Version 1—Notice of appointment of solicitorpubd gaz 11 June 1999 pp 662–6

Form 92 Version 1—Notice that party acting in personpubd gaz 11 June 1999 pp 662–6

Form 93 Version 1—Notice of change of solicitorpubd gaz 11 June 1999 pp 662–6

Form 94 Version 1—Notice of withdrawal of solicitorspubd gaz 11 June 1999 pp 662–6

Form 95 Version 1—Notice of withdrawal of town agentspubd gaz 11 June 1999 pp 662–6

Form 96 Version 1—Notice of appeal—District Courtpubd gaz 11 June 1999 pp 662–6

Form 97 Version 1—Notice of appeal subject to leavepubd gaz 11 June 1999 pp 662–6

Form 98 Version 1—Certificate of readinesspubd gaz 11 June 1999 pp 662–6

Form 99 Version 1—Notice of address for servicepubd gaz 11 June 1999 pp 662–6

Form 100 Version 1—Title for probate forms—uncontested proceedingspubd gaz 11 June 1999 pp 662–6

Form 101 Version 1—Application for probate [or letters of administration with the will]pubd gaz 11 June 1999 pp 662–6

Form 102 Version 1—Application for letters of administration (intestacy)pubd gaz 11 June 1999 pp 662–6

Form 103 Version 3—Notice of intention to apply for grantpubd gaz 25 May 2007 p 460

Form 104 Version 1—Affidavit of publication and servicepubd gaz 11 June 1999 pp 662–6

Form 105 Version 2—Affidavit supporting probate applicationpubd gaz 18 February 2011 p 266

Form 106 Version 2—Affidavit supporting application for letters of administration with willpubd gaz 18 February 2011 p 266




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Form 107 Version 1—Affidavit of signing witness in proof of the due execution of a will or codicilpubd gaz 11 June 1999 pp 662–6

Form 108 Version 1—Affidavit of handwriting of deceased or attesting witnesspubd gaz 11 June 1999 pp 662–6

Form 109 Version 2—Affidavit (supporting application for letters of administration on intestacy)pubd gaz 15 October 2004 p 556

Form 110 Version 1—Affidavit to be used when the will is not dated and no one can depose to theactual date of execution

pubd gaz 11 June 1999 pp 662–6Form 111 Version 1—Affidavit of plight and condition and finding

pubd gaz 11 June 1999 pp 662–6Form 112 Version 1—Application for reseal

pubd gaz 11 June 1999 pp 662–6Form 113 Version 1—Affidavit (supporting application for reseal)

pubd gaz 11 June 1999 pp 662–6Form 114 Version 1—Renunciation of probate or administration with the will

pubd gaz 11 June 1999 pp 662–6Form 115 Version 1—Renunciation of administration in case of intestacy

pubd gaz 11 June 1999 pp 662–6Form 116 Version 1—Caveat

pubd gaz 11 June 1999 pp 662–6Form 117 Version 1—Notice to caveator and applicant

pubd gaz 11 June 1999 pp 662–6Form 118 Version 1—Notice in support of caveat

pubd gaz 11 June 1999 pp 662–6Form 119 Version 2—Notice of withdrawal of caveat

pubd gaz 23 June 2000 p 638Form 120 Version 1—Affidavit of scripts

pubd gaz 11 June 1999 pp 662–6Form 121 Version 1—Grant in probate and administration jurisdiction

pubd gaz 11 June 1999 pp 662–6Form 122 Version 1—Exemplification of probate or letters of administration with the will

pubd gaz 11 June 1999 pp 662–6Form 123 Version 1—Exemplification of letters of administration on intestacy

pubd gaz 11 June 1999 pp 662–6Form 124 Version 1—Request for issue of citation

pubd gaz 11 June 1999 pp 662–6Form 125 Version 1—Citation to take probate

pubd gaz 11 June 1999 pp 662–6Form 126 Version 1—Citation to apply for administration

pubd gaz 11 June 1999 pp 662–6Form 127 Version 1—Notice of Objection – Estate Account (pubd gaz 13 January 2012 p 45)Form 128 Version 1—Account Assessor’s Certificate (pubd gaz 13 January 2012 p 45)Form 129 Version 1—Application for appointment as an Accounts Assessor (pubd gaz 13 January

2012 p 45)Form 130 Version 1—Request for fee refund

pubd gaz 26 August 2011 p 993Form 131 Version 1—Application for reduction of fees by an individual

pubd gaz 26 August 2011 p 993Form 132 Version 1—Application for reduction of fees by a corporation





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The following forms are used under the provisions of the Uniform Civil Procedure Rules,Schedule 1A—Proceedings under Corporations Law

Form 1 Version 1—Document titlepubd gaz 8 September 2000 p 128

Form 2 Version 2—Originating applicationpubd gaz 30 July 2004 p 1006

Form 3 Version 2—Interlocutory applicationpubd gaz 30 July 2004 p 1006

Form 4 Version 1—Notice of appearancepubd gaz 8 September 2000 p 128

Form 5 Version 1—Notice of intervention by the Commissionpubd gaz 8 September 2000 p 128

Form 6 Version 1—Notice of hearing to approve compromise or arrangementpubd gaz 8 September 2000 p 128

Form 7 Version 1—Affidavit accompanying statutory demandpubd gaz 8 September 2000 p 128

Form 7A Version 1—Affidavit in support of application for winding up in insolvencypubd gaz 30 July 2004 p 1006

Form 8 Version 2—Consent of liquidator/provisional liquidatorpubd gaz 12 September 2008 p 279

Form 9 Version 1—Notice of application for winding up orderpubd gaz 8 September 2000 p 128

Form 10 Version 1—Notice of application for winding up order by substituted applicantpubd gaz 8 September 2000 p 128

Form 11 Version 1—Notice of winding up order and of appointment of liquidatorpubd gaz 8 September 2000 p 128

Form 12 Version 1—Notice of appointment of provisional liquidatorpubd gaz 8 September 2000 p 128

Form 13 Version 1—Notice by creditor or contributory of objection to release of liquidatorpubd gaz 8 September 2000 p 128

Form 14 Version 1—Affidavit in support of application for order for payment of callpubd gaz 8 September 2000 p 128

Form 15 Version 1—Notice of application for leave to distribute a surpluspubd gaz 8 September 2000 p 128

Form 16 Version 1—Notice of intention to apply for remunerationpubd gaz 8 September 2000 p 128

Form 16A—Notice of intention to apply for review of remunerationpubd gaz 12 September 2008 p 279

Form 17 Version 2—Summons for public examination.pubd gaz 30 July 2004 p 1006

Form 17A—Arrest warrantpubd gaz 12 September 2008 p 279

Form 18 Version 1—Summons for appearance in relation to registration of transfer of interestspubd gaz 8 September 2000 p 128


SURVEY AND MAPPING INFRASTRUCTURE ACT 2003


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SURVEY AND MAPPING INFRASTRUCTURE ACT 2003

Form 6 Version 3—Permanent Mark Sketch Planpubd gaz 26 September 2008 p 428

Form 10 Version 3—Plan Registration Compliance Checklistpubd gaz 30 July 2010 p 1226

Form 12 Version 3—Certificate for Survey Recordspubd gaz 26 September 2008 p 428

Form 13 Version 3—Certificate for Cadastral Planspubd gaz 26 September 2008 p 428

Form 18 Version 3—Certificate for Cadastral Plans—Compiledpubd gaz 26 September 2008 p 428


SURVEYORS ACT 2003


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SURVEYORS ACT 2003

Form 01A Version 0910—Application for Registration as a Surveying Associatepubd gaz 13 November 2009 p 746

Form 01R Version 0909—2010 Application for Renewal of Registration as a Surveying Associatepubd gaz 13 November 2009 p 746

Form 02A Version 0910—Application for Registration as a Surveying Graduatepubd gaz 13 November 2009 p 746

Form 02R Version 0909—2010 Application for Renewal of Registration as a Surveying Graduatepubd gaz 13 November 2009 p 746

Form 03A Version 0910—Application for Registration as a Surveyorpubd gaz 13 November 2009 p 746

Form 03R Version 0909—2010 Application for Renewal of Registration as a Surveyorpubd gaz 13 November 2009 p 746

Form 04A Version 0910—Application for Registration as a Surveyor with an Endorsementpubd gaz 13 November 2009 p 746

Form 04R Version 0909—2010 Application for Renewal of Registration as a Surveyor with anEndorsement

pubd gaz 13 November 2009 p 746Form 05A Version 0910—Application for Reciprocal Registration as a Surveyor

pubd gaz 13 November 2009 p 746Form 06A Version 0910—Application for Registration by a Corporation as a Surveyor with a

Consulting Endorsementpubd gaz 13 November 2009 p 746

Form 06R Version 0909—2010 Application for Renewal of Registration by a Corporation as aSurveyor

pubd gaz 13 November 2009 p 746Form 07A Version 0910—Application for Registration as an Emeritus Surveyor

pubd gaz 13 November 2009 p 746Form 07R Version 0909—2010 Application for Renewal of Registration as an Emeritus Surveyor

pubd gaz 13 November 2009 p 746Form 08A Version 0910—Application for a Consulting Endorsement by a Surveyor (Individual)

pubd gaz 13 November 2009 p 746Form 08R Version 0909—2010 Application for Renewal of Registration as a Consulting Surveyor

(Individual)pubd gaz 13 November 2009 p 746

Form 09A Version 0910—Application for Competency Assessmentpubd gaz 13 November 2009 p 746

Form 10A Version 0910—Application for Restoration to the Registerpubd gaz 13 November 2009 p 746

Form 16 Version 1—Application for a Professional Training Agreement Kitpubd gaz 30 July 2004 p 951

Form 17A Version 0909—Application for Professional Assessment Project (PAP)pubd gaz 13 November 2009 p 746

Form 18 Version 1—Notification for Change of Registrant Detailspubd gaz 30 July 2004 p 951

Form 18A Version 0910—Notification for Change of Individual Registrant Detailspubd gaz 13 November 2009 p 746

Form 18B Version 0910—Notification for Change of Corporation Registration Detailspubd gaz 13 November 2009 p 746

Form 19 Version 0910—Application for a Replacement or Duplicate Registration Certificatepubd gaz 13 November 2009 p 746


SURVEYORS ACT 2003


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Form 21A Version 0804—Application for Letter of Accreditationpubd gaz 4 July 2008 p 1312


SUSTAINABLE PLANNING ACT 2009


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SUSTAINABLE PLANNING ACT 2009

Form 8 Version 1 December 2009—Notice of Electionpubd gaz 18 December 2009 p 1289

Form 10 Version 1 December 2009—Application for Appeal/Declarationpubd gaz 18 December 2009 p 1289

Form 17 Version 1 December 2009—Statutory Declarationpubd gaz 18 December 2009 p 1289

Form PEC 1 Version 1—Notice of Appealpubd gaz 9 April 2010 p 885

Form PEC 2 Version 1—Originating Applicationpubd gaz 9 April 2010 p 885

Form PEC 3 Version 1—Application in Pending Proceedingpubd gaz 9 April 2010 p 885

Form PEC 4 Version 1—Affidavitpubd gaz 9 April 2010 p 885

Form PEC 5 Version 1—Entry of Appearancepubd gaz 9 April 2010 p 885

Form PEC 6 Version 1—Notice of Electionpubd gaz 9 April 2010 p 885

Form PEC 7 Version 1—Judgment/Orderpubd gaz 9 April 2010 p 885

Form PEC 8 Version 1—Notice of Discontinuance/Withdrawalpubd gaz 9 April 2010 p 885

Form PEC 9 Version 1—Notice of Withdrawal of Election to Co-Respondpubd gaz 9 April 2010 p 885


TAXATION ADMINISTRATION ACT 2001


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TAXATION ADMINISTRATION ACT 2001

Form OSR TA-1 Version 1—Application for a payment arrangement – individualpubd gaz 21 November 2008 p 1559

Form OSR TA-2 Version 1—Application for a payment arrangement – company/trusteepubd gaz 21 November 2008 p 1559

Form OSR-TA3 Version 1—Application for registration – charitable institutionpubd gaz 30 September 2011 p 237

Form TR1 Version 2—Application for Impressed Stamping of Documentspubd gaz 16 January 2004 p 135

Form 3 TAA Version 2—Application for Payment Arrangement–Individualpubd gaz 16 January 2004 p 135

Form 5 TAA Version 2—Application for Payment Arrangement–Corporationpubd gaz 16 January 2004 p 135


TOBACCO AND OTHER SMOKING PRODUCTS ACT 1998


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TOBACCO AND OTHER SMOKING PRODUCTS ACT 1998

Form 1 Version 1—Challenge Noticepubd gaz 16 July 2010 p 1141


TOBACCO PRODUCTS (LICENSING) ACT 1988


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TOBACCO PRODUCTS (LICENSING) ACT 1988

Form TP1 Version 2—Application for a Wholesaler’s/Group Wholesaler’s Licencepubd gaz 30 July 1999 p 1896

Form TP2 Version 2—Application for a Retail/Group Tobacconist’s Licencepubd gaz 30 July 1999 p 1896

Form TP3 Version 2—Application for a Tobacco Wholesaler’s Licence (Monthly Renewal)pubd gaz 30 July 1999 p 1896

Form TP4 Version 2—Application for a Group Tobacco Wholesaler’s Licence (Monthly Renewal)pubd gaz 30 July 1999 p 1896

Form TP5 Version 2—Application for a Retail Tobacconist’s Licence (Monthly Renewal)pubd gaz 30 July 1999 p 1896

Form TP6 Version 2—Application for a Group Retail Tobacconist’s Licence (Monthly Renewal)pubd gaz 30 July 1999 p 1896

Form TP7 Version 2—Notice of Change of Premisespubd gaz 30 July 1999 p 1896

Form TP10 Version 2—Warrant to Enter Dwelling Housepubd gaz 30 July 1999 p 1896


TOURISM SERVICES ACT 2003


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TOURISM SERVICES ACT 2003

Form 1 Version 10—Application for registration as an inbound tour operatorpubd gaz 15 July 2011 p 679

Version 2 Renewal Notice-Inbound Tour Operatorpubd gaz 9 February 2007 p 649

Version 4—Renewal Notice–introductionpubd gaz 7 December 2007 p 1977

Version 4—Renewal Notice–corporationpubd gaz 7 December 2007 p 1977


TOW TRUCK ACT 1973


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TOW TRUCK ACT 1973

Form 6 Version 1—Performance Guideline for Excess Dimension Special Purpose Vehicles andVehicles Carrying Indivisible Articles Requiring Pilots/Escorts

pubd gaz 14 September 2001 pp 132–3Form 7 Version 2—Performance Guideline for Pilot and Escort Vehicles and Drivers

pubd gaz 14 September 2001 pp 132–3Form 9 Version 1—Performance Guidelines for Queensland Street Rods

pubd gaz 14 September 2001 pp 132–3Form 10 Version 1—Performance Guidelines for Increased Mass Limits for Vehicles with Road

Friendly Suspensionspubd gaz 14 September 2001 pp 132–3

Form 12 Version 1—Performance Guidelines for School Bus Lights and Signs Utilised by SchoolBuses Required to Cross the Queensland/New South Wales border

pubd gaz 14 September 2001 pp 132–3Form 1785—Towing Authority Forms

pubd gaz 14 September 2001 pp 132–3Form 1853—Certificate of Modification

pubd gaz 14 September 2001 pp 132–3Form 1855—Approved Person’s Application

pubd gaz 14 September 2001 pp 132–3Form 1947—Certificate of Inspection

pubd gaz 14 September 2001 pp 132–3Form 2161—Specialist Driver’s/Assistant’s Application

pubd gaz 14 September 2001 pp 132–3Form 2259—Business Licence/Registration Application

pubd gaz 14 September 2001 pp 132–3Form 2260—Business Licence/Registration/Owner’s Renewal

pubd gaz 14 September 2001 pp 132–3Form 2261—Specialist Driver’s/Assistant’s Renewal

pubd gaz 14 September 2001 pp 132–3Form 2498—Safety Certificate, Cars or Light Commercial Vehicles

pubd gaz 14 September 2001 pp 132–3Form 2499—Safety Certificate, Caravans and Trailers

pubd gaz 14 September 2001 pp 132–3Form 2500—Safety Certificate, Motorcycle

pubd gaz 14 September 2001 pp 132–3Form 2877—Seized Documents/Items Receipt

pubd gaz 14 September 2001 pp 132–3Form 3632—Driver Prohibition Notice

pubd gaz 14 September 2001 pp 132–3Form 3712 Version 1 November 2010—Medical Certificate for Motor Vehicle Driver

pubd gaz 21 January 2011 p 108Form 4481 ES Version 1 June 2010—Tow Truck Driver/Assistant's Certificate Application

pubd gaz 21 January 2011 p 108Form 4644 Version 1—Tow Truck Licence Application

pubd gaz 28 August 2009 p 1490Form 4669 Version 1 Aug 2010—Release of Digital Photo Application

pubd gaz 21 January 2011 p 108Form 4729 ES Version 1 June 2010—Replacement Industry Authority



TOW TRUCK ACT 1973


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Driver Certification Manualpubd gaz 14 September 2001 pp 132–3

Heavy Vehicle Driver Log Bookpubd gaz 14 September 2001 pp 132–3

Modification Plate (Heavy Vehicle)pubd gaz 14 September 2001 pp 132–3

Modification Plate (Motorcycle)pubd gaz 14 September 2001 pp 132–3


TRANSPORT INFRASTRUCTURE ACT 1994


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TRANSPORT INFRASTRUCTURE ACT 1994

Form 1501 Version 1 November 2010—Prosecution Unit Infringement Notice


Form 3389 Version June 2003—Railway Manager/Railway Operator Accreditation


Form 3463 Version July 2000—Infringement Notice (Marine)—First and Final Notice


Form 4141 Version September 2003—Approved Safety Management System for Railway


Form 4142 Version September 2003—Exemption from Compliance with Dangerous Goods by RailRegulation Application


Form 4143 Version September 2003—Administration Determination or Approval ApplicationAmendment


Form 4562 Version 1 November 2010—Prosecution Unit Infringement Notice – PhotographicDetection


Form 4725 Version 1 November 2010—Tolling Offence Unit Infringement Notice (Fail to Complywith a Toll Road Demand Notice)


Form M3977 Version 4 February 2004—Notice of Demand for Non-payment of Toll


Form M3978 Version 4 February 2004—Notice of Demand for Non-payment of Toll—StatutoryDeclaration Nomination


Form M3979 Version 4 February 2004—Notice of Demand for Information regarding Non-paymentof Toll


Form M4705 Version March 2009—Demand Notice for NonPayment of Toll Queensland RegisteredVehicle


Form M4706 Version March 2009—Demand Notice for NonPayment of Toll Interstate RegisteredVehicle


Form M4707 Version March 2009—Demand for Information Notice Regarding Non Payment ofToll


Form M4710 Version March 2009—Demand Notice for NonPayment of Toll – StatutoryDeclaration Nomination



TRANSPORT OPERATIONS (MARINE POLLUTION) ACT 1995


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TRANSPORT OPERATIONS (MARINE POLLUTION) ACT 1995

Form 1571 Version January 2010—Commercial Ship Record Searchpubd gaz 5 February 2010 p 292

Form 1576 Version November 2009—Commercial/Fishing Ship Registration Transfer Applicationpubd gaz 5 February 2010 p 292

Form 1974 Version June 2005—Application for Marine Pilotage Qualificationspubd gaz 30 June 2006 p 1057

Form 2721 Version January 2010—Commercial Fishing Ship Registration Applicationpubd gaz 5 February 2010 p 292

Form 4064 Version January 2010—Boatsafe Training Organisation Applicationpubd gaz 5 February 2010 p 292

Form 4076 Version January 2010—Boatsafe Training Provider nominationpubd gaz 5 February 2010 p 292

Form 4286 ES Version November 2006—Restricted Use Flag Application—Foreign Flag Vesselspubd gaz 30 June 2006 p 1057

Form 4367 ES Version May 2006—Application for New or Transfer of Ownership or Change ofparticulars of Recreational Ships 15 metres in length and over

pubd gaz 30 June 2006 p 1057Form 4339 Version April 2006—Marine Pollution Non-Compliance Notice

pubd gaz 30 June 2006 p 1057Form 4438 Version 1—Shipping Inspector’s Direction – Operation of a ship when life maybe

endangeredpubd gaz 13 November 2009 p 824

Form 4439 Version 1—Shipping Inspector’s Direction – Ship requires surveypubd gaz 13 November 2009 p 824

Form 4440 Version 1—Shipping Inspector’s Direction – Take a ship to a place or keep it at a placepubd gaz 13 November 2009 p 824

Form 4441 Version 1—Shippings Inspector’s Declaration – Ship is unseaworthy and must not beoperated

pubd gaz 13 November 2009 p 824Form 4470 Version June 2007—Restricted Marine Licence Applications

pubd gaz 22 February 2008 p 850Form 4564 Version January 2008—Removal of Marine Licence Disqualification Application

(s202L)pubd gaz 22 February 2008 p 850

Form 4565 Version January 2008—Order Varying restrictions on a Restricted marine licenceApplication (s202K)

pubd gaz 22 February 2008 p 850Form 4759 Version 1—Authorised Officer and Shipping Inspector Appointment Application

pubd gaz 13 November 2009 p 824Form 4793 Version December 2009—Information report

pubd gaz 26 February 2010 p 464Form 4795 Version December 2009—Seizure – Property Report

pubd gaz 26 February 2010 p 464Form 4796 Version December 2009—Property Report



TRANSPORT OPERATIONS (MARINE SAFETY) ACT 1994


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Form 1541 Version May 2008—Temporary Authoritypubd gaz 1 August 2008 p 1990

Form 1562 Version July 2009—Aquatic Event Applicationpubd gaz 5 March 2010 pp 530–1

Form 1571 Version September 2009—Commercial Ship Record Searchpubd gaz 5 March 2010 pp 530–1

Form 1572 Version November 2008—Restricted Use Flag Application (Domestic)pubd gaz 23 January 2009 p 318

Form 1576 Version November 2009—Commercial/Fishing Ship Registration Transfer Applicationpubd gaz 5 February 2010 p 292

Form 1587 Version September 2009—Machinery Space Fixed Fire SmotheringInstallation/Inspection Statement

pubd gaz 5 March 2010 pp 530–1Form 1588 Version July 2009—Electrical Inspection Statement for Commercial/Fishing Ships

pubd gaz 5 March 2010 pp 530–1Form 1974 Version June 2005—Application for Marine Pilotage Qualifications

pubd gaz 30 June 2006 p 1057Form 2721 Version January 2010—Commercial Fishing Ship Registration Application

pubd gaz 5 February 2010 p 292Form 2731 Version December 2008—Application for Accreditation as a Ship

Builder/Designer/Marine Surveyorpubd gaz 23 January 2009 p 318

Form 3069 Version June 2004—National Record of Practical Experience and Sea-Service or Recordof Service Book Application

pubd gaz 3 September 2004 pp 95–6Form 3071 Version July 2009—Marine Incident Report

pubd gaz 5 March 2010 pp 530–1Form 3096 Version June 2004—Recreational Marine Driver Licence Test Report

pubd gaz 3 September 2004 pp 95–6Form 3097 Version May 2008—Commercial/Fishing Ship Certificate of Compliance for Building of

Hull, Superstructure and/or Machinerypubd gaz 1 August 2008 p 1990

Form 3098 Version May 2008—Commercial/Fishing Ship Certificate of Compliance for Designpubd gaz 1 August 2008 p 1990

Form 3103 Version July 2009—Marine Licence Applicationpubd gaz 5 March 2010 pp 530–1

Form 3104 Version May 2008—Commercial/Fishing Ship Certificate of Compliance for Surveypubd gaz 1 August 2008 p 1990

Form 3157es Version June 2008—Change/Cancellation of Commercial / Fishing Ship RegistrationParticulars

pubd gaz 1 August 2008 p 1990Form 3173 Version June 2004—Recreational Marine Driver Licence Satisfactory Course

Completion Reportpubd gaz 3 September 2004 pp 95–6

Form 3220 ES Version April 2007—Dangerous Cargo Event Reportpubd gaz 5 October 2007 p 721

Form 3290 Version May 2008—Commercial/Fishing Ship Certificate of Compliance for SafetyEquipment





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Form 3291 Version May 2008—Commercial/Fishing Ship Certificate of Compliance for Load Linepubd gaz 1 August 2008 p 1990

Form 3292 Version May 2008—Commercial/Fishing Ship Certificate of Compliance for Stabilitypubd gaz 1 August 2008 p 1990

Form 3411 Version August 2004—Commercial/Fishing Ship Application for Design ApprovalCertificate

pubd gaz 3 September 2004 pp 95–6Form 3428 Version July 2009—Commercial/Fishing Ship Application for Certificate of Survey

pubd gaz 5 March 2010 pp 530–1Form 3438 Version June 2009—Commercial/Fishing Ship Notification of Intent to Build a Ship

pubd gaz 5 March 2010 pp 530–1Form 3463 Version May 2011—Marine Infringement Notice

pubd gaz 1 July 2011 p 586Form 3515 Version March 2009— Renewal Payment Without a Notice

pubd gaz 15 May 2009 p 257Form 3516 ES Version February 2009—Vehicle/Recreational Ship Registration Certificate and/or

Label Replacement Applicationpubd gaz 15 May 2009 p 257

Form 3517 Version February 2009—Vehicle/Recreational Ship Cancellation of RegistrationApplication

pubd gaz 15 May 2009 p 257Form 3522 Version February 2005—Release of Information Request for Vehicle/Recreational Ship

Registration Recordspubd gaz 2 March 2007 p 980

Form 3525 Version May 2006—Recreational Ship Registration Applicationpubd gaz 2 March 2007 p 980

Form 3609 Version February 2009—Transfer of Registration - Vessel/Vessel Trailer Acquisition bya Vessel Dealer

pubd gaz 15 May 2009 p 257Form 3784es Version May 2008—Commercial Ship Load Line Application

pubd gaz 1 August 2008 p 1990Form 3786 Version June 2008—Positive Flotation Statement

pubd gaz 1 August 2008 p 1990Form 3885 Version March 2009—Vehicle/Vessel Registration Planned Payment Scheme

Applicationpubd gaz 15 May 2009 p 257

Form 3937 ES Version February 2009— Registration Concession Application Pensioners / Seniors /Ex-Servicepersons Special Interest Vehicles

pubd gaz 15 May 2009 p 257Form 4063 Version January 2008—BoatSafe Statement of Competency (Issued by Training

Provider)pubd gaz 1 August 2008 p 1990

Form 4064 Version January 2010—Boatsafe Training Organisation Applicationpubd gaz 5 February 2010 p 292

Form 4076 Version July 2009—BoatSafe Training Provider Nominationpubd gaz 5 March 2010 pp 530–1

Form 4110 Version June 2003—BoatSafe Statement of Competency (Issued by assessor)pubd gaz 3 September 2004 pp 95–6

Form 4133 Version July 2009—BoatSafe Assessor Nominationpubd gaz 5 March 2010 pp 530–1

Form 4286 ES Version November 2006—Restricted Use Flag Application—Foreign Flag Vesselspubd gaz 30 June 2006 p 1057




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Form 4292 Version July 2009—Marine Certificate Replacement Applicationpubd gaz 5 March 2010 pp 530–1

Form 4339 Version April 2006—Marine Pollution Non-Compliance Noticepubd gaz 30 June 2006 p 1057

Form 4367 Version September 2009—Application for New or Transfer of Ownership or Change ofParticulars of Recreational Ships 15 metres in length and over

pubd gaz 5 March 2010 pp 530–1Form 4397 Version July 2009—Amend BoatSafe Training Organisation Authority Particulars

pubd gaz 5 March 2010 pp 530–1Form 4402 Version July 2009—BoatSafe Complaint

pubd gaz 5 March 2010 pp 530–1Form 4438 Version 1—Shipping Inspector’s Direction – Operation of a ship when life maybe

endangeredpubd gaz 13 November 2009 p 824

Form 4439 Version 1—Shipping Inspector’s Direction – Ship requires surveypubd gaz 13 November 2009 p 824

Form 4440 Version 1—Shipping Inspector’s Direction – Take a ship to a place or keep it at a placepubd gaz 13 November 2009 p 824

Form 4441 Version 1—Shippings Inspector’s Declaration – Ship is unseaworthy and must not beoperated

pubd gaz 13 November 2009 p 824Form 4516 Version May 2008—Commercial/Fishing Ship Certificate of Compliance for MARPOL

pubd gaz 1 August 2008 p 1990Form 4524 Version July 2009—Equivalent Maritime Occupation Registration Application

pubd gaz 5 March 2010 pp 530–1Form 4591 Version November 2008—Request for Commercial Fishing Ship: Ship ID and File

numberpubd gaz 23 January 2009 p 318

Form 4592 Version November 2008—Commercial Ship less than 6 metres Registration Applicationpubd gaz 23 January 2009 p 318

Form 4596 Version July 2009—Application for a Temporary Permit (Master or Crew Member)pubd gaz 5 March 2010 pp 530–1

Form 4611 Version July 2009—Certificate of Recognition Restricted Coxswain Application(Limited to Fishing Ships less than 10 metres)

pubd gaz 5 March 2010 pp 530–1Form 4618 Version June 2009—Consent to Use Restricted Use Flag (Dealer or Ship Builder)

pubd gaz 5 March 2010 pp 530–1Form 4619 Version November 2008—Commercial Ship (Sail Training) Registration Application

pubd gaz 23 January 2009 p 318Form 4620 Version June 2009—Consent to Use Restricted Use Flag

pubd gaz 5 March 2010 pp 530–1Form 4632 Version December 2008—Application for Renewal of Accreditation as a Ship

Builder/Designer/Marine Surveyorpubd gaz 23 January 2009 p 318

Form 4634 Version July 2009—Sea Service Assessment Applicationpubd gaz 5 March 2010 pp 530–1

Form 4669 Version 1 Aug 2010—Release of Digital Photo Applicationpubd gaz 21 January 2011 p 108

Form 4683 Version December 2008—Commercial Boat-share ship registration applicationpubd gaz 23 January 2009 p 318

Form 4686 Version June 2009—Notification of Result of Sea Service Assessmentpubd gaz 5 March 2010 pp 530–1




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Form 4759 Version 1—Authorised Officer and Shipping Inspector Appointment Applicationpubd gaz 13 November 2009 p 824

Form 4773 Version 1—Pilot Incident Reportpubd gaz 8 January 2010 p 69

Form 4793 Version December 2009—Information reportpubd gaz 26 February 2010 p 464

Form 4795 Version December 2009—Seizure – Property Reportpubd gaz 26 February 2010 p 464

Form 4796 Version December 2009—Property Reportpubd gaz 26 February 2010 p 464

Form S4526 Version August 2007—Maritime Safety Queensland Regional Officespubd gaz 5 October 2007 p 721


TRANSPORT OPERATIONS (PASSENGER TRANSPORT) ACT 1994


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Form 1701 ES Version June 2010—Authority to Issue/ Transfer Taxi/Limousine Number Platespubd gaz 24 September 2010 p 207

Form 2330 ES Version December 2005—Taxi Subsidy Scheme Applicationpubd gaz 20 January 2006 p 208

Form 2367 Version June 2011—Taxi/Limousine Service Licence Renewal Applicationpubd gaz 5 August 2011 p 828

Form 2768 ES Version November 2008—Operator Accreditation Renewal Applicationpubd gaz 19 December 2008 p 2173

Form 2828 Version July 2000—Infringement notice (Queensland Rail)—First and Final noticepubd gaz 24 November 2000 p 1181

Form 2975 Version June 2011—Limousine Service Licence Applicationpubd gaz 5 August 2011 p 828

Form 2976 Version June 2011—Taxi/Limousine Service Licence/Permit Amendment Applicationpubd gaz 5 August 2011 p 828

Form 2978 Version 5 December 2010—Driver Authorisation Applicationpubd gaz 21 January 2011 p 108

Form 2979 Version 1 July 2010—Driver Authorisation Renewal Applicationpubd gaz 21 January 2011 p 108

Form 2979 ES Version October 2009—Driver Authorisation Renewal Applicationpubd gaz 30 October 2009 p 656

Form 2982 ES Version April 2009—Operator Accreditation Applicationpubd gaz 24 April 2009 p 1879

Form 3134 Version June 2011—Taxi/Limousine Service Licence Notification of Transfer/Lease andManagement/Renewal of Lease and Management

pubd gaz 5 August 2011 p 828Form 3712 Version 1 November 2010—Medical Certificate for Motor Vehicle Driver

pubd gaz 21 January 2011 p 108Form 3871 Version February 2009—Operator Accreditation Renewal Application

pubd gaz 20 February 2009 p 851Form 3872 Version June 2011—Taxi/Limousine Service Licence Renewal Application

pubd gaz 5 August 2011 p 829Form 3880 ES Version December 2005—Restricted Driver Authorisation Notification

pubd gaz 20 January 2006 p 208Form 3881 ES Version December 2005—Restricted Driver Authorisation—Pro Forma Employers

Letterpubd gaz 20 January 2006 p 208

Form 3912 Version January 2006—Driver Authorisation Renewal Applicationpubd gaz 20 January 2006 p 208

Form 4381 ES Version July 2010—Special Purpose Limousine Licencepubd gaz 3 September 2010 p 60

Form 4595 Version July 2008—Authority to Check a Visa Holder's Work Entitlementpubd gaz 4 July 2008 p 1415

Form 4621 Version June 2011—Attach/Remove/Replace Taxi Taxi/Limousine Plate Applicationpubd gaz 5 August 2011 p 829

Form 4669 Version 1 Aug 2010—Release of Digital Photo Applicationpubd gaz 21 January 2011 p 108

Form 4729 ES Version 1 June 2010—Replacement Industry Authoritypubd gaz 21 January 2011 p 108

Form 4774 —Exclusion Orderpubd gaz 30 October 2009 p 656




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Form 4775—Exclusion Order Amendmentpubd gaz 30 October 2009 p 656

Form 4776—Exclusion Order Amend / Revokepubd gaz 30 October 2009 p 656

Form 4777—Exclusion Variation Orderpubd gaz 30 October 2009 p 656

Form 4923 Version September 2011—Civil Banning Orderpubd gaz 2 September 2011 p 41

Form 4924 Version September 2011—Civil Banning Revocation Orderpubd gaz 2 September 2011 p 41

Form 4925 Version September 2011—Civil Banning Variation Orderpubd gaz 2 September 2011 p 42

Form 4927 Version September 2011—Civil Banning Order – Variation/Revocation Applicationpubd gaz 2 September 2011 p 42


TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT 1995


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Form 1 Version 8—Guideline for Multi-combination Vehicles in Queensland (pubd gaz 1 July 2011p 586)

Form 3 Version 4—Guideline for Livestock Loading in Queensland (pubd gaz 4 September 2009 p76)

Form 4 Version 6 November 2010—Excess Dimension Guideline for Vehicles Carrying IndivisibleArticles, Special Purpose Vehicles, Vehicles that Require a Pilot or Escort in Queensland (pubdgaz 5 November 2010 p 655)

Form 5 Version 3—Guideline for 14.6m long and 4.6m high semitrailers in Queensland (pubd gaz 4September 2009 p 76)

Form 8 Version 2—Performance Guidelines for “The Use of a Wheelchair Carrier” (pubd gaz 12November 1999 p 1001)

Form 9 Version 1—Performance Guidelines for Queensland Street Rods (pubd gaz 14 September2001 pp 132–3)

Form 10 Version 7—Guideline for Higher Mass Limits for Vehicles with Road Friendly Suspensionsin Queensland (pubd gaz 20 August 2010 p 1417)

Form 11 Version 5—Guideline for Operation of Excess Mass, Special Purpose Vehicles to 40 tonnesand Vehicles Carrying an Indivisible Item to 59.5 tonnes (pubd gaz 9 September 2011 p 99)

Form 12 Version 1—Performance Guidelines for “School Bus Lights and Signs utilised by schoolbuses required to cross the Queensland/New South Wales border” (pubd gaz 30 June 2000 p 718)

Form 13 August 1998—National Driver Log Book (pubd gaz 31 July 1998 p 1581)Form 14 Version 2—Guideline for Excess Dimension Agricultural Vehicles and Agricultural

Combinations Vehicles and Drivers in Queensland (pubd gaz 4 September 2009 p 76)Form 16 Version 3—Guideline for Transporting Cotton Modules in Queensland (pubd gaz 4

September 2009 p 76)Form 17 Version 2.1—Guideline for Conditionally Registered Vehicles in Queensland (pubd gaz 2

December 2011 p 653)Form 18 Version 2—Guideline for Motor Truck and Dog Trailer Combination up to 50 tonnes mass

in Queensland (pubd gaz 4 September 2009 p 76)Form 19 Version 2—Guideline for 14.9m long refrigerated trailers in Queensland (pubd gaz 4

September 2009 p 76)Form 20 Version 3—Guideline for Increased Front Steer Axle Mass in Queensland (pubd gaz 1 July

2011 p 586)Form 21 Version 3—Guideline for Concessional Mass Limits in Queensland (pubd gaz 1 July 2011

p 587)Form 22 Version 3 October 2010—Guideline for the installation of auxiliary revolving or flashing

warning lamps to motor vehicles in Queensland (pubd gaz 8 October 2010 p 377)Form 24 Version 2 October 2010—Guideline for the installation of alternative tyres, rims and

wheels to Light Goods Vehicles in Queensland (pubd gaz 8 October 2010 p 376)Form 24 Version 2 October 2010—Guideline for the installation of alternative tyres, rims and

wheels to Light Goods Vehicles in Queensland (pubd gaz 12 November 2010 p 705)Form 26 Version 1—Guideline for Special Use Trailers carrying Dragon Boats, Gliders, Rowing

Sculls and Yachts in Queensland (pubd gaz 1 July 2011 p 587)Form 27 Version 3—Guideline for the installation of auxiliary revolving or flashing warning lamps

to animal management and other specified vehicles in Queensland (pubd gaz 2 September 2011 p41)

Form 29 Version 1—Guideline for the installation of non-standard tinting materials to motorvehicles in Queensland (pubd gaz 12 November 2010 p 705)

Form 1267 Version January 2006—Dealer/Trailer Trade Plate Application (pubd gaz 2 March 2007p 981)

Form 1276—Dealer/trailer Trade Plate Application (pub gaz 18 November 2011 pp 545–6)




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Form 1310—Transfer of Registration - Vehicle Acquisition by a Licensed Dealer (pub gaz 18November 2011 pp 545–6)

Form 1327 Version February 2009—Reassessment of Mass Limits for Commercial VehiclesApplication (pubd gaz 15 May 2009 pp 256–7)

Form 1328—Drive/Tow Unregistered Vehicle/Trailer Permit (pub gaz 18 November 2011 pp 545–6)Form 1360—Interim Registration Label (pub gaz 18 November 2011 pp 545–6)Form 1362 Version February 2009—Receipt for Returned Number Plates (pubd gaz 15 May 2009

pp 256–7)Form 1454 Mar 2009 – Rego Easy Application (pubd gaz 19 June 2009 pp 704–5)Form 1501 Version 1 November 2010—Prosecution Unit Infringement Notice (pubd gaz 28 January

2011 p 155)Form 1785—Towing Authority Forms (pubd gaz 14 September 2001 pp 132–3)Form 1853 Version 1 September 2011—Certificate of Modification (pubd gaz 21 October 2011 p

364)Form 1854 ES Version February 2009—Motor Vehicle Modification Application (pubd gaz 15 May

2009 pp 256–7)Form 1855 Version 1 September 2011—Approved person Application (pubd gaz 21 October 2011 p

364)Form 1856 Version 1 September 2011—Application to Purchase Books of Certificates of

Modifications and/or Modification Plates (pubd gaz 21 October 2011 p 364)Form 1947—Certificate of Inspection (pubd gaz 14 September 2001 pp 132–3)Form 2121 Version January 2003—Driver Record Information Request (pubd gaz 29 August 2003

pp 1433–4)Form 2161—Specialist Driver’s/Assistant’s Application (pubd gaz 14 September 2001 pp 132–3)Form 2203 Version 1 September 2011—Approved Inspection Station Nominee Application (pubd

gaz 21 October 2011 p 364)Form 2259 Version 1—Dangerous Goods Vehicle Licence Application (pubd gaz 2 October 2009 p

1490)Form 2259—Business Licence/Registration Application (pubd gaz 14 September 2001 pp 132–3)Form 2260—Business Licence/Registration/Owner’s Renewal (pubd gaz 14 September 2001 pp

132–3)Form 2261—Specialist Driver’s/Assistant’s Renewal (pubd gaz 14 September 2001 pp 132–3)Form 2272 Version 1 September 2011—Application for Approval of Premises as Approved

Inspection Station (pubd gaz 21 October 2011 p 364)Form 2289 Version July 2008—National Driver Work Diary (pubd gaz 12 September 2008 p 279)Form 2336 Version July 2002—Seasonal Registration Application (pubd gaz 9 May 2003 p 114)Form 2403—Registration Certificate (Motor vehicle) (Peel off sticker) (pub gaz 18 November 2011

pp 545–6)Form 2421 Version March 2003—Notice of Appeal against Suspension of a Driver Licence (pubd

gaz 29 August 2003 pp 1433–4)Form 2455 Version May 2009—Declaration (pubd gaz 19 June 2009 pp 704–5)Form 2456 Version July 2002—Application for an Order directing the issue of a Restricted Licence

(pubd gaz 29 August 2003 pp 1433–4)Form 2483 Version August 2011—Extension of Time Application (pubd gaz 16 December 2011 p

800)Form 2487 Version 1 July 2010—Medical Exemption from providing Specimen of Breath or Saliva

(pubd gaz 21 January 2011 p 108)Form 2498 Version May 2011—Safety Certificate, Cars or Light Commercial Vehicles (pubd gaz 21

October 2011 p 364)Form 2499 Version May 2011—Safety Certificate, Caravan and Trailers (pubd gaz 21 October 2011

p 364)Form 2500 Version May 2011—Safety Certificate, Motorbikes (pubd gaz 21 October 2011 p 364)




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Form 2639 Version 1 January 2010—Special Need–Provisional Licence Application (Tenure Rule)(pubd gaz 21 January 2011 p 108)

Form 2865 Version May 2011—Certificate of Inspection (Vehicles over 4.5tonne up to andincluding 16.0 tonne RGVM) (pubd gaz 21 October 2011 p 364)

Form 2869 Version 1—Defective Vehicle Notice (pubd gaz 25 March 2011 p 482)Form 2872 Version May 2011—Certificate of Inspection, Caravans and Trailers (pubd gaz 21

October 2011 p 364)Form 2874 Version December 06—Mobile Machinery Inspection Sheet (pubd gaz 30 November

2007 p 1823)Form 2875 Version December 06—Prime Mover Inspection Sheet (pubd gaz 30 November 2007 p

1823)Form 2876 Version November 06—Rigid Bus Inspection Sheet (pubd gaz 30 November 2007 p

1823)Form 2877—Seized Documents/Items Receipt (pubd gaz 14 September 2001 pp 132–3)Form 2881 Version March 01—Tray Back/Dropside Utility/Dual Cab/Twin Cab Inspection Sheet

(Up to 4t) (pubd gaz 30 November 2007 p 1823)Form 2963 Version July 2004—Personalised Number Plate/s Transfer Application (pubd gaz 4

February 2005 p 355)Form 2964 Version February 2007—Remove and/or Attach Personalised Number Plates Application

(pubd gaz 2 March 2007 p 981)Form 2978 Version February 2008—Driver Authorisation Application (pubd gaz 1 February 2008 p

464)Form 2981 Version 1 July 2010—Application for Reconsideration of a Decision of the Chief

Executive (pubd gaz 21 January 2011 p 108)Form 3000 Version 1 November 2010—Driver Licence Application/Renewal (pubd gaz 21 January

2011 p 108)Form 3006 Version 1 May 2007—Replacement Licence/Address or Renewal Label Application

(pubd gaz 29 June 2007 pp 1149–50)Form 3113/PT56 Version August 2000—Infringement Notice—First and Final Notice (pubd gaz 24

November 2000 p 1181)Form 3123 Version December 06—Pig Trailer Inspection Sheet (pubd gaz 30 November 2007 p

1823)Form 3128 Version December 06—Semi Trailer Inspection Sheet (pubd gaz 30 November 2007 p

1823)Form 3135 Version January 1996—Cancellation of Vehicle Registration Application—Electronic

(pubd gaz 22 March 1996 p 1334)Form 3136 Version April 2009—Replacement Standard Plates Application (pubd gaz 19 June 2009

pp 704–5)Form 3137 Version April 2009—Dealer to Dealer Registration Transfer (pubd gaz 19 June 2009 pp

704–5)Form 3138 Version April 2009—Vehicle Registration Transfer Application (pubd gaz 19 June 2009

pp 704–5)Form 3139 Version April 2009—Vehicle Registration Application (Less than 4 tonne GVM) (pubd

gaz 19 June 2009 pp 704–5)Form 31467 ES Version 1 November 2009—Disability Parking Permit Scheme Application

(Individuals) (pubd gaz 29 January 2010 pp 231–2)Form 3148 Version April 07—Dog Trailer Inspection Sheet (pubd gaz 30 November 2007 p 1823)Form 3154 Version December 06—Heavy Haulage / Low Loader / Dolly Inspection Sheet (pubd gaz

30 November 2007 p 1823)Form 3162 Version September 2008—Prohibition Notice (pubd gaz 19 September 2008 p 401)Form 3178 Version January 1996—Remove Personalised/Customised Number Plates

Application—Electronic (pubd gaz 22 March 1996 p 1334)




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Form 3179 Version April 2009—Transfer of Registration – Vehicle Acquisition by a Dealer (pubdgaz 19 June 2009 pp 704–5)

Form 3181 Version 1—Application for an Order directing the issue of a Restricted Licence (s87)(pubd gaz 12 August 2011 p 894)

Form 3182 Version 1 Apr 2010—Application for an Order Varying Restrictions on a Restrictedlicence (pubd gaz 21 January 2011 p 108)

Form 3190 ES Version 1 Feb 2011—Australian Disability Parking Permit Invitation to Apply(Organisation) (pubd gaz 15 April 2011 p 623)

Form 3191 ES Version 1 Feb 2011—Red Disability Parking Permit Invitation to Apply (pubd gaz 15April 2011 p 623)

Form 3196 Version April 2009—Motorcycle Registration Application (pubd gaz 19 June 2009 pp704–5)

Form 3197 Version January 1996—Attach Personalised/Customised Number PlatesApplication—Electronic (pubd gaz 22 March 1996 p 1334)

Form 3272 Version October 2002—Multi-Combination Driving Experience Declaration (pubd gaz 3October 2003 p 379)

Form 3286 Version December 2004—Defective Vehicle Notice (pubd gaz 11 February 2005 p 512)Form 3331—Seniors Card Concession Registration Application for Motor Vehicles - Electronic

(pub gaz 18 November 2011 pp 545–6)Form 3332 Version June 1996—Federal Interstate Vehicle Registration Scheme—(electronic) (pubd

gaz 20 September 1996 p 253)Form 3333 Version June 1996—Vehicle Registration Application—(more than 4 tonne GVM)

Electronic (pubd gaz 20 September 1996 p 253)Form 3404 Version January 2009—Notice to Replace Damaged Number Plates (pubd gaz 15 May

2009 pp 256–7)Form 3470 Version July 2011—Defect Notice (Road Patrol) Online (pubd gaz 22 July 2011 p 734)Form 3471 Version July 2011—Certificate of Inspection / Exemption (pubd gaz 22 July 2011 p 734)Form 3504—Registration certificate (Concessional Motor Vehicle) (Peel off sticker) (pub gaz 18

November 2011 pp 545–6)Form 3505—Registration certificate (Concessional Other Vehicle) (Peel off sticker) (pub gaz 18

November 2011 pp 545–6)Form 3506—Registration certificate (pub gaz 18 November 2011 pp 545–6)Form 3515 Version March 2009—Renewal Payment Without a Notice (pubd gaz 15 May 2009 pp

256–7)Form 3516 ES Version February 2009—Vehicle/Recreational Ship Registration Certificate and/or

Label Replacement Application (pubd gaz 15 May 2009 pp 256–7)Form 3517—Vehicle/Recreational Ship Cancellation of Registration Application (pub gaz 18

November 2011 pp 545–6)Form 3518—Vehicle Registration Application (pub gaz 18 November 2011 pp 545–6)Form 3520—Transfer of Vehicle Registration Application (pub gaz 18 November 2011 pp 545–6)Form 3522—Release of Information Request for Vehicle/Recreational Ship Registration Records

(pub gaz 18 November 2011 pp 545–6)Form 3523—Unregistered Vehicle Permit Application (pub gaz 18 November 2011 pp 545–6)Form 3524—Change of Vehicle Particulars Notification (pub gaz 18 November 2011 pp 545–6)Form 3525 Version May 2006—Recreational Ship Registration Application (pubd gaz 2 March 2007

p 981)Form 3528 Version April 2009—New Business Application (pubd gaz 19 June 2009 pp 704–5)Form 3529 Version August 02—Vehicle Details (pubd gaz 30 November 2007 p 1823)Form 3534 Version June 04—Coloured Personalised Number Plates Application (pubd gaz 30

November 2007 p 1823)Form 3535 Version June 2004—Prestige Number Plate/s Application (pubd gaz 4 February 2005 p

355)




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Form 3536 Version July 2004—Customised Number Plate/s Application (pubd gaz 4 February 2005p 355)

Form 3537 Version February 06—Business/Club Number Plates Application (pubd gaz 30November 2007 p 1823)

Form 3538 Version July 2004—Traditional Number Plate/s Application (pubd gaz 4 February 2005p 355)

Form 3540 ES Version February 2009—Standard Number Plate/s Replacement Application (pubdgaz 15 May 2009 pp 256–7)

Form 3541 Version Feb 2009—Unrecorded Make/Model Vehicle Details (pubd gaz 19 June 2009 pp704–5)

Form 3542 Version July 2004—Personalised Plate/s Replacement Application (pubd gaz 4 February2005 p 355)

Form 3543 Version February 06—Personalised Plate/s Change/Upgrade Application (pubd gaz 30November 2007 p 1823)

Form 3552 Version Mar 2009—Vehicle Registration Scheme Monitoring Report (pubd gaz 19 June2009 pp 704–5)

Form 3565—Registration Certificate (Other Vehicles) (Peel Off Sticker) (pub gaz 18 November2011 pp 545–6)

Form 3570 Version December 2003—Requirement to present vehicle for inspection (QT inspection)(pubd gaz 9 March 2007 p 1103)

Form 3609—Transfer of Registration - Vessel/Vessel Trailer Acquisition by Vessel Dealer (pub gaz18 November 2011 pp 545–6)

Form 3630—Specific purpose Vehicle Concessional Registration Application (Mineral Oil or Waterexploration equipment) (pub gaz 18 November 2011 pp 545–6)

Form 3631—Well Boring Equipment Vehicle Concessional Registration Application (pub gaz 18November 2011 pp 545–6)

Form 3646 Version December 06—Converter Dolly Inspection Sheet (pubd gaz 30 November 2007p 1823)

Form 3648 Version Feb 2009—Low Volume Vehicle Identification Number (VIN) – Application forTrailers with an ATM of 4.5T or less (pubd gaz 19 June 2009 pp 704–5)

Form 3704 Version Feb 2009—VIN Request Application – Personal Import (pubd gaz 19 June 2009pp 704–5)

Form 3705 Version Feb 2009—VIN Request Application – Commercial Import (pubd gaz 19 June2009 pp 704–5)

Form 3712 Version 1 November 2010—Medical Certificate for Motor Vehicle Driver (pubd gaz 21January 2011 p 108)

Form 3714 Version 1—Infringement Notice Photographic Detection Device Offence (pubd gaz 23September 2011 p 191)

Form 3759 Version 1 January 2010—Special Need–class HC Licence Application (pubd gaz 21January 2011 p 108)

Form 3815—Conditional Vehicle Registration Application (pub gaz 18 November 2011 pp 545–6)Form 3859 ES Version 1 Apr 2011—Application for Review of a Decision (pubd gaz 15 April 2011

p 623)Form 3869—Vehicle Registration Renewal Notice Seasonal Registration (pub gaz 18 November

2011 pp 545–6)Form 3885 Version March 2009—Vehicle/Vessel Registration Planned Payment Scheme

Application (pubd gaz 15 May 2009 pp 256–7)Form 3894 Version Feb 2009—Statutory Declaration - Registration Transfer in Defacto

Relationship (pubd gaz 19 June 2009 pp 704–5)Form 3908 Version February 06—Personalised Plates–Euro/ Coloured/ Theme Number Plate/s

Application (pubd gaz 30 November 2007 p 1823)Form 3933 Version April 2009—Transfer of Registration – Vehicle Application by a Licensed




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Auction House (pubd gaz 19 June 2009 pp 704–5)Form 3934—Vehicle Registration Transfer Application (For finance company) (pub gaz 18

November 2011 pp 545–6)Form 3937 ES Version February 2009—Registration Concession Application Pensioners / Seniors /

Ex-Servicepersons Special Interest Vehicles (pubd gaz 15 May 2009 pp 256–7)Form 3946 Version 1 September 2011—Q-RIDE Registered Service Provider Registration/Renewal

Application (pubd gaz 21 October 2011 p 364)Form 3948 ES Version 1 June 2010—Driver Trainer and Rider Trainer Accreditation Application

(pubd gaz 21 January 2011 p 108)Form 3980 Version 1 Feb 2010—Application for Special Need-Class RE or R Licence (pubd gaz 21

January 2011 p 108)Form 3963 ES Version February 2009—Illegible Identifiers Notice (pubd gaz 15 May 2009 pp

256–7)Form 3970 Version October 05—Self Assessment of Single Axle Trailers (ATM 750 kgs or less)

(pubd gaz 30 November 2007 p 1823)Form 3980 Version September 2002—Application for Special Need–Class R Licence (pubd gaz 29

August 2003 pp 1433–4)Form 3996 Version July 2001—Code of Conduct for an accredited driver trainer and accredited rider

trainer (pubd gaz 13 July 2001 p 1032)Form 3997 Version October 2002—Registered Service Provider Standards for providing Q-RIDE

training (pubd gaz 1 November 2002 p 755)Form 3998 Version July 2001—Competency Standards for a learner undertaking Q-RIDE training

(pubd gaz 13 July 2001 p 1032)Form 3999 Version October 2005—Q-RIDE Certificate—Competency Declaration for Q-RIDE

Training (pubd gaz 9 December 2005 p 1343)Form 4028 Version 1 June 2010—Special Need–Learner or Provisional Licence Application (Age

Rule) (pubd gaz 21 January 2011 p 108)Form 4043 Version 1 September 2011—Approved Inspection Station Mobile Unit Application

(pubd gaz 21 October 2011 p 364)Form 4045 Version 1 September 2011—Replacement Approved Examiner’s Certificate of Approval

(pubd gaz 21 October 2011 p 364)Form 4053—Written-off Vehicle Notification (Industry) (pubd gaz 8 April 2011 p 586)Form 4054—Written-off Vehicle Correction Advice (pubd gaz 8 April 2011 p 586)Form 4055—Written-off Vehicle Notification (Dismantler – Statutory write-off) (pubd gaz 8 April

2011 p 586)Form 4057 Version February 2009—Written-off Vehicle Inspection Checklist (pubd gaz 15 May

2009 pp 256–7)Form 4058 ES Version February 2009—Written-off Vehicle Notifier Registration/ Amendment

Application (pubd gaz 15 May 2009 pp 256–7)Form 4060 Version 1 September 2011—Request for Inclusion on Q-Ride Auditor Register (pubd

gaz 21 October 2011 p 364)Form 4069—Written-off Vehicle Notification (Motor Vehicle and Motorbike – Individual) (pubd

gaz 8 April 2011 p 586)Form 4070—Written-off Vehicle Notification (Caravan and Trailer – Individual) (pubd gaz 8 April

2011 p 586)Form 4072 Version June 2011—Written-off Vehicle Inspection – Application for Nominee or

Examiner (pubd gaz 3 June 2011 p 267)Form 4073 Version September 2002—Written-off Vehicle Inspection Application for Approval of

Site (pubd gaz 20 September 2002 p 243)Form 4087—Vehicle Registration Renewal Notice (pub gaz 18 November 2011 pp 545–6)Form 4089—Inspectable Vehicle Registration Renewal Notice (pub gaz 18 November 2011 pp

545–6)




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Form 4092—Registration Certificate (Conditional Vehicle) (pub gaz 18 November 2011 pp 545–6)Form 4100 ES Version February 2009—Conditional Vehicle Change of Vehicle Particulars

Notification (pubd gaz 15 May 2009 pp 256–7)Form 4101 ES Version February 2009—Conditional Vehicle Registration Transfer Application

(pubd gaz 15 May 2009 pp 256–7)Form 4104—Registration Renewal Notice (Common Due Date Inspectable Vehicles) (pub gaz 18

November 2011 pp 545–6)Form 4115 ES Version 1 October 2011—Traffic Controller Accreditation Application (pubd gaz 21

October 2011 p 364)Form 4165 Version 1 September 2011—Approved Examiner Additional Category Application

(pubd gaz 21 October 2011 p 364)Form 4233 Version 1 September 2011—Nominated Officer for Q-Ride Competency Declarations

(pubd gaz 21 October 2011 p 364)Form 4290—Specific Purpose Vehicle Registration Concession Application (Bee Keepers) (pub gaz

18 November 2011 pp 545–6)Form 4291—Specific Purpose Vehicle Registration Concession Application (Prospectors) (pub gaz

18 November 2011 pp 545–6)Form 4331 Version 1 September 2011—Heavy Vehicle Registration Assessment Scheme

Application (pubd gaz 21 October 2011 p 364)Form 4342 Version 1 Feb 2010—Rider’s Certificate Class R Motorbike (pubd gaz 21 January 2011 p

108)Form 4355 Version 1 May 2010—Medical Condition Notification (pubd gaz 21 January 2011 p 108)Form 4358 Version 1 May 2010—Driver Licence Amendment (pubd gaz 21 January 2011 p 108)Form 4375 Version 1 July 2010—Variation of Special Hardship Order or Section 79E Order (pubd

gaz 21 January 2011 p 108)Form 4394 Version 1 September 2008—Notice of Suspension or Disqualification (pubd gaz 21

January 2011 p 108)Form 4394 December 2007 Version 4—Notice of Suspension or Disqualification (pubd gaz 9 May

2008 p 276)Form 4395 Oct 2007 Version 1—Section 79E Order Application (pubd gaz 9 May 2008 p 276)Form 4395 Version 1—Section 79E Order Application (pubd gaz 12 August 2011 p 894)Form 4396 Version 12/06—Variation of Section 79E Order (pubd gaz 22 December 2006 p 1957)Form 4401 Version 1 Oct 2010—Special Hardship Order Application (pubd gaz 21 January 2011 p

108)Form 4408 Version February 2009—Queensland Garage Address Statement (pubd gaz 15 May 2009

pp 256–7)Form 4411 Version Mar 2009—Trailer Audit (pubd gaz 19 June 2009 pp 704–5)Form 4414_es Version February 2009—Motorised Wheelchair Statement–Individual (pubd gaz 15

May 2009 pp 256–7)Form 4444_es Aug 2007 Version 1—Driver Record Information Application (Research) (pubd gaz 9

May 2008 p 276)Form 4450 Version 1 Aug 2010—Prior Driving Experience Application (pubd gaz 21 January 2011

p 108)Form 4463 Version 1 July 2007—Queensland Learner Logbook (pubd gaz 29 June 2007 pp

1149–50)Form 4464 Version 1 January 2010—Driving Experience Declaration (pubd gaz 21 January 2011 p

108)Form 4467 Version 1 Sep 2010—Certificate of Exemption for driving high-powered vehicle

Application (pubd gaz 21 January 2011 p 108)Form 4468 Version 1 December 2010—Certificate of Exemption for late night driving Application

(pubd gaz 21 January 2011 p 108)




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Form 4469 Version 1 November 2009—Exemption from logbook requirements Application (pubdgaz 21 January 2011 p 108)

Form 4476 Version 1 July 2010—Certificate of Exemption late night driving (pubd gaz 21 January2011 p 108)

Form 4477 Version 1 July 2010—Certificate of Exemption high-powered vehicle (pubd gaz 21January 2011 p 108)

Form 4483 ES Version 1 June 2010—Pilot/Escort Vehicle Driver Accreditation Application (pubdgaz 21 January 2011 p 108)

Form 4485 Version 1—Queensland Leaner E-Logbook (pubd gaz 10 August 2007 p 1900)Form 4486 ES Version 1 June 2010—Dangerous Goods Driver Licence Application (pubd gaz 21

January 2011 p 108)Form 4508—Application for Assessment for a Charitable or Community Service Concession (pub

gaz 18 November 2011 pp 545–6)Form 4517—Registration Concession Application - Primary Producer/Farm plate Concession -

restricted area concession (pub gaz 18 November 2011 pp 545–6)Form 4560 Version August 2008—Embargo Notice (pubd gaz 19 September 2008 p 402)Form 4562 Version 1 November 2010—Prosecution Unit Infringement Notice – Photographic

Detection (pubd gaz 28 January 2011 p 155)Form F4563/QP0784 V01 11/11 — Intention to Challenge or Dispute (pubd gaz 25 November 2011

p 601)Form 4581 Version 1 September 2011—Approved Inspection Station – Additional Inspection

Categories Application (pubd gaz 21 October 2011 p 364)Form 4669 Version 1 Aug 2010—Release of Digital Photo Application (pubd gaz 21 January 2011 p

108)Form 4725 November 2009—Tolling Offence Unit Infringement Notice (Fail to Comply with a Toll

Road Demand Notice) (pubd gaz 18 December 2009 p 1289)Form 4729 ES Version 1 June 2010—Replacement Industry Authority (pubd gaz 21 January 2011 p

108)Form 4744 Version August 2011—Learner Approved Motorbike (LAM) Eligibility Application

(pubd gaz 19 August 2011 p 938)Form 4751 Version June 2010—Replacement of Certificate of Accreditation as an Approved person

(pubd gaz 21 October 2011 p 364)Form 4814 ES Version 1 Mar 2011—Australian Disability Parking Permit Application (Individual)

(pubd gaz 15 April 2011 p 623)Form 4823 ES V01 Feb 2011 Australian Disability Parking Permit Invitation to Apply (Individual)

(pubd gaz 15 April 2011 p 623)Form 4841 Version 1—Alcohol Ignition Interlock Program — Apply/Remove a Vehicle Nomination

(pubd gaz 12 August 2011 p 894)Form 4862 Version 1 November 2010—Alcohol Ignition Interlock Program – Interlock Exemption

Application (pubd gaz 3 December 2010 p 1001)Form 4869 Version 1 November 2010—Alcohol Ignition Interlock Program – Interlock Exemption

Certificate Current as at 3 July 2011 (pubd gaz 3 December 2010 p 1001)Form 4847 Version 1 November 2010—Interlock Driver Record (pubd gaz 3 December 2010 p

1001)Form 4881 ES Version Mar 2011—Australian Disability Parking Permit Application (Organisation)

(pubd gaz 15 April 2011 p 623)Form 4887 ES Version 1 Mar 2011—Australian Disability Parking Permit Application

(Organisation) Vehicle Details (pubd gaz 15 April 2011 p 623)Form 4890 Version 1—Defect Notice and Defective Vehicle Label (pubd gaz 25 March 2011 p 482)Form 4894 Version 1—Improvement Notice (pubd gaz 29 July 2011 p 787)Form 4895 Version 1—Improvement Notice - Amendment (pubd gaz 29 July 2011 p 787)Form 4896 Version 1—Improvement Notice - Clearance Certificate (pubd gaz 29 July 2011 p 787)




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Form 4897 Version 1—Improvement Notice - Cancellation (pubd gaz 29 July 2011 p 787)Form 4898 Version 1—Improvement Notice - Withdrawal (pubd gaz 29 July 2011 p 787)Form 4905 Version 1—Formal Warning Notice (pubd gaz 29 July 2011 p 787)Form M4573 Version 1—Higher Mass Limits (HML) Intelligent Access Program (IAP) Enrolment

(pubd gaz 22 August 2008 p 2650)Form PT56D Version 10 September 2002—Infringement Notice (Photographic Detection Device

Offence) (pubd gaz 3 October 2003 p 379)Form PT72 Version April 2002—Permit to drive (recently expired driver licence) (pubd gaz 5 April

2002 p 1299)Form QP0779 Version 1—Saliva Analysis Notice (pubd gaz 9 May 2008 p 276)Form Q-RIDE Version 6—Competency Standards (pubd gaz 2 November 2007 p 1222)Form Q-RIDE Version 3—Consistent Assessment Process (pubd gaz 19 December 2008 p 2173)Form Q-RIDE Version 7—Registered Service Provider Standards (pubd gaz 5 June 2009 p 484)Form Q-RIDE Version 2—Self Assessment Report (pubd gaz 2 November 2007 p 1222)Driver Certification Manual (pubd gaz 14 September 2001 pp 132–3)Heavy Vehicle Driver Log Book (pubd gaz 14 September 2001 pp 132–3)Modification Plate (Heavy Vehicle) (pubd gaz 14 September 2001 pp 132–3)Modification Plate (Motorcycle) (pubd gaz 14 September 2001 pp 132–3)


TRANS-TASMAN MUTUAL RECOGNITION (QUEENSLAND) ACT 2003


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TRANS-TASMAN MUTUAL RECOGNITION (QUEENSLAND) ACT 2003

Form 1 Version 5—Application for mutual recognition of occupational licence for — Real estateagent, resident letting agent, auctioneer, property developer, motor dealer, commercial agent

pubd gaz 18 December 2009 p 1290Form 2 Version 6—Application for mutual recognition of certificate of registration/occupational

licence for—Salespersons (real estate and motor), second-hand dealers, pawnbrokers,introduction agents

pubd gaz 18 December 2009 p 1290Form 3-1 Version 3—Application for a security provider Class1 —Individual licence

pubd gaz 18 December 2009 p 1290Form 3-2 Version 3—Application for a security provider Class 2 —Individual licence



TRAVEL AGENTS ACT 1988


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TRAVEL AGENTS ACT 1988

Form 1 Version 13—Application for travel agent’s licencepubd gaz 15 July 2011 p 679

Form 2 Version 4—Reminder Notice–Licence–individualpubd gaz 7 December 2007 p 1977

Form 2 Version 4—Reminder Notice–Licence–corporationpubd gaz 7 December 2007 p 1977



Form 3 Version 5—Nominated manager’s formpubd gaz 15 July 2011 p 679

Form 7 Version 8—Travel agent branch applicationpubd gaz 15 July 2011 p 679


TRUST ACCOUNTS ACT 1973


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TRUST ACCOUNTS ACT 1973

Form 1 Version 1—Notification under section 5(1) and 5(1A)pubd gaz 24 May 1996 p 703

Form 2 Version 1—Notification under section 5(2)pubd gaz 24 May 1996 p 703

Form 3 Version 1—Notification under section 5(3)pubd gaz 24 May 1996 p 703


TRUSTS ACT 1973


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TRUSTS ACT 1973

Form 1 Version 1—Trusts Act 1973pubd gaz 10 May 1996 p 529

Form 2 Version 1—Declarationpubd gaz 1 May 2009 p 98


VEGETATION MANAGEMENT ACT 1999


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VEGETATION MANAGEMENT ACT 1999

Form 19Q Version 1—Notice of a forest practicepubd gaz 4 June 2010 p 382

Form 19U Version 1.1—Regrowth vegetation code clearing notification form (pubd gaz 9 December2011 p 688)

Form 19ZA Version 1—Regrowth clearing authorisation application formpubd gaz 4 June 2010 p 382

Form 20c Version 1—Property map of assessable vegetation application formpubd gaz 4 June 2010 p 382

Form 63 Version 1— Internal review application formpubd gaz 4 June 2010 p 382


VETERINARY SURGEONS ACT 1936


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VETERINARY SURGEONS ACT 1936

Form 1—Application for Registration as a Veterinary Surgeonpubd gaz 27 September 1996 p 344

Form 2—Application for Registration as a Veterinary Surgeon for a Limited Periodpubd gaz 27 September 1996 p 344

Form 3—Application for Registration a s Veterinary Specialistpubd gaz 27 September 1996 p 344

Form 4—Notification of Eligibility for Secondary Registration as a Veterinary Surgeon/VeterinarySpecialist

pubd gaz 27 September 1996 p 344Form 5—Certificate of Registration as a Veterinary Surgeon

pubd gaz 27 September 1996 p 344Form 6—Certificate of Provisional Registration as a Veterinary Surgeon

pubd gaz 27 September 1996 p 344Form 7—Certificate of Registration as a Veterinary Surgeon for a Limited Period

pubd gaz 27 September 1996 p 344Form 8—Certificate of Registration as a Veterinary Specialist

pubd gaz 27 September 1996 p 344Form 9—Certificate of Renewal of Registration as a Registered Veterinary Surgeon

pubd gaz 27 September 1996 p 344Form 10—Certificate of Renewal of Registration as a Registered Veterinary Specialist

pubd gaz 27 September 1996 p 344Form 11—Application for Approval To Do or Perform Certain Acts of Veterinary Surgery under

Directionpubd gaz 27 September 1996 p 344

Form 12—Approval To Do or Perform Certain Acts of Veterinary Surgery under Directionpubd gaz 27 September 1996 p 344

Form 13—Application for Approval for Use of Premises for Veterinary Purposespubd gaz 27 September 1996 p 344

Form 14—The Register of Veterinary Surgeons, Queenslandpubd gaz 27 September 1996 p 344

Form 15—The Register of Veterinary Specialists, Queenslandpubd gaz 27 September 1996 p 344

Form 16—Nomination Paper for Election of Members of The Veterinary Surgeons Board ofQueensland

pubd gaz 27 September 1996 p 344Form 17—Ballot Paper for Election of Members of The Veterinary Surgeons Board of Queensland



VICTIMS OF CRIME ASSISTANCE ACT 2009


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VICTIMS OF CRIME ASSISTANCE ACT 2009

Form 1 Version 2—Financial Assistance Applicationpubd gaz 8 July 2011 p 631

Form 2 Version 2—Funeral Assistance Applicationpubd gaz 8 July 2011 p 631

Form 3 Version 2—Medical Certificatepubd gaz 8 July 2011 p 631

Form 4 Version 1—Health Practitioner Examination Reportpubd gaz 13 November 2009 p 824

Form 5 Version 1—Criminal History Consentpubd gaz 13 November 2009 p 824

Form 6 Version 1—Amendment Applicationpubd gaz 13 November 2009 p 824


WAGERING ACT 1998


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WAGERING ACT 1998

Form 1 Version (July 1999)—Application for A Race Wagering Licencepubd gaz 11 April 2008 p 1968

Form 2 Version (July 1999)—Race Wagering Licencepubd gaz 11 April 2008 p 1968

Form 3 Version (July 1999)—Application for a Sports Wagering Licencepubd gaz 11 April 2008 p 1968

Form 4 Version (July 1999)—Sports Wagering Licencepubd gaz 11 April 2008 p 1968

Form 5 Version (June 2005)—Application For Oncourse Wagering Permitpubd gaz 22 February 2008 p 850


pubd gaz 11 April 2008 p 1968Form 8 Version (August 2001)—Wagering Key Person Licence

pubd gaz 11 April 2008 p 1968Form 9 Version (July 1999)—Notification of Start of Employment of Licensed Employee


Form 10 Version (July 1999)—Employee Returnpubd gaz 11 April 2008 p 1968

Form 11 Version (July 1999)—Notification of End of Employment as a Key Person Licenseepubd gaz 11 April 2008 p 1968

Form 12 Version (July 1999)—Notification of End of Appointment of Key Operator who is a KeyPerson Licensee


Form 14 Version (July 1999)—Current Wagering Agents Returnpubd gaz 11 April 2008 p 1968

Form 16 Version (May 2005—Wagering Tax Returnpubd gaz 11 April 2008 p 1968

Form 16A Version (May 2005)—Wagering Tax Return (On- Course Wagering Permit Holders)pubd gaz 22 February 2008 p 850


Form 21 Version (July 2004)—Gaming Licensee Quarterly Report

pubd gaz 22 February 2008 p 850Form 23 Version August 2008—Oncourse Wagering Permit

pubd gaz 26 September 2008 p 538Form 68 Version June 2011—Nomination of Gaming Nominee

pubd gaz 1 July 2011 p 585Form 82 Version June 2011—Application for Liquor and Gaming Individual Employees



WATER ACT 2000


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WATER ACT 2000










pubd gaz 23 March 2007 p 1249Form 11 Version 4—Caveat




pubd gaz 23 March 2007 p 1249Form 15 Version 4—Request to Amalgamate



pubd gaz 22 August 2003 p 1327Form 23 Version 4—Settlement Notice

pubd gaz 23 March 2007 p 1250Form 24 Version 4—Property Information (Transfer)

pubd gaz 23 March 2007 p 1250Form 24A Version 1—Property Information (Transmission Application)

pubd gaz 23 March 2007 p 1249Form 30 Version 3—Mortgage Priority

pubd gaz 23 March 2007 p 1249Form LWMP1 Version 2—Application for approval of land and water management plan

pubd gaz 4 November 2005 p 798Form LWMP2 Version 2—Application for deferral of the requirement to prepare land and water

management planpubd gaz 4 November 2005 p 798

Form NRMIR01 Version 3—Application for Internal Review of an Original Decisionpubd gaz 13 November 2009 p 747

Form SPA01 Version 4—Service Provider Application Formpubd gaz 13 November 2009 p 747


WATER ACT 2000


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Form SPE01 Version 2—Small Service Provider Exemption Application Formpubd gaz 13 November 2009 p 747

Form SPE02 Version 1—Service Provider System Leakage Management Plan ExemptionApplication Form

pubd gaz 13 November 2009 p 747Form SPE03 Version 1—Service Provider Drought Management Plan Exemption Application Form



WATER SUPPLY (SAFETY AND RELIABILITY) ACT 2008


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Form CSG001 Version 1—Exclusion Decision Applicationpubd gaz 25 February 2011 p 310

Form CSG002 Version 1—CSG Interim Recycled Water Management Plan Approval Applicationpubd gaz 25 February 2011 p 310

Form CSG003 Version 1—CSG Recycled Water Management Plan Approval Applicationpubd gaz 25 February 2011 p 310

Form CSG004 Version 1—Request to Amend CSG Recycled Water Management Planpubd gaz 4 November 2011 p 410

Form CSG005 Version 1—CSG Notice of Intent to Permanently Stop Supplypubd gaz 4 November 2011 p 410

Form CSG006 Version 1—CSG Notice of Unscheduled Stoppagepubd gaz 4 November 2011 p 410

Form CSG007 Version 1—CSG Notice of Having Permanently Stopped Supplypubd gaz 4 November 2011 p 410

Form CSG008 Version 1—CSG Application to Resume Supplypubd gaz 4 November 2011 p 410

Form CSG009 Version 1—CSG Recycled Water Management Plan Amendment Applicationpubd gaz 4 November 2011 p 410

Form SPA01 Version 5—Service Provider Application Formpubd gaz 3 October 2008 p 1588

Form SPE01 Version 4—Small Service Provider Exemption Application Formpubd gaz 22 July 2011 p 704

Form SPE02 Version 2—Service Provider System Leakage Management Plan ExemptionApplication Form

pubd gaz 3 October 2008 p 1588Form SPE03 Version 2—Service Provider Drought Management Plan Exemption Application Form

pubd gaz 3 October 2008 p 1588Form WSR001 Version 3 November 2009—Validation Program Approval Application

pubd gaz 18 December 2009 p 1199Form WSR002 Version 3 November 2009—Recycled Water Management Plan Approval

Applicationpubd gaz 18 December 2009 p 1199

Form WSR003 Version 3 November 2009—Exemption Applicationpubd gaz 18 December 2009 p 1199

Form WSR004 Version 1—Internal review of decision applicationpubd gaz 13 November 2009 p 747

Form WSR005 Version 3 November 2009—Non-Compliance Noticepubd gaz 18 December 2009 p 1199

Form WSR006 Version 1 November 2009—Recycled Water Management Plan AmendmentApplication

pubd gaz 18 December 2009 p 1199Form WSR007 Version 1 November 2009—Validation Program Amendment Application

pubd gaz 18 December 2009 p 1199Form WSR010 Version 1 November 2009—Notice of Intent to Permanently Stop Supply

pubd gaz 18 December 2009 p 1199Form WSR011 Version 1 November 2009—Notice of Unscheduled Stoppage

pubd gaz 18 December 2009 p 1199Form WSR012 Version 1 November 2009—Notice of Having Permanently Stopped Supply





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Form WSR013 Version 1 November 2009—Application to Resume Supplypubd gaz 18 December 2009 p 1199

Form WSR014 Version 1 November 2009—Notice of Change: Exemption Under s 257pubd gaz 18 December 2009 p 1199

Form WSR015 Version 1 November 2009—Request to Amend: Recycled Water Management Planpubd gaz 18 December 2009 p 1199

Form WSR506 Version 1—Drinking Water Quality Management Plan Amendment Applicationpubd gaz 4 February 2011 p 169


WEAPONS ACT 1990


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WEAPONS ACT 1990

Form 1 Version 8—Application for a Licencepubd gaz 5 August 2011 p 830

Form 1 Version 3—Application for a Licence—Annexure—Collector's Licencepubd gaz 5 August 2011 p 830

Form 1 Version 3—Application for a Licence—Annexure—Historical or MilitaryRe-enactment—Category M Crossbows

pubd gaz 5 August 2011 p 830Form 1 Version 1—Application for a Licence—Annexure—Occupational —Armourer/Dealer

pubd gaz 5 August 2011 p 830Form 1 Version 3—Application for a Licence—Annexure—Occupational—Other

pubd gaz 5 August 2011 p 830Form 1 Version 2—Application for a Licence—Annexure—Occupational—Rural Purposes

pubd gaz 5 August 2011 p 830Form 1 Version 3—Application for a Licence—Annexure—Occupational— Security

pubd gaz 5 August 2011 p 830Form 1 Version 3—Application for a Licence—Annexure—Other Reason(s)

pubd gaz 5 August 2011 p 830Form 1 Version 1—Application for a Licence—Annexure—Rural Purposes / Primary Producer /

Recreational Shooting / Recreational Fishingpubd gaz 5 August 2011 p 830

Form 1 Version 4—Application for a Licence—Annexure—Sports or Target Shootingpubd gaz 5 August 2011 p 830

Form 2 Version 1 15 January 1997—Licencepubd gaz 30 May 1997 p 476

Form 2a Version 1 15 January 1997—Licence Conditionspubd gaz 30 May 1997 p 476

Form 2b Version 1 15 January 1997—Weapons Listpubd gaz 30 May 1997 p 476

Form 3 Version 3—Application for Replacement: Licence/Form 27 Permit to Acquirepubd gaz 5 August 2011 p 830

Form 4A Version 3—Change of Address (Residential/Postal Only) / Change of Name(s) / Change ofWeapon(s) Secure Storage Facility

pubd gaz 5 August 2011 p 830Form 4B Version 2—Change of Weapon(s) Category and/or Change of Condition(s) of a Licence,

Permit or Approvalpubd gaz 5 August 2011 p 830

Form 4C Version 2—Change of Business Particulars / Change of Representativepubd gaz 5 August 2011 p 830

Form 4D Version 2—Change of Business Particulars—Other Reasonspubd gaz 5 August 2011 p 830

Form 4E Version 2—Application for Transfer of Weapon(s)pubd gaz 5 August 2011 p 831

Form 5 Version 2 27 July 2001—Application for a Change of Particulars—Personalpubd gaz 19 October 2001 p 577

Form 6A Version 4—Application to Renew a Weapons Act Licencepubd gaz 5 August 2011 p 831

Form 6B Version 2—Application to Renew Licencepubd gaz 5 August 2011 p 831

Form 6A/6B Version 2—Application to Renew Licence—Annexure—Genuine Reasonpubd gaz 5 August 2011 p 831


WEAPONS ACT 1990


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Form 7 Version 3—01/10/2003—Suspension or Revocation Noticepubd gaz 15 April 2005 pp 1210–11

Form 8 Version 2—01/07/2003—Receipt for Surrendered Weapon(s)pubd gaz 15 April 2005 pp 1210–11

Form 10 Version 3—01/07/2003—Notice of Transactions Involving a Weapon Dealer’s AdviceBook

pubd gaz 15 April 2005 pp 1210–11Form 11 Version 1 20 April 1997—Weapons Register—Armourer

pubd gaz 17 April 1998 p 1609Form 12 Version 1 21 April 1997—Licence Dealers and Theatrical Suppliers Annual Return

pubd gaz 30 May 1997 p 476Form 13 Version 1 15 January 1997—Approval to Conduct an Arms Fair

pubd gaz 30 May 1997 p 476Form 14 Version 1 15 January 1997—Notice of Refusal of an Arms Fair Licence

pubd gaz 30 May 1997 p 476Form 15A Version 4—Application for a Shooting Club Permit

pubd gaz 5 August 2011 p 831Form 15B Version 2—Application for a Shooting Range Approval or Modification

pubd gaz 5 August 2011 p 831Form 15C Version 4—Application for Approval to Conduct a Shooting Gallery

pubd gaz 5 August 2011 p 831Form 15CA Version 1—Application for Additional Representative—Shooting Gallery

pubd gaz 5 August 2011 p 831Form 15D Version 4—Application for Approval to Conduct an Arms Fair

pubd gaz 5 August 2011 p 831Form 15E Version 2—Application for Approval for a Historical Society

pubd gaz 5 August 2011 p 831Form 15F Version 4—Application for an Exemption

pubd gaz 5 August 2011 p 831Form 15G Version 2—Application for Approval of a Weapons Club

pubd gaz 5 August 2011 p 831Form 15G Version 2—Application for Approval of a Weapons Club—Annexure—Category M

Crossbows-Historical or Military Re-enactment—Demonstration Usepubd gaz 5 August 2011 p 831

Form 15G Version 2—Application for Approval of a Weapons Club—Annexure—Category MCrossbows—Historical or Military Re-enactment—Training Only

pubd gaz 5 August 2011 p 831Form 15G Version 2—Application for Approval of a Weapons Club—Annexure—Recreational

Shootingpubd gaz 5 August 2011 p 831

Form 15G Version 2—Application for Approval of a Weapons Club—Annexure—Sports TargetShooting-Category M Crossbows

pubd gaz 5 August 2011 p 831Form 16 Version 2—01/07/2003—Register of Transactions Involving a Weapon

pubd gaz 15 April 2005 pp 1210–11Form 19 Version 1 15 January 1997—Approval for Range

pubd gaz 30 May 1997 p 479Form 20A Version 1—01/07/2004—Club–Range Use Register (Category H Only)

pubd gaz 15 April 2005 pp 1210–11Form 20B Version 1—01/07/2004—Club–Range Use Register (Other than Category H)



WEAPONS ACT 1990


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Form 20C Version 1—Club—Range Use Register (Category A, B & H)pubd gaz 5 August 2011 p 831

Form 22 Version 1 21 April 1997—Weapons Register—Government Service Entitypubd gaz 17 April 1998 p 1609

Form 23 Version 1 21 April 1997—Employee Issue Register—Government Service Entitypubd gaz 17 April 1998 p 1609

Form 24 Version 2—01/07/2003—Register for Security Organisations and Record of Incidentspubd gaz 15 April 2005 pp 1210–11

Form 26 Version 1 15 January 1997—Notice to Attend and Give Evidencepubd gaz 30 May 1997 p 476

Form 27 Version 1 15 January 1997—Permit to Acquirepubd gaz 30 May 1997 p 476

Form 28 Version 6—Application for Permit to Acquirepubd gaz 5 August 2011 p 831

Form 29 Version 1—15/01/1997—Notice of Rejection of Application for Permit to Acquirepubd gaz 22 April 2005 p 1301

Form 30 Version 7—Club—Proof of Identity Declarationpubd gaz 5 August 2011 p 831

Form 31 Version 1 14 November 1997—Certificate of a Firearm/Weapon being PermanentlyInoperable

pubd gaz 17 April 1998 p 1609Form 32 Version 1—Security Guard’s Register

pubd gaz 5 August 2011 p 831Form 33 Version 3—Declaration by Unauthorised Person for Use of a Weapon at an Approved

Rangepubd gaz 5 August 2011 p 831

Form 33A Version 1—01/10/2003—Declaration by Unlicensed Person to Possess a Weapon at anApproved Range (Group)

pubd gaz 15 April 2005 pp 1210–11Form 34 Version 2—Licensed Dealer’s Associate Details

pubd gaz 5 August 2011 p 831Form 36 Version 1—01/07/2003—Statement of Eligibility



WINE INDUSTRY ACT 1994


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WINE INDUSTRY ACT 1994

Form 1 Version 3—Application for a wine producers licencepubd gaz 23 September 2011 p 191

Form 2 Version 3—Application for a wine merchant licencepubd gaz 23 September 2011 p 191

Form 3 Version 4—Application for transfer of a licencepubd gaz 23 September 2011 p 191

Form 4 Version 3—Application for acceptance of new nominee/spubd gaz 23 September 2011 p 191

Form 5 Version 4—Personal details schedulepubd gaz 23 September 2011 p 191

Form 6 Version 3—Application for extended hours permit (on a regular or permanent basis)pubd gaz 23 September 2011 p 191

Form 7 Version 3—Application for extended hours permit (not on a regular basis)pubd gaz 23 September 2011 p 191

Form 8 Version 4—Application for a Wine Permit (pubd gaz 25 November 2011 p 601)Form 9 Version 3—Application for endorsement of condition of licence

pubd gaz 23 September 2011 p 191Form 10 Version 3—Application for a satellite cellar door



WORKERS’ COMPENSATION AND REHABILITATION ACT 2003


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Form 1 Version 3—Application for Compensation (pubd gaz 21 April 2011 p 666)

Form 2 Version 2—Application for Compensation – Fatal Injury (pubd gaz 21 April 2011 p 666)

Form 3 Version 3—Application for Compensation (pubd gaz 21 April 2011 p 666)

Form 4 Version 2—Application for Compensation – Fatal Injury (pubd gaz 21 April 2011 p 666)

Form 17-046 Version 4—Application for Compensation (pubd gaz 16 September 2011 p 133)

Form 17-047 Version 3—Application for Compensation–Fatal Injury (pubd gaz 16 September 2011p 133)

Form 22.R Version 2—Self-insurance Declaration of Wages Form (pubd gaz 2 July 2004 p 699)

Form 70.1 Version 3—Application for a Single employer self-insurance licence (pubd gaz 19 June2009 p 705)

Form 70.2 Version 3—Application for a Group employer self-insurance licence (pubd gaz 19 June2009 p 705)

Form 79.1 Version 2—Application for Renewal of a Single Employer Self-Insurance Licence (pubdgaz 22 December 2006 p 1958)

Form 79.2 Version 2—Application for Renewal of a Group Employer Self-Insurance Licence (pubdgaz 22 December 2006 p 1958)

Form 86F.R Version 2—Worker’s Compensation Medical Certificate–Fatal Injury (pubd gaz 7October 2011 p 282)

Form 86N Version 1—Nurse practitioner workers’ compensation certificate (pubd gaz 9 April 2010p 865)

Form 86.R Version 3—Workers’ compensation medical certificate (pubd gaz 3 July 2009 p 932)

Form 87.R Version 1—Declaration (Where no medical certificate) (pubd gaz 1 July 2003 pp 764–8)

Form 100.1R Version 5—Workplace Rehabilitation Policy and Procedures (pubd gaz 1 July 2011 p588)

Form 132.AC ES Version 1—Application for Compensation Form for Injured Workers (ACES AgedCare Employers’ Self-insurance Group) (pubd gaz 24 December 2004 p 1347)

Form 132.AI.WC Version 1—Application for Compensation—Asbestos Injury (WorkCoverQueensland) (pubd gaz 30 June 2006 p 1048)

Form 132.AMH Version 3—JBS Australia Pty Ltd Application for Compensation (pubd gaz 9December 2011 p 727)

Form 132.ANZ Version 1—Application for Compensation (ANZ Banking Group Limited) (pubdgaz 1 July 2003 pp 764–8)

Form 132.ARN Version 1—Application for Workers Compensation (Arnott’s Biscuits Campbell’sSoups (Queensland)) (pubd gaz 1 July 2003 pp 764–8)

Form 132.BAL Version 1—Application for Compensation Form for Workers (Brambles AustraliaLimited) (pubd gaz 1 July 2003 pp 764–8)

Form 132.BHP Version 1—Application for Compensation Form (BHP Billiton) (pubd gaz 1 July2003 pp 64–8)

Form 132.CBA Version 1—Commonwealth Bank of Australia Group Application for Workers’Compensation (pubd gaz 1 July 2003 pp 764–8)




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Form 132.CC Version 1—Compensation Application (Brisbane City Council) (pubd gaz 1 July 2003pp 764–8)

Form 132.CMG Version 1—Application for Compensation Form for Workers (Consolidated MeatGroup) (pubd gaz 1 July 2003 pp 764–8)

Form 132.CML Version 1—Employee’s Application for Compensation (Coles Myer Ltd) (pubd gaz1 July 2003 pp 764–8)

Form 132.CSR Version 1—Application for Compensation (CSR Limited) (pubd gaz 1 July 2003 pp764–8)

Form 132.FNAB Version 1—Application for Compensation Form—Fatal Injury (pubd gaz 26March 2004 p 1139)

Form 132.GCCC Version 1—Application for Compensation Form for Workers (Gold Coast CityCouncil) (pubd gaz 1 July 2003 pp 764–8)

Form 132.GCL Version 1—Compensation Application Form for Workers (Golden Circle Limited)(pubd gaz 1 July 2003 pp 764–8)

Form 132.JL Version 1—Application for Compensation Form for Injured Workers (JupitersLimited) (pubd gaz 1 July 2003 pp 764–8)

Form 132.LGW Version 1—Application for Compensation (Local Government Association ofQueensland) (pubd gaz 1 July 2003 pp 764–8)

Form 132.MIM Version 1—Application for Compensation Form for Workers (M.I.M. HoldingsLimited) (pubd gaz 1 July 2003 pp 764–8)

Form 132.MNL Version 1—Application for Compensation (Mayne Group Limited) (pubd gaz 1July 2003 pp 764–8)

Form 132.NAB Version 1—Application for Compensation Form (pubd gaz 26 March 2004 p 1139)Form 132.OS Version 1—Application for Compensation (OneSteel Limited) (pubd gaz 1 July 2003

pp 764–8)Form 132.QF Version 1—Workers Compensation Claim (Qantas Airways Limited) (pubd gaz 1 July

2003 pp 764–8)Form 132-QR Version 1—Application for Compensation (pubd gaz 25 March 2011 p 482)Form 132.RWC Version 4—Application for Compensation Form for Workers (pubd gaz 1 May 2009

p 97)Form 132.TCC Version 1—Application for Compensation Form for Workers (Townsville City

Council) (pubd gaz 1 July 2003 pp 764–8)Form 132.TOLL Version 1—Application for Compensation Form for Workers (Toll Holdings

Limited) (pubd gaz 8 September 2006 p 169)Form 132.UQ Version 1—Application for Workers’ Compensation (University of Queensland)

(pubd gaz 1 July 2003 pp 764–8)Form 132. W Version 1—Application for Compensation (pubd gaz 25 March 2011 p 482)Form 132.WBC Version 1—Application for Compensation (Westpac Banking Corporation) (pubd

gaz 1 July 2003 pp 764–8)Form 132.WC Version 3—Application for Compensation (WorkCover Queensland) (pubd gaz 30

June 2006 p 1048)Form 132.WW Version 1—Application for Compensation Form for Workers (Woolworths

Limited–Queensland) (pubd gaz 1 July 2003 pp 764–8)Form 132F.AC ES Version 1—Application for Compensation Form–Fatal Injury (ACES Aged Care

Employers’ Self-insurance Group) (pubd gaz 24 December 2004 p 1347)Form 132F.AMH Version 1—Application for Compensation–Fatal Injury (Australia Meat Holdings

Pty Limited) (pubd gaz 1 July 2003 pp 764–8)Form 132F.ANZ Version 1—Application for Compensation Fatal Injury (ANZ Banking Group

Limited) (pubd gaz 1 July 2003 pp 764–8)Form 132F.ARN Version 1—Application for Workers Compensation–Fatal Injury (pubd gaz 1 July

2003 pp 764–8)Form 132F.BAL Version 1—Application for Compensation Fatal Injury (Brambles Australia




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Limited) (pubd gaz 1 July 2003 pp 764–8)Form 132F.BHP Version 1—Application for Compensation Form–Fatal Injury (BHP Billiton) (pubd

gaz 1 July 2003 pp 764–8)Form 132F.CBA Version 1—Commonwealth Bank of Australia Group Application for

Compensation–Fatal Injury (pubd gaz 1 July 2003 pp 764–8)Form 132F.CC Version 1—Compensation Application–Fatal Injury (Brisbane City Council) (pubd

gaz 1 July 2003 pp 764–8)Form 132F.CMG Version 1—Application for Compensation Fatal Injury (Consolidated Meat

Group) (pubd gaz 1 July 2003 pp 764–8)Form 132F.CML Version 1—Application for Compensation Fatal Injury (Coles Myer Ltd) (pubd

gaz 1 July 2003 pp 764–8)Form 132F.CSR Version 1—Application for Compensation Fatal Injury (CSR Limited) (pubd gaz 1

July 2003 pp 764–8)Form 132F.GCCC Version 1—Application for Compensation Fatal Injury (Gold Coast City

Council) (pubd gaz 1 July 2003 pp 764–8)Form 132F.GCL Version 1—Compensation Application Form–Fatal Injury (Golden Circle Limited)

(pubd gaz 1 July 2003 pp 764–8)Form 132F.JL Version 1—Application for Compensation–Fatal Injury (Jupiters Limited) (pubd gaz

1 July 2003 pp 764–8)Form 132F.LGW Version 1—Application for Compensation–Fatal (Local Government Association

of Queensland) (pubd gaz 1 July 2003 pp 764–8)Form 132F.MIM Version 1—Application for Compensation Fatal Injury (M.I.M. Holdings Limited)

(pubd gaz 1 July 2003 pp 764–8)Form 132F.MNL Version 1—Application for Workers’ Compensation Fatal Injury (Mayne Group

Limited) (pubd gaz 1 July 2003 pp 764–8)Form 132F.OS Version 1—Application for Compensation Fatal Injury (OneSteel Limited) (pubd gaz

1 July 2003 pp 764–8)Form 132F.QF Version 1—Application for Compensation Fatal Injury (Qantas Airways Limited)

(pubd gaz 1 July 2003 pp 764–8)Form 132F.QR Version 1—Application for Workers Compensation–Fatal Injury (Queensland Rail)

(pubd gaz 1 July 2003 pp 764–8)Form 132F.QRN Version 1—Application for Compensation–Fatal Injury (pubd gaz 25 March 2011

p 482)Form 132F.RWC Version 4—Application for Compensation Fatal Injury (pubd gaz 1 May 2009 p

97)Form 132F.TCC Version 1—Compensation Application Form Fatal Injury (Townsville City

Council) (pubd gaz 1 July 2003 pp 764–8)Form 132F.TOLL Version 1—Application for Compensation—Fatal Injury (Toll Holdings Limited)

(pubd gaz 8 September 2006 p 169)Form 132F.UQ Version 1—Application for Compensation Fatal Injury (University of Queensland)

(pubd gaz 1 July 2003 pp 764–8)Form 132F.WBC Version 1—Application for Compensation–Fatal Injury (Westpac Banking

Corporation) (pubd gaz 1 July 2003 pp 764–8)Form 132F.WC Version 2—Application for Compensation Form–Fatal Injury (WorkCover

Queensland) (pubd gaz 24 December 2004 p 1347)Form 132F.WC 133A Version 1—Employer’s Report—Fatal Injury (WorkCover Queensland) (pubd

gaz 30 June 2006 p 1048)Form 132F.WW Version 1—Application for Workers’ Compensation–Fatal (Woolworths

Limited–Queensland) (pubd gaz 1 July 2003 pp 764–8)Form 132 TH Version 1—Application for Compensation (pubd gaz 22 July 2011 p 734)Form 133, 133A.WC Version 1—Employer’s Report (WorkCover Queensland) (pubd gaz 30 June

2006 p 1048)




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Form 133F.WC Version 2—Employer’s Report–Fatal Injury (WorkCover Queensland) (pubd gaz 24December 2004 p 1347)

Form 185.1 Version 2—Notice of Assessment (Industrial deafness) (pubd gaz 26 March 2004 p1139)

Form 185.2 Version 2—Notice of Assessment (Injury <30%) (pubd gaz 17 July 2009 p 1102)Form 185.3 Version 3—Notice of Assessment (Injury <30%; gratuitous care) (pubd gaz 17 July

2009 p 1102)Form 185.4 Version 2—Notice of Assessment (Injury <30% physical and psychiatric/psychological)

(pubd gaz 17 July 2009 p 1102)Form 185.5 Version 3—Notice of Assessment (Injury <30%; physical and

psychiatric/psychological; gratuitous care) (pubd gaz 17 July 2009 p 1102)Form 185.6 Version 2—Notice of Assessment (Injury 30% or more) (pubd gaz 17 July 2009 p 1102)Form 185.7 Version 3—Notice of Assessment (Injury 30% or more; gratuitous care) (pubd gaz 17

July 2009 p 1102)Form 185.8 Version 2—Notice of Assessment (Injury 30% or more; physical and

psychiatric/psychological) (pubd gaz 17 July 2009 p 1102)Form 185.9 Version 3—Notice of Assessment (Injury 30% or more; physical and

psychiatric/psychological; gratuitous care) (pubd gaz 17 July 2009 p 1102)Form 185.10 Version 1—Notice of Assessment (Industrial deafness) (pubd gaz 1 July 2003 pp

764–8)Form 185.11 Version 1—Notice of Assessment (No claim for compensation; physical or

psychiatric / psychological injury) (pubd gaz 1 July 2003 pp 764–8)Form 185.12 Version 1—Notice of Assessment (No claim for compensation; physical and

psychiatric / psychological injury) (pubd gaz 1 July 2003 pp 764–8)Form 275 Version 1—Notice of Claim for Damages (pubd gaz 1 July 2003 pp 764–8)Form 500A Version 2—Medical Assessment Tribunal Referral (pubd gaz 23 February 2007 p 867)Form 542.1 Version 1—Application for Review Policies, Premiums and Levies (pubd gaz 1 July

2003 pp 764–8)Form 542.2 Version 1—Application for Review Statutory Claims (pubd gaz 1 July 2003 pp 764–8)Form 542.3 Version 4—Application for claim review (pubd gaz 25 November 2011 p 601)Form 542P Version 1—Application for policy/premium review (pubd gaz 3 September 2010 p 60)Form DW02 Version 1—Declaration of Wages (pubd gaz 1 July 2003 p 769)Form DWR02 Version 1—Declaration of Wages–Reminder (pubd gaz 1 July 2003 p 769)Form M17-046 Version 2—Application for Workers’ Compensation Form Myer (pubd gaz 6

November 2009 p 726)Form M70.1 Version 3—Application for a Single employer self-insurance licence (pubd gaz 4

September 2009 p 76)Form M70.2 Version 3—Application for a Group employer self-insurance licence (pubd gaz 4

September 2009 p 76)Form M106 Version 1—Online Claim Form (pubd gaz 6 July 2007 p 1282)Form M132-GCCC Version 2—Application for Compensation Form for Workers (Gold Coast City

Council) (pubd gaz 14 August 2009 p 1365)Form M200 Version 3—Claim Form (pubd gaz 3 July 2009 p 932)Form M202 Version 3—Claim Form–asbestos injury (pubd gaz 7 August 2009 p 1293)Form HHWAPP02 Version 1—Application for Insurance Policy–Household Workers (pubd gaz 1

July 2003 p 769)Form PN02 Version 1—Premium Notice (pubd gaz 1 July 2003 p 769)Form POLAPP02 Version 1—Application for Insurance Policy (pubd gaz 1 July 2003 p 769)Form WPIIAPP02 Version 1—Application for Workplace Personal Injury Insurance Policy (pubd

gaz 1 July 2003 p 769)Form SAP132 Version 1—Application for Compensation (pubd gaz 21 January 2011 p 107)Form SAP132.F Version 1—Application for Compensation–Fatal Injury (pubd gaz 21 January 2011




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p 107)


WORK HEALTH AND SAFETY ACT 2011


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WORK HEALTH AND SAFETY ACT 2011

Form 3 Version 1.10.11—Incident Notification Form (pubd gaz 23 December 2011 p 926)Form 12 Version 1.1.12—Prohibition notice (pubd gaz 9 December 2011 p 727)Form 13 Version 1.1.12—Improvement notice (pubd gaz 9 December 2011 p 727)Form 15 Version 1.1.12—Receipt for seized things (pubd gaz 9 December 2011 p 727)Form 16 Version 1.1.12—Notice of requirement (pubd gaz 9 December 2011 p 727)Form 17 Version 1.1.12—Application for internal review of decision (pubd gaz 16 December 2011 p

800)Form 24 Version 1.1.12—Infringement notice (pubd gaz 9 December 2011 p 727)Form 44 Version 1.1.12—Provisional improvement notice (pubd gaz 6 January 2012 p 21)Form 60 Version 1.1.12—Waiver of privilege (pubd gaz 9 December 2011 p 727)Form 61 Version 1.1.12—Requirement to produce documents (pubd gaz 9 December 2011 p 727)Form 62 Version 1.1.12—Non-disturbance notice (pubd gaz 9 December 2011 p 727)Form 63 Version 1.1.12—Notice of entry (pubd gaz 23 December 2011 p 926)Form 64 Version 1.1.12—Claim of privilege (pubd gaz 23 December 2011 p 926)Form 65 Version 1.1.12 – Notification of licensed asbestos removal work (pubd gaz 6 January 2012

p 21)Form 66 Version 1.1.12 – Notification of emergency demolition of structure or plant containing

asbestos (pubd gaz 6 January 2012 p 21)Form 68 Version 1.1.12 – Notification of health and safety representative/s (HSR) in a workplace

(pubd gaz 6 January 2012 p 21)


YOUTH JUSTICE ACT 1992


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Form 1 Version 4—Notice of Application To A Childrens Court For Identifying Particularspubd gaz 12 March 2004 pp 962–4

Form 2 Version 3—Order That Child’s Identifying Particulars be Takenpubd gaz 27 June 2003 pp 721–28

Form 3 Version 3—Notice of Cautionpubd gaz 27 June 2003 pp 721–28

Form 3A Version 2—Notice of Caution Further Offencespubd gaz 27 June 2003 pp 721–28

Form 4 Version 5—Youth Justice Conference Police Referral Formpubd gaz 12 March 2004 pp 962–4

Form 5 Version 5—Report on the Outcome of a Youth Justice Conferencepubd gaz 23 January 2009 p 318

Form 6 Version 5—Youth Justice Conference Agreementpubd gaz 23 January 2009 p 318

Form 7 Version 3—Notice to Attend Youth Justice Conference Referred by a Police Officerpubd gaz 27 June 2003 pp 721–28

Form 8 Version 1—Notice of Time and Place to Attend a Youth Justice Conferencepubd gaz 27 June 2003 pp 721–28

Form 9 Version 3—Notice Declining the Convening of a Youth Justice Conferencepubd gaz 27 June 2003 pp 721–28

Form 10 Version 3—Notice to Attend Youth Justice Conference Referred by the Courtpubd gaz 27 June 2003 pp 721–28

Form 11 Version 1—Youth Justice Conference Referral Formpubd gaz 27 June 2003 pp 721–28

Form 12 Version 6—Youth Justice Conference Agreement (amended)pubd gaz 5 June 2009 p 483

Form 13 Version 3—Statement of Offence/s Referred to a Youth Justice Conference Notice of Rightto Obtain Legal Advice

pubd gaz 27 June 2003 pp 721–28Form 14 Version 3—Release Notice

pubd gaz 27 June 2003 pp 721–28Form 16 Version 4—Order That Parent Of Child Attend Court

pubd gaz 12 March 2004 pp 962–4Form 17 Version 3—Application by Parent for Rehearing

pubd gaz 27 June 2003 pp 721–28Form 18 Version 3—Court Decision on Application by Parent for Rehearing and Notice of

Rehearingpubd gaz 27 June 2003 pp 721–28

Form 20 Version 3—Application to Set Aside Finding or Order Because of Lack of Jurisdictionpubd gaz 27 June 2003 pp 721–28

Form 21 Version 4—Report on the Completion/Non Completion of a Youth Justice ConferenceAgreement

pubd gaz 12 March 2004 pp 962–4Form 22 Version 4—Notice That The Proceeding For An Offence Is To Be Heard By The Court Or

Referred For A Further Youth Justice Conferencepubd gaz 12 March 2004 pp 962–4

Form 23 Version 1 24 March 2010—Reprimand Orderpubd gaz 24 June 2011 p 533

Form 24 Version 1 31 May 2010—Good Behaviour Orderpubd gaz 24 June 2011 p 533




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Form 25 Version 2—Notice of Fine Orderpubd gaz 27 June 2003 pp 721–28

Form 26 Version 2 30 April 2010—Probation Orderpubd gaz 24 June 2011 p 533

Form 27 Version 2 20 April 2010— Community Service Orderpubd gaz 24 June 2011 p 533

Form 28A Version 1—Order to Allow Publication of Identifying Informationpubd gaz 7 February 2003 p 383

Form 29 Version 3—Application By Proper Officer For Breach Of A Fine Orderpubd gaz 12 March 2004 pp 962–4

Form 30 Version 2—Order to Allow Publication of Identifying Informationpubd gaz 27 June 2003 pp 721–28

Form 31 Version 3 27 November 2003—Court Decision–Breach of Probation Order onApplication–Breach of Probation Order Child Found Guilty of Indictable Offence(s)

pubd gaz 19 December 2003 p 1295Form 33 Version 1 25 March 2010—Order to vary, discharge or revokea community based order

pubd gaz 24 June 2011 p 533Form 33 Version 2—Court Decision on Application for Variation, Discharge and/or Resentence of

Probation Order or Community Service Order or Intensive Supervision Order or ConditionalRelease Order in the Interests of Justice

pubd gaz 27 June 2003 pp 721–28Form 34 Version 3—Application and Affidavit To Vary A Community Based Order (Other Than A

Conditional Release Order) By Consentpubd gaz 12 March 2004 pp 962–4

Form 35 Version 3 27 November 2003—Court Decision on Application for Breach of CommunityService Order

pubd gaz 19 December 2003 p 1295Form 37 Version 3—Application For Variation Of Detention Order In The Interests Of Justice

pubd gaz 12 March 2004 pp 962–4Form 38 Version 1 26 March 2010—Conditional release order

pubd gaz 24 June 2011 p 533Form 39 Version 2—Warrant To Arrest A Child On Complaint Of Breach Of Community Based

Order Or Supervised Release Orderpubd gaz 12 March 2004 pp 962–4

Form 39 (a) Version 1 26 March 2010—Warrant to apprehend child where summons is disobeyedpubd gaz 24 June 2011 p 533

Form 39 (b) Version 1 1 April 2010—Warrant to apprehend child where notice is disobeyedpubd gaz 24 June 2011 p 533

Form 40 Version 3 27 November 2003—Court Decision–Breach of Intensive Supervision Order onApplication–Breach of Intensive Supervision Order Child found Guilty of An Indictable Offence

pubd gaz 19 December 2003 p 1295Form 41 Version 3 27 November 2003—Court Decision on Application For Breach of Conditional

Release Orderpubd gaz 19 December 2003 p 1295

Form 42 Version 2—Notice to Parent of Child Offenderpubd gaz 27 June 2003 pp 721–28

Form 43 Version 2—Order Requiring Parent to Pay Compensationpubd gaz 27 June 2003 pp 721–28

Form 44 Version 4—Authority For Admission To Detention Centrepubd gaz 12 March 2004 pp 962–4

Form 45 Version 2—Leave of Absence (LOA) From Youth Detention Centre *Escorted/Unescortedpubd gaz 27 June 2003 pp 721–28




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Form 46 Version 3—Application For Transfer To Prisonpubd gaz 12 March 2004 pp 962–4

Form 47 Version 2—Order on Application for Transfer to Prisonpubd gaz 27 June 2003 pp 721–28

Form 48 Version 3—Request By Court For A Presentence Reportpubd gaz 12 March 2004 pp 962–4

Form 49 Version 3—Court Decision–Breach of Supervised Release Order on Applicationpubd gaz 12 March 2004 pp 962–4

Form 50 Version 2—Application for Extension of Time for Payment of Amountspubd gaz 27 June 2003 pp 721–28

Form 51 Version 1—Court Decision on Application for Variation of Detention Order in the Interestsof Justice

pubd gaz 27 June 2003 pp 721–28Form 52 Version 1 20 April 2010—Intensive Supervision Order

pubd gaz 24 June 2011 p 533Form 53 Version 2—Application For Sentence Review

pubd gaz 12 March 2004 pp 962–4Form 54 Version 1—Court Decision on Application for Sentence Review

pubd gaz 27 June 2003 pp 721–28Form 55 Version 2—Instrument Ordering Chief Executive, Department Of Communities To Produce

Childpubd gaz 12 March 2004 pp 962–4

Form 56 Version 2—Instrument Ordering Chief Executive, Department of Communities Not ToProduce Child

pubd gaz 12 March 2004 pp 962–4Form 57 Version 1—Application for Bail at the Childrens Court of Queensland at Brisbane

pubd gaz 27 June 2003 pp 721–28Form 58 Version 2—Application To Re-Open Criminal Proceedings

pubd gaz 12 March 2004 pp 962–4