Forms notified or published in the gazette · Forms notified or published in the gazette...

1038 Forms notified or published in the Government gazette—Issue 31 (2007)

AGRICULTURAL CHEMICALS DISTRIBUTION CONTROL ACT 1966

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)).

Forms notified or published in the gazette

AGRICULTURAL CHEMICALS DISTRIBUTION CONTROL ACT 1966

Form 1—Application for Examination to Qualify for a Pilot Chemical Rating Licencepubd gaz 23 February 1996 p 857

Form 2—Application for the Issue of a Pilot Chemical Rating Licencepubd gaz 23 February 1996 p 857

Form 3—Application for Renewal of a Pilot Chemical Rating Licencepubd gaz 23 February 1996 p 857

Form 4—Pilot Chemical Rating Licencepubd gaz 23 February 1996 p 857

Form 5—Renewal of Pilot Chemical Rating Licencepubd gaz 23 February 1996 p 857

Form 6—Application for the Issue of an Aerial Distribution Contracto Licencepubd gaz 23 February 1996 p 857

Form 7—Application for Renewal of an Aerial Distribution Contractor Licencepubd gaz 23 February 1996 p 857

Form 8—Aerial Distribution Contractor Licencepubd gaz 23 February 1996 p 857

Form 9—Renewal of Aerial Distribution Contractor Licencepubd gaz 23 February 1996 p 857

Form 10—Notification of Change to Particulars in Aerial Distribution Contractor Licencepubd gaz 23 February 1996 p 857

Form 11—Application for Examination to Qualify for a Commercial Operator’s Licencepubd gaz 23 February 1996 p 857

Form 12—Application for the Issue of a Commercial Operator’s Licencepubd gaz 23 February 1996 p 857

Form 13—Application for Renewal of Commercial Operator’s Licencepubd gaz 23 February 1996 p 857

Form 14—Commercial Operator’s Licencepubd gaz 23 February 1996 p 857

Form 15—Renewal of a Commercial Operator’s Licencepubd gaz 23 February 1996 p 857

Form 16—Notification of Complaint on damages to crops or injury to stockpubd gaz 23 February 1996 p 857

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

pubd gaz 23 February 1996 p 857Form 18—Permission to Carry out Distribution of Chemicals in a Hazardous area

pubd gaz 23 February 1996 p 857

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

Forms notified or published in the gazette—Issue 31 (2007) 1039

APIARIES ACT 1982


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

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

Form 1 Version 1—Indemnity certificate pursuant to section 15 of the Appeal Costs Fund Act 1973pubd gaz 28 January 2000 pp 264–5

Form 2 Version 1—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

pubd gaz 28 January 2000 pp 264–5Form 3 Version 1—Application to the Appeal Costs Board by the abovenamed (appellant or

respondent) for a certificate authorising payment from the Appeal Costs Fund pursuant to section16(2) of the Act

pubd gaz 28 January 2000 pp 264–5Form 4 Version 1—Certificate of the Appeal Costs Board authorising payment from the Appeal

Costs Fund pursuant to section 16 and section 5(8) of the Actpubd gaz 28 January 2000 pp 264–5


ARCHITECTS ACT 2002


Form 5 Version 1—Indemnity certificate pursuant to section 17 of the Appeal Costs Fund Act 1973pubd gaz 28 January 2000 pp 264–5

Form 6 Version 1—Application to the Appeal Costs Board by the appellant for certificateauthorising payment from the Appeal Costs Fund pursuant to section 18 of the Act


Costs Fund pursuant to section 18 and section 5(8) of the Actpubd gaz 28 January 2000 pp 264–5

Form 8 Version 1—Certificate pursuant to section 22(1)(c) of the Appeal Costs Fund Act 1973pubd gaz 28 January 2000 pp 264–5

Form 9 Version 1—Application to the Appeal Costs Board for a certificate authorising paymentfrom the Appeal Costs Fund pursuant to (sections 22 or 23) of the Act


Costs Fund pursuant to (sections 22 or 23) of the Act and section 5(8) of the Actpubd gaz 28 January 2000 pp 264–5

Form 11 Version 1— Application to the Appeal Costs Board for a certificate authorising paymentfrom the Appeal Costs Fund pursuant to section 24 of the Act

pubd gaz 28 January 2000 pp 264–5Form 12 Version 1—Application to the Appeal Costs Board by the abovenamed (name of infant

plaintiff 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


Costs Fund pursuant to section 24 of the Act and section 5(8) of the Actpubd gaz 28 January 2000 pp 264–5

Form 14 Version 1—Certificate of the Appeal Costs Board authorising payment from the AppealCosts Fund pursuant to section 6(8) of the Act

pubd gaz 28 January 2000 pp 264–5

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

BAIL ACT 1980

See forms published 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 1517


BAIL ACT 1980


Form 2 Version 1—Particulars of persons granted bail by deposit of moneypubd gaz 24 August 2001 p 1517

Form 3 Version 1—Notice of person granted bail by deposit of moneypubd gaz 24 August 2001 p 1517

Form 4 Version 1—Notice of time and place of adjourned hearing of offence where defendant doesnot appear personally in accordance with his bail

pubd gaz 24 August 2001 p 1517Form 5 Version 1—Notice of person granted bail by deposit of money or permitted to go at large

without bailpubd gaz 24 August 2001 p 1517

Form 6 Version 1—Duplicate certificate of bailpubd gaz 24 August 2001 p 1517

Form 7 Version 1—Undertaking as to Bailpubd gaz 31 May 1996 p 816

Form 8 Version 1—Notice to defendant and surety or sureties of undertaking as to bailpubd gaz 31 May 1996 p 816

Form 9 Version 1—Undertaking as to Bail following Committal for Trial or for Sentencepubd gaz 31 May 1996 p 816

Form 10 Version 1—Undertaking as to Bail following grant of Bail by Judge of the Supreme orDistrict Court or Court of Appeal

pubd gaz 31 May 1996 p 816Form 10A Version 1—Undertaking as to Bail following grant of Bail by an Order of the Supreme

Court prior to commencement of or during examination of witnessespubd gaz 31 May 1996 p 816

Form 10B Version 1—Undertaking Following Grant of Appeal Bail by Magistratepubd gaz 13 February 2004 p 602

Form 11 Version 1—Affidavit of Justificationpubd gaz 24 August 2001 p 1517

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

Form 14 Version 1—Warrant to apprehend defendant on application by surety for discharge fromliability with respect to undertaking as to bail

pubd gaz 24 August 2001 p 1517Form 14A Version 1—Warrant for apprehension of defendant for failing to enter into undertaking

etc before leaving precincts of courtpubd gaz 28 May 2004 p 273

Form 15 Version 1—Warrant to apprehend defendant who has not appeared in accordance withundertaking

pubd gaz 24 August 2001 p 1517Form 16 Version 1—Warrant to apprehend defendant who has not appeared in accordance with

undertakingpubd gaz 24 August 2001 p 1517

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

Form 17 Version 1—Warrant of committal where bail has been revokedpubd gaz 24 August 2001 p 1517

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))



BILLS OF SALE AND OTHER INSTRUMENTS ACT 1955


Form 20 Version 1—Warrant to apprehend defendant on application for revocation or variation ofbail (s 30(4))

pubd gaz 24 August 2001 p 1517Form 22 Version 1—Warrant committing a defendant who has failed to appear in accordance with

undertakingpubd gaz 24 August 2001 p 1517

Form 23 Version 1—Release notice (by court)pubd gaz 24 November 2000 p 1180

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

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

BILLS OF SALE AND OTHER INSTRUMENTS ACT 1955

Form 1 Version 6 2006—Application to Register a Security Interestpubd gaz 28 July 2006 p 1477

Form 2 Version 5 2006—Application for a Discharge of a Registered Security Interestpubd gaz 28 July 2006 p 1477

Form 3 Version 5 2006—Application for a Partial Discharge of a Registered Security Interestpubd gaz 28 July 2006 p 1477

Form 4 Version 5 2006—Application to Change Particulars of a Registered Security Interestpubd gaz 28 July 2006 p 1477

Form 5 Version 5 2006—Application for Renewal of Registration of a Security Interestpubd gaz 28 July 2006 p 1477

Form 6 Version 5 2006—Application for Assignment of a Security Interestpubd gaz 28 July 2006 p 1477

BIRTHS, DEATHS AND MARRIAGES REGISTRATION ACT 2003

Form 4 Version 2—Application to Register a Change of Name in the Change of Name Registerpubd gaz 16 March 2007 p 1220

BODY CORPORATE AND COMMUNITY MANAGEMENT ACT 1997

Form BCCM 1 Version 5—Notice to body corporate of a contravention of a body corporate by-lawpubd gaz 20 October 2006 p 803

Form BCCM 2 Version 3—Notice of authorised signatories on body corporate financial institutionaccount

pubd gaz 20 October 2006 p 803Form BCCM 6 Version 3—Proxy form for body corporate general meetings

pubd gaz 20 October 2006 p 803Form BCCM 7 Version 4—Proxy form for committee meetings

pubd gaz 20 October 2006 p 803Form BCCM 13 Version 4—Body Corporate Information Certificate

pubd gaz 29 June 2007 p 1149Form BCCM 14 Version 6—Contract Warning

pubd gaz 21 April 2006 p 1540


BRANDS ACT 1915


Form BCCM 15 Version 6—Adjudication Application Formpubd gaz 29 June 2007 p 1149

Form BCCM 16 Version 2—Certificate of dismissalpubd gaz 20 October 2006 p 803

Form BCCM 17 Version 2—Notice of an adjudicator’s orderpubd gaz 20 October 2006 p 803

Form BCCM 18 Version 3—Guidelines for the engagement of a body corporate manager to carryout the functions of a committee and its executive members

pubd gaz 20 October 2006 p 803Form BCCM 19 Version 2—The effect of a change in the regulation module applying to a scheme

pubd gaz 20 October 2006 p 803Form BCCM 20 Version 3—Explanatory note—proposal to amend

pubd gaz 20 October 2006 p 803Form BCCM 22 Version 1—Conciliation Application Form

pubd gaz 29 June 2007 p 1149Form BCCM 23 Version 1—Application—Waiver of application fee

pubd gaz 29 June 2007 p 1149Form CMS Version 3—First/New Community Management Statement

pub gaz 23 March 2007 p 1248

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

Form 9 Version 1.08.2006—Application to vary the Building Act 1975pubd gaz 1 September 2006 p 20

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

Form 11 Version 1.08.2006—Certificate/Interim Certificate of Classificationpubd gaz 1 September 2006 p 20

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

Form 13 Version 1.08.2006—Application for Certificate of Classification for a building or structurebuilt before 30 April 1998/Change of Classification

pubd gaz 1 September 2006 p 20Form 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 1.08.2006—Compliance Certificate for building design or specification

pubd gaz 1 September 2006 p 20Form 16 Version 1.08.2006—Inspection Certificate/Aspect Certificate/QBSA Licensee Aspect

Certificatepubd gaz 1 September 2006 p 20

Form 17 Version 1.08.2006 Final Inspection Certificate—swimming pools/swimming pool fencingpubd gaz 1 September 2006 p 20


BUILDING AND CONSTRUCTION INDUSTRY PAYMENTS ACT 2004


Form 18 Version 1.08.2006 Notice to owner that a private certifier has been engagedpubd gaz 1 September 2006 p 20

Form 19 Version 1—Request for development informationpubd gaz 7 November 2003 p 754

Form 20 Version 1.08.2006—Lodgement of building work documentationpubd gaz 1 September 2006 p 20

Form 21 Version 1.08.2006—Final Inspection Certificatepubd gaz 1 September 2006 p 20

Form 22 Version 1.08.2006—Notice of discontinuance of engagementpubd gaz 1 September 2006 p 20

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

BUILDING AND CONSTRUCTION INDUSTRY PAYMENTS ACT 2004

Form 1 Version 12—Application for Registration of an Adjudicatorpubd gaz 2 September 2005 p 62

Form 2 Version 13—Application for Registration of an Authorised Nominating Authoritypubd gaz 2 September 2005 p 62

Form 3 Version 2—Adjudicator Certificatepubd gaz 2 September 2005 p 62

Form BCI 5 Version 1—Worker Service Return—Certificate of Servicepubd gaz 28 July 2006 p 1476

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

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

Form 3—Worker Membership Applicationpubd gaz 30 September 2005 p 387

Form 4—Employer Registration Applicationpubd gaz 30 September 2005 p 387

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

Form 6—Retrospective Service Credits Applicationpubd gaz 30 September 2005 p 387

Form 7—Worker Claim – 10 Years Servicepubd gaz 30 September 2005 p 387

Form 8—Worker Claim – Leaving the Industrypubd gaz 30 September 2005 p 387

Form 9—Personal Representative Claimpubd gaz 30 September 2005 p 387

Form 10—Notification and Payment Formpubd gaz 30 September 2005 p 387

Form 11—Application for Levy Refundpubd gaz 30 September 2005 p 387

Form 12—Identity Cardpubd gaz 30 September 2005 p 387


BUILDING UNITS AND GROUP TITLES ACT 1980


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

pubd gaz 16 July 2004 p 852

BUSINESS NAMES ACT 1962

Form 1 Version 15—Application for Registration of a Business Namespubd gaz 26 August 2005 p 1457

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

Form 4 Version 10—Statement of Change in Certain Particularspubd gaz 26 August 2005 p 1457

Form 4 Version 6 2004—Cessation of Business under Business Namepubd gaz 9 January 2004 p 61

CHEMICAL USAGE (AGRICULTURAL AND VETERINARY) CONTROL ACT 1988

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

CHILD CARE ACT 2002

Form 1 Version 2—Application for a New Licence pubd gaz 2 June 2006 p 452

Form 6 Version 2—Application for Renewal of Licencepubd gaz 2 June 2006 p 452

Form 7 Version 2—Application for an Amendment to a Licencepubd gaz 2 June 2006 p 452

Form 20 Version 4—Application for Determination of Qualificationspubd gaz 6 October 2006 p 575

Form 23 Version 2—Application to Cancel Prohibition Noticepubd gaz 2 June 2006 p 452

Form 24 Version 2—Application for a Replacement Licencepubd gaz 2 June 2006 p 452

Form 25 Version 2—Reporting of Harmpubd gaz 2 June 2006 p 452


CHILD EMPLOYMENT ACT 2006


Form 27 Version 1—Reporting of a Serious Injury or Deathpubd gaz 2 June 2006 p 452

CHILD EMPLOYMENT ACT 2006

Form 1 Version 2—Parent’s Consent Formpubd gaz 22 December 2006 p 1957

CHILD PROTECTION ACT 1999

Form 1 Version 3—Application for a temporary assessment orderpubd gaz 9 February 2007 p 647

Form 2 Version 3—Application to extend and/or vary a temporary assessment orderpubd gaz 9 February 2007 p 647

Form 3 Version 2—Temporary assessment orderpubd gaz 5 December 2003 p 1103

Form 4 Version 2—Temporary assessment order – extension/variationpubd gaz 5 December 2003 p 1103

Form 5 Version 3—Application for a court assessment orderpubd gaz 9 February 2007 p 647

Form 6 Version 3—Application to extend/vary/revoke a court assessment orderpubd gaz 9 February 2007 p 647

Form 7 Version 2—Court assessment orderpubd gaz 5 December 2003 p 1103

Form 8 Version 2—Court assessment order – extension/variation/revocationpubd gaz 5 December 2003 p 1103

Form 9 Version 2—Adjournment of proceeding for a court assessment orderpubd gaz 5 December 2003 p 1103

Form 10 Version 3—Application for a child protection orderpubd gaz 9 February 2007 p 647

Form 11 Version 3—Application to extend/vary/revoke a child protection orderpubd gaz 9 February 2007 p 647

Form 12 Version 3—Application to revoke a child protection order and make another childprotection order

pubd gaz 9 February 2007 p 647Form 13 Version 2—Child protection order

pubd gaz 5 December 2003 p 1103Form 14 Version 2—Child protection order – extension/variation/revocation

pubd gaz 5 December 2003 p 1103Form 15 Version 2—Child protection order made in place of revoked order

pubd gaz 5 December 2003 p 1103Form 16 Version 3—Adjournment of proceeding for a child protection order

pubd gaz 9 February 2007 p 647Form 17 Version 3—Aboriginal and Torres Strait Islander Recognised Entity

pubd gaz 9 February 2007 p 647Form 18 Version 2—Report of a family meeting

pubd gaz 5 December 2003 p 1103Form 19 Version 2—Notice of court ordered conference

pubd gaz 5 December 2003 p 1103


CHILDREN SERVICES TRIBUNAL ACT 2000


Form 20 Version 2—Report of court ordered conferencepubd 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 childpubd gaz 5 December 2003 p 1103

Form 28 Version 2—Warrant for apprehension of a childpubd gaz 5 December 2003 p 1103

Form 30 Version 1—Application for order to transfer a child protection order interstatepubd gaz 13 July 2001 p 1033

Form 31 Version 2—Order for the interstate transfer of child protection order/spubd gaz 5 December 2003 p 1103

Form 32 Version 1—Application for order to transfer a child protection proceeding interstatepubd gaz 13 July 2001 p 1033

Form 33 Version 2—Adjournment of proceeding for an order to transfer a child protection orderinterstate

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

pubd gaz 5 December 2003 p 1103Form 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/proceedingpubd gaz 5 December 2003 p 1103

Form 37 Version 1—Filing of order to transfer an interstate child protection order to Queensland forregistration

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 1 CA Version 2—Care Agreementpubd gaz 2 March 2007 p 977

Form 2 CCC Version 3—Change in Carer Circumstancespubd gaz 2 March 2007 p 977

Form 2 LCS Version 2—Licensing of Care Services–Application for Personal History Checkpub gaz 16 September 2005 p 220

Form 3 APA Version 4—Application for Approvalpubd gaz 2 March 2007 p 977

CHILDREN SERVICES TRIBUNAL ACT 2000

Form 1 Version 2—Application to Review a Decisionpubd gaz 20 June 2003 p 629

CHILDRENS COURT ACT 1992

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


CHILDRENS COURT ACT 1992


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 2—Aboriginal and Torres Strait Islander Recognised Entity

pubd gaz 23 March 2007 p 1364Form 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 1391Form 25 Version 1—Affidavit

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

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



CHIROPRACTORS REGISTRATION ACT 2001


Form 28 Version 1—Warrant for apprehension of a childpubd gaz 14 April 2000 p 1391

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

CHIROPRACTORS REGISTRATION ACT 2001

Form Ch101 Version March 2002—Application for General Registration as a Chiropractor inQueensland

pubd gaz 4 February 2005 p 330Form Ch301 Version March 2002—Application for Special Purpose Registration as a Chiropractor

in Queenslandpubd gaz 4 February 2005 p 330

Form Ch401 Version May 2002—Application for Renewal of General Registration as a Chiropractorin Queensland

pubd gaz 4 February 2005 p 330Form Ch1401 Version May 2002—Notice of Expiry of Registration and Application for Restoration

of General Registration as a Chiropractor in Queenslandpubd gaz 4 February 2005 p 330

Form Ch1601 Version May 2002—Application for Review of Conditions on Registrationpubd gaz 4 February 2005 p 330

Form Chn158 Version May 2002—Notice to Produce or Safeguard Evidencepubd gaz 4 February 2005 p 330

Form MR CH111 Version May 2002—Application for Registration under Mutual Recognition as aChiropractor in Queensland

pubd gaz 4 February 2005 p 330Form TTMR CH311 Version May 2002—Application for Registration under Trans-Tasman Mutual

Recognition as a Chiropractor in Queenslandpubd gaz 4 February 2005 p 330

CITY OF BRISBANE ACT 1924

Form 5A ECQ Version July 2004—Endorsed Candidate’s Consent and Declarationpubd gaz 16 July 2004 p 850

Form BCC 5A Version July 2004—Endorsed Candidate’s Consent and Declarationpubd gaz 16 July 2004 p 850

Form QFD 07 Version January 2004—Disclosure Returns to be Given by a Third Party Following anElection

pubd gaz 16 July 2004 p 850Form QFD 08 Version January 2004—Claim for Election Funding

pubd gaz 16 July 2004 p 850Form QFD 09 Version January 2004—Disclosure Returns to be Given on Behalf of a Candidate

Following an Electionpubd gaz 16 July 2004 p 850

Form QFD 11 Version January 2004—Return by a Broadcaster Following a State Electionpubd gaz 16 July 2004 p 850

Form QFD 12 Version January 2004—Return by a Publisher Following a State Electionpubd gaz 16 July 2004 p 850

Form SPV 1 Version July 2004—Review of Special Postal Voter Registerpubd gaz 16 July 2004 p 850


COMMERCIAL AND CONSUMER TRIBUNAL ACT 2003


Form SPV 2 Version July 2004—Review of Special Postal Voter Register (State Only)pubd gaz 16 July 2004 p 850

COMMERCIAL AND CONSUMER TRIBUNAL ACT 2003

Form 1B Version 1— Application—Domestic Building Disputepubd gaz 8 August 2003 p 1232

Form 1Ca Version 1— Application—Commercial Building Disputepubd gaz 8 August 2003 p 1232

Form 1Cb Version 1— Application—Major Commercial Building Disputepubd gaz 8 August 2003 p 1232

Form 1D Version 1— Application—Disciplinary Proceeding (Building List)pubd gaz 8 August 2003 p 1232

Form 1DA Version 1— Application—Disciplinary Proceeding (Building List—Architects)pubd gaz 8 August 2003 p 1232

Form 1DE Version 1— Application—Disciplinary Proceeding (Building List—Engineers)pubd gaz 8 August 2003 p 1232

Form 1GH Version 1— Application—Allocation Dispute—Mediationpubd gaz 8 August 2003 p 1232

Form 1GM Version 1— Application—Allocation Dispute—Hearingpubd gaz 8 August 2003 p 1232

Form 1R Version 1— Application—Review (Building, Liquor & Property Agents and MotorDealers Lists)

pubd gaz 8 August 2003 p 1232Form 1RVM Version 1— Application—Dispute Notice—Mediation (Retirement Village List)

pubd gaz 8 August 2003 p 1232Form 1RVH Version 1— Application—Tribunal Hearing (Retirement Village List)

pubd gaz 8 August 2003 p 1232Form 2 Version 1— Affidavit of Service—generic

pubd gaz 8 August 2003 p 1232Form 3 Version 1— Defence and Counterclaim

pubd gaz 8 August 2003 p 1232Form 4 Version 1— Application in Proceeding—generic

pubd gaz 8 August 2003 p 1232Form 5 Version 1— Request for Decision by Default


COMMISSION FOR CHILDREN AND YOUNG PEOPLE AND CHILD GUARDIAN ACT 2000

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


COMMUNITY AMBULANCE COVER ACT 2003


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

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

COMMUNITY AMBULANCE COVER ACT 2003

Form 1 Version 2—Electricity retailer returnpubd gaz 16 January 2004 p 132

Form 2 Version 2—On-supplier returnpubd gaz 16 January 2004 p 132

Form 3 Version 3—Non-domestic building multiple accounts- exemption applicationpubd gaz 16 January 2004 p 132

Form 4 Version 2—Pensioner- exemption applicationpubd gaz 16 January 2004 p 132

Form 5 Version 3—Pumps and farming sheds Exemption applicationpubd gaz 14 July 2006 p 1265

Form 6 Version 2—Religious bodies and other institutions- exemption applicationpubd gaz 16 January 2004 p 132

Form 7 Version 2—Government- exemption applicationpubd gaz 16 January 2004 p 132

Form 8 Version 2—Notification for loss of exemption entitlementpubd gaz 16 January 2004 p 132

Form 9 Version 1—Objectionspubd gaz 16 January 2004 p 132

Form 10 Version 2—Power card arrangement notificationpubd gaz 16 January 2004 p 132


CONTRACT CLEANING INDUSTRY (PORTABLE LONG SERVICE LEAVE) ACT 2005


CONTRACT CLEANING INDUSTRY (PORTABLE LONG SERVICE LEAVE) ACT 2005

Form 1 Version 1—Worker Applicationpubd gaz 30 September 2005 p 388

Form 2 Version 1—Employer Applicationpubd gaz 30 September 2005 p 388

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

Form 4 Version 1—Employer Returnpubd gaz 30 September 2005 p 388

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

Form 6 Version 1—Contract Cleaning Industry Employer Application for Paymentpubd gaz 28 July 2006 p 1476

CORONERS ACT 2003

Form 1 Version 5—Police report of death to a coronerpubd gaz 22 June 2007 p 1014

Form 1A Version 1—Notification of Reportable Death by Medical Practitioner and Authorisation ofCoroner to Issue Cause of Death

pubd gaz 21 November 2003 p 955–6Form 2 Version 2—Order for Autopsy and Autopsy Testing

pubd gaz 6 May 2005 p 60Form 3 Version 1—Doctor’s Notice to Coroner after Autopsy

pubd gaz 21 November 2003 p 955–6Form 4 Version 1—Order Allowing Person to Observe Autopsy

pubd gaz 21 November 2003 p 955–6Form 5 Version 1—Notice Requiring Extra Medical Evidence for Autopsy

pubd gaz 21 November 2003 p 955–6Form 6 Version 1—Order for Disposal of Tissue kept for testing

pubd gaz 21 November 2003 p 955–6Form 7 Version 1—Statement that Coroner has Ordered Disposal of Tissue

pubd gaz 21 November 2003 p 955–6Form 8 Version 1—Autopsy Report

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

pubd gaz 21 November 2003 p 955–6Form 10 Version 1—Order for Exhuming Body or Recovering Cremated Remains

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

pubd gaz 21 November 2003 p 955–6Form 12 Version 1—Order for Release of Traditional Remains

pubd gaz 21 November 2003 p 955–6Form 13 Version 1—Order for Release of Body to Other Jurisdiction

pubd gaz 21 November 2003 p 955–6Form 14 Version 2—Order for Release of body for Burial (including cremation)

pubd gaz 30 June 2006 p 1049Form 15 Version 1—Application to Coroner to Hold an Inquest

pubd gaz 21 November 2003 p 955–6


CORRECTIVE SERVICES ACT 2006


Form 16 Version 1—Application to the State Coroner for an Order to Hold an Inquestpubd gaz 21 November 2003 p 955–6

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

Form 18 Version 1—Coroners Court Order to Produce/ Order to Attend Inquestpubd gaz 21 November 2003 p 955–6

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

Forms 20 and 28—Record of Coroners Findings and Comments and Notice of Completion ofCoronial Investigation

pubd gaz 13 May 2005 p 147Form 21 Version 1—Application to the State Coroner to Set Aside a Finding

pubd gaz 21 November 2003 p 955–6Form 22 Version 1—Order Prohibiting Publication Relating to an Inquest

pubd gaz 21 November 2003 p 955–6Form 23 Version 1—Coroners Court Order Excluding Person from Inquest

pubd gaz 21 November 2003 p 955–6Form 24 Version 1—Coroners Court Order to Attend Pre-Inquest Conference

pubd gaz 21 November 2003 p 955–6Form 25 Version 1—Requirement by Coroner for Information

pubd gaz 21 November 2003 p 955–6Form 26 Version 1—Decision by Coroner whether to Hold an Inquest

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

pubd gaz 21 November 2003 p 955–6


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

Form 2 Version 1—Application By Prisoner To Have Child Accommodated In A CorrectiveServices Facility

pubd gaz 25 August 2006 pp 1981–2Form 3 Version 1—Notice Of Intent To Marry

pubd gaz 25 August 2006 pp 1981–2Form 4 Version 1—Application To Change Name

pubd gaz 25 August 2006 pp 1981–2Form 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 1—Order For Transfer Of A Prisoner

pubd gaz 25 August 2006 pp 1981–2Form 10 Version 1—Instrument Ordering Chief Executive To Produce Prisoner

pubd gaz 25 August 2006 pp 1981–2Form 11 Version 1—Order For Transfer Of Prisoner To Attend Court

pubd gaz 25 August 2006 pp 1981–2




Form 12 Version 1—Application For Removal Of A Prisoner From A Corrective Services FacilityFor Law Enforcement Purposes

pubd gaz 25 August 2006 pp 1981–2Form 12(a) Version 1—Approval For Removal Of A Prisoner From A Corrective Services Facility

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

Form 13 Version 1—Work Orderpubd gaz 25 August 2006 pp 1981–2

Form 14 Version 1—Order For Amendment/Cancellation Of Work Orderpubd gaz 25 August 2006 pp 1981–2

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

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

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

Form 17 Version 1—Notice To Prisoner Of Amendment / Suspension / Cancellation Of Leave OfAbsence Order

pubd gaz 25 August 2006 pp 1981–2Form 18 Version 1—Interstate Leave Permit

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

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

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

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

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

pubd gaz 25 August 2006 pp 1981–2Form 23 Version 1—Breach Of Discipline

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

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

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

pubd gaz 25 August 2006 pp 1981–2Form 27 Version 1—Approval for Access to a Corrective Services Facility and Visit a Prisoner

(Personal Visitor)pubd gaz 25 August 2006 pp 1981–2

Form 28 Version 1—Application By Prisoner For Exceptional Circumstances Parole Orderpubd gaz 25 August 2006 pp 1981–2

Form 29 Version 1—Application By Prisoner For Parole Order / Approval For Resettlement LeaveProgram

pubd gaz 25 August 2006 pp 1981–2Form 30 Version 1—Board Amendment / Suspension / Cancellation Of Approval Of Resettlement

Leave Programpubd gaz 25 August 2006 pp 1981–2

Form 31 Version 1—Court Ordered Parole Orderpubd gaz 25 August 2006 pp 1981–2


CREMATIONS ACT 2003


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 1—Permit To Leave And Remain Out Of Queenslandpubd gaz 25 August 2006 pp 1981–2

Form 35 Version 1—Permit For Prisoner On Parole To Travel Overseas For Exceptional Purposespubd gaz 25 August 2006 pp 1981–2

Form 36 Version 1—Order By Chief Executive For Amendment / Suspension Of Parole Orderpubd gaz 25 August 2006 pp 1981–2

Form 36(a) Version 1—Notice Of Order For Suspension / Amendment Of Parole Orderpubd gaz 25 August 2006 pp 1981–2

Form 37 Version 1—Warrant By Chief Executive For Arrest And Conveyance Of Prisoner To Prisonpubd gaz 25 August 2006 pp 1981–2

Form 38 Version 1—Order By Board For Amendment / Suspension / Cancellation Of Parole Orderpubd gaz 25 August 2006 pp 1981–2

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

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

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

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

Form 43 Version 1—Application By Prisoner For Review Of Regional Parole Board Refusalpubd gaz 25 August 2006 pp 1981–2

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

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 1—Authorisation Of Volunteerpubd gaz 25 August 2006 pp 1981–2

Form 49 Version 2—Application to Register with the Queensland Corrective Services VictimRegister

pubd gaz 23 March 2007 p 1361Form 50 Version 1—Request By Court For Pre-Sentence Report

pubd gaz 25 August 2006 pp 1981–2Form 51 Version 1—Leave To Appear Or Be Represented By An Agent Before A Parole Board

pubd gaz 25 August 2006 pp 1981–2

CREMATIONS ACT 2003

Form 1 Version 1—Application for a Permission to Crematepubd gaz 14 November 2003 p 863

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

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


CRIMINAL CODE [1899]


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

CRIMINAL CODE [1899]


CRIMINAL LAW (REHABILITATION OF OFFENDERS) ACT 1986

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

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

pubd gaz 31 May 1996 p 817


DANGEROUS GOODS SAFETY MANAGEMENT ACT 2001


DANGEROUS GOODS SAFETY MANAGEMENT ACT 2001

Form 1 Version 3—Notification of a Large Dangerous Goods Location (LP Gas, Flammable Liquidsand/or Combustible Liquids only)

pubd gaz 26 March 2004 p 1141Form 2 Version 3—Notification of a Large Dangerous Goods Location (all classes and types of

stated dangerous goods and combustible liquids)pubd gaz 26 March 2004 p 1146

Form 3 Version 3—Notification of Possible Major Hazard Facilitypubd gaz 14 October 2005 pp 592–7

Form 11 Version 1—Dangerous Goods Safety Management Infringement Noticepubd gaz 3 May 2002 p 81

Form 12 Version 1—Further notification of Large Dangerous Goods Locationpubd gaz 26 March 2004 p 1158

DANGEROUS PRISONERS (SEXUAL OFFENDERS) ACT 2003

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

Form 2 Version 1—Complaint—Sworn, and Arrest Warrantpubd gaz 16 January 2004 p 137

DENTAL PRACTITIONERS REGISTRATION ACT 2001

Form D101 Version January 2002—Application for General Registration as a Dentist in Queenslandpub gaz 21 December 2001 p 1443

Form D105 Version May 2002—Application for Renewal of Special Purpose Registration inQueensland

pubd gaz 4 February 2005 p 331Form D201 Version January 2002—Application for Dental Specialist Registration in Queensland

pub gaz 21 December 2001 p 1443Form D301 Version January 2002—Application for Special Purpose Registration in Queensland

under the Dental Practitioners Registration Act 2001pub gaz 21 December 2001 p 1443

Form D401 Version March 2004—Application for Registration as a Dental Auxiliary in Queenslandpubd gaz 4 February 2005 p 331

Form D501 Version May 2002—Application for Renewal of Specialist Registration in Queenslandpubd gaz 4 February 2005 p 331

Form D1401 Version January 2002—Notice of Expiry of Registration and Application forRestoration of General Registration as a Dentist in Queensland

pub gaz 21 December 2001 p 1443Form D1501 Version January 2002—Notice of Expiry of Registration and Application for

Restoration of General and Specialist Registration as a Dentist and Dental Specialist inQueensland

pub gaz 21 December 2001 p 1443Form D1601 Version January 2002—Application for Review of Conditions on Registration

pub gaz 21 December 2001 p 1443Form DN180 Version January 2002—Notice to Produce or Safeguard Evidence

pub gaz 21 December 2001 p 1443


DENTAL TECHNICIANS AND DENTAL PROSTHETISTS REGISTRATION ACT 2001


Form MR D411 Version October 2004—Application for Registration under Mutual Recognition as aDental Auxiliary in Queensland

pubd gaz 4 February 2005 p 331Form TTMR DA311 Version October 2004—Application for Registration under Trans-Tasman

Mutual Recognition as a Dental Auxiliary in Queenslandpubd gaz 4 February 2005 p 331

DENTAL TECHNICIANS AND DENTAL PROSTHETISTS REGISTRATION ACT 2001

Form DT 401 Version May 2002—Application for Renewal of General Registration as a DentalTechnician in Queensland

pubd gaz 4 February 2005 p 332Form DT 1401 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 DTDP 101 May 2002—Application for General Registration as a Dental Technician or DentalProsthetist in Queensland

pubd gaz 4 February 2005 p 332Form DTDP 301 Version May 2002—Application for Special Purpose Registration as a Dental

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

Form DTDP 401 Version May 2002—Application for Renewal of General Registration as a DentalTechnician and Dental Prosthetist in Queensland

pubd gaz 4 February 2005 p 332Form DTDP 1401 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 DTDP 1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 4 February 2005 p 332

Form DTDP N158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 4 February 2005 p 332

Form MR DT111 Version May 2002—Application for Registration under Mutual Recognition as aDental Technician in Queensland

pubd gaz 4 February 2005 p 332Form MR DP111 Version May 2002—Application for Registration under Mutual Recognition as a

Dental Prosthetist in Queenslandpubd gaz 4 February 2005 p 332

Form TTMR DT311 Version May 2002—Application for Registration under Trans-Tasman MutualRecognition as a Dental Technician in Queensland

pubd gaz 4 February 2005 p 332Form TTMR DP311 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

Form 6-1 Version 1—Application for approvalpubd gaz 21 July 2006 p 1368


DISASTER MANAGEMENT ACT 2003


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

Form 10-1 Version 1—Application for criminal history screening (prescribed notice)pubd gaz 21 July 2006 p 1368

Form 10-2 Version 1—Application for criminal history screening - change of detailspubd gaz 21 July 2006 p 1368

Form 10-3 Version 1—Application for replacement positive notice cardpubd gaz 23 March 2007 p 1365

Form 10-4 Version 1—Change of details of positive notice holderpubd gaz 23 March 2007 p 1365

Form 10-5 Version 1—Application for cancellation of negative notice and issue of positive noticepubd gaz 23 March 2007 p 1365

Form 10-6 Version 1—Application for information from register of engaged personspubd gaz 23 March 2007 p 1365

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

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


DISEASES IN TIMBER ACT 1975

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

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


DOMESTIC AND FAMILY VIOLENCE PROTECTION ACT 1989

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

Form 2 Version 3—Temporary Protection Orderpubd gaz 28 February 2003 pp 767–8

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

Form 4A Version 1—Revocation of a Domestic Violence Orderpubd gaz 28 February 2003 pp 767–8

Form 4B Version 2—Variation to a Domestic Violence Orderpubd gaz 28 February 2003 pp 767–8

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 767–8


DRUG COURT ACT 2000


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

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

Form 14 Version 1—Notice to Appearpubd gaz 9 March 2007 p 1103

DRUG COURT ACT 2000

Form 1 Version 3—Order for referral for assessmentpubd gaz 27 October 2006 p 936

Form 2 Version 3—Order for referral for indicative assessmentpubd gaz 27 October 2006 p 936

Form 3 Version 3—Intensive drug rehabilitation orderpubd gaz 27 October 2006 p 936

Form 4 Version 3—Amendments to intensive drug rehabilitation orderpubd gaz 27 October 2006 p 936

Form 5 Version 3—Warrant of commitment where suspension of sentence delayedpubd gaz 27 October 2006 p 936

Form 6 Version 3—Release Authoritypubd gaz 27 October 2006 p 936

Form 7 Version 3—Permit for offender subject to drug rehabilitation order to leave or stay out ofQueensland

pubd gaz 27 October 2006 p 936Form 8 Version 1—Community service order

pubd gaz 9 June 2000 p 446Form 9 Version 3—Warrant of commitment for detoxification or assessment of person subject to

intensive drug rehabilitation orderpubd gaz 27 October 2006 p 936

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

pubd gaz 27 October 2006 p 936Form 11 Version 3—Warrant of commitment for sanction of imprisonment

pubd gaz 27 October 2006 p 936Form 12 Version 3—Application to amend intensive drug rehabilitation order

pubd gaz 27 October 2006 p 936Form 13 Version 3—Application to terminate an intensive drug rehabilitation program

pubd gaz 27 October 2006 p 936Form 14 Version 3—Notice of application to amend or terminate intensive drug rehabilitation order

pubd gaz 27 October 2006 p 936Form 15 Version 3—Bench warrant to arrest and detail a participant in a rehabilitation program

pubd gaz 27 October 2006 p 936Form 16 Version 2—Sanction – monetary penalty

pubd gaz 27 October 2006 p 936

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


DUTIES ACT 2001


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

Form 10 Version 1 27 July 2000—Advice Regarding Written Notice of Challengepubd gaz 1 September 2000 p 53

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


EDUCATION (GENERAL PROVISIONS) ACT 2006


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

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 1250

EDUCATION (GENERAL PROVISIONS) ACT 2006

Form ASE–1 Version 1—Application for 25th and/or 26th semester of state educationpubd gaz 3 November 2006 p 1093

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

pubd gaz 3 November 2006 p 1093


EDUCATION (QUEENSLAND COLLEGE OF TEACHERS) ACT 2005


Form CRH–1 Version 1—Continuing registration for home educationpubd gaz 3 November 2006 p 1093

Form DCH–1 Version 1—Disclosure of criminal history formpubd gaz 3 November 2006 p 1093

Form ECP–1 Version 1—Application for exemption from the compulsory participation phasepubd gaz 3 November 2006 p 1093

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

pubd gaz 3 November 2006 p 1093Form ECS–2 Version 1—Application for exemption from compulsory schooling for 1 school year or

more (state school)pubd gaz 3 November 2006 p 1093

Form ECS–3 Version 1—Application for exemption from compulsory schooling (nonstate school)pubd gaz 3 November 2006 p 1093

Form ECS–20 Version 1—Application for exemption from compulsory schooling: Delayed Entry toYear 1

pubd gaz 3 November 2006 p 1093Form FTE–2 Version 1—Notice about compulsory schooling obligation–failure to enrol

pubd gaz 3 November 2006 p 1093Form FTE–4 Version 1—Warning notice about compulsory schooling obligation – failure to enrol

pubd gaz 3 November 2006 p 1093Form MAS–1 Version 1—Mature age student notice application form

pubd gaz 3 November 2006 p 1093Form RHE–1 Version 1—Application for registration for home education

pubd gaz 3 November 2006 p 1093Form SEF–1 Version 1—Application for student enrolment form

pubd gaz 3 November 2006 p 1093Form STN–1 Version 1—Student transfer note

pubd gaz 3 November 2006 p 1093Form TCS–3 Version 1—Notice about compulsory schooling obligation–failure to attend

pubd gaz 3 November 2006 p 1093Form TCS–4 Version 1—Warning notice about compulsory schooling obligation – failure to attend

pubd gaz 3 November 2006 p 1093Form TCP–3 Version 1—Notice of obligation under compulsory participation phase

pubd gaz 3 November 2006 p 1093Form TCP–4 Version 1—Warning notice about obligation in the compulsory participation phase


EDUCATION (QUEENSLAND COLLEGE OF TEACHERS) ACT 2005

Form A101/06 Version 2—Application for Teacher Registration in Queenslandpubd gaz 17 March 2006 p 1088

Form A124/06 Version 1—Certificate of Queensland Teacher Registrationpubd gaz 17 March 2006 p 1088

Form A125/06 Version 1—Permission to Teachpubd gaz 17 March 2006 p 1088

Form A126/06 Version 1—Application to Replace a Certificate of Registration or Permission toTeach

pubd gaz 17 March 2006 p 1088Form A127/06 Version 1—Queensland Teacher Registration Card



ELECTORAL ACT 1992


Form A128/06 Version 1—Disclosure of Change in Teacher’s Criminal Historypubd gaz 17 March 2006 p 1088

Form A130/06 Version 1—Application for Internal Review of a Decisionpubd gaz 17 March 2006 p 1088

Form A131/06 Version 1—Application for Permission to Teachpubd gaz 17 March 2006 p 1088

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 QFD 01 Version July 2004—Annual Return by the Agent of a Registered Political Partypubd gaz 30 July 2004 p 1005

Form QFD 02 Version June 2005—Annual Return by an Associated Entitypubd gaz 8 July 2005 p 833

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 June 2002—Disclosure Returns to be Given by a Third Party Following anElection

pubd gaz 16 January 2004 p 138Form QFD 08 Version June 2002—Claim for Election Funding

pubd gaz 16 January 2004 p 138Form QFD 09 Version April 2002—Disclosure Returns to be Given on Behalf of a Candidate

Following an Electionpubd gaz 16 January 2004 p 138

Form QFD 11 Version June 2002—Return by a Broadcaster Following a State Electionpubd gaz 16 January 2004 p 138

Form QFD 12 Version June 2002—Return by a Publisher Following a State Electionpubd gaz 16 January 2004 p 138

Form QPR 01 Version April 2002—Application to Register a Political Partypubd gaz 16 January 2004 p 138

Form QPR 02 Version May 2002—Application to Change the Register of Political Partiespubd gaz 16 January 2004 p 138


ELECTRICAL SAFETY ACT 2002


Form QPR 04 Version April 2002—Quarterly Report (Section 76A)pubd gaz 16 January 2004 p 138

Form SPV 1 Version March 2003—Review of Postal Voter Registerpubd gaz 16 January 2004 p 138

Form SPV 2 Version March 2003—Review of Postal Voter Register (State Only)pubd gaz 16 January 2004 p 138

ELECTRICAL SAFETY ACT 2002

Form 1 Version 2—Electricity Entity Incident Formpubd gaz 31 March 2006 p 1278

Form 2 Version 2.11—Electrical Safety Protection Noticepubd gaz 26 November 2004 p 1034

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 2 August 2003— Unsafe Equipment Noticepubd gaz 8 August 2003 p 1230

Form 6 Version 6—Application for approval of electrical equipmentpubd gaz 29 June 2007 p 1151

Form 7 Version 6—Application for approval of modifications to approved electrical equipmentpubd gaz 29 June 2007 p 1151

Form 7A Version 2—Supplementary form to modification applicationpubd gaz 29 June 2007 p 1151

Form 8 Version 4—Application for transfer of registration of electrical equipmentpubd gaz 29 June 2007 p 1151

Form 9 Version 5—Application to register a registrable cathodic protection systempubd gaz 29 June 2007 p 1151

Form 10 Version 5—Application for electrical work licence (apprentice)pubd gaz 29 June 2007 p 1151

Form 11 Version 5—Application for electrical work licence permit (other than apprentice)pubd gaz 29 June 2007 p 1151

Form 12 Version 7—Application for renewal, reinstatement or recognition of an expired Queenslandelectrical work licence

pubd gaz 29 June 2007 p 1151Form 13 Version 5—Improvement Notice

pubd gaz 10 December 2004 p 1190Form 14 Version 3—Application for appointment as an accredited auditor (for installations or

prescribed electricity entitles safety management systems)pubd gaz 23 June 2006 p 877

Form 15 Version 1 September 2002—Receipt of Seizurepubd gaz 27 September 2002 p 329

Form 16 Version 1 September 2002—Notice of Requirementpubd gaz 27 September 2002 p 329

Form 17 Version 2.07-2005—Application for review of decisionpubd gaz 21 October 2005 p 677

Form 18 Version 7—Application for a Queensland electrical contractor licencepubd gaz 29 June 2007 p 1151

Form 19 Version 6—Application for renewal or reinstatement of an electrical contractor licencepubd gaz 29 June 2007 p 1151


ELECTRICITY ACT 1994


Form 20 Version 6—Application for additional change of qualified person on a contractor licencepubd gaz 29 June 2007 p 1151

Form 21 Version 3—Application for a restricted electrical work licence permit (other thanapprentice)

pubd gaz 29 June 2007 p 1151Form 22 Version 3—Change of details replacement licence additional card form

pubd gaz 29 June 2007 p 1151Form 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 28 Version 1 August 2004—Safety Management System Certificate

pubd gaz 20 August 2004 p 1232Form 29 Version 1 January 2004—Application for review of a licensing decision

pubd gaz 10 September 2004 p 172Form 31 Version 3—Application for electrical work licence (permit holders)

pubd gaz 29 June 2007 p 1151Form 33 Version 3—Application for renewal of approval of electrical equipment

pubd gaz 9 February 2007 p 648Form 33A Version 2—Supplementary form to renewal application

pubd gaz 9 February 2007 p 648Form 35 Version 3—Application for extension of approval of electrical equipment

pubd gaz 29 June 2007 p 1151

ELECTRICITY ACT 1994

Form 5A Version 7—13% Liability Self Assessment Reportpubd gaz 9 June 2006 p 676

Form 5A Version 8—Annual Electricity Generation Returnpubd gaz 9 June 2006 p 676

Form 5A Version 9—Exemption Compliance Report—State Development Exemptionpubd gaz 9 June 2006 p 676

Form 5A Version 10—Exemption Compliance Report—Renewable Energy Exemptionpubd gaz 9 June 2006 p 676

Form 5A Version 11—Exemption Compliance Report—Power Station Auxiliary Load Exemptionpubd gaz 9 June 2006 p 676

Form 5A Version 12—GEC Reviewpubd gaz 10 November 2006 p 1210

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


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

Form PM2-0001 Version 2—Request for Validation of an Explosivepubd gaz 2 June 2006 p 367


FAIR TRADING ACT 1989


FAIR TRADING ACT 1989

Form 1 Version 2—Notice to consumerpubd gaz 10 December 2004 p 1191

Form 2 Version 2—Cancellation formpubd gaz 10 December 2004 p 1191

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

pubd gaz 16 January 1998 p 125


FIRE AND RESCUE SERVICE ACT 1990


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

Form FHOG 1 Version 2—First Home Owner Grant Application Formpubd gaz 16 January 2004 p 134

Form FHOG 1 Addendum Version 2—Application for New Home Grant $7000pubd gaz 16 January 2004 p 134

Form FHOG 1 Addendum Version 2—Application for New Home Grant $3000pubd gaz 16 January 2004 p 134

Form FHOG 1 Addendum Version 1—Age Restriction/Disqualifying Arrangements/ResidencyRequirements


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 CDR01 Version 1—Catch Disposal Recordpubd gaz 24 September 2004 p 319

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 01—Application for Resource Allocation Authoritypubd gaz 13 October 2006 p 691

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


FISHERIES ACT 1994


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

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 JF01 Version 1—Queensland Developmental Jellyfish Fishery Logbook

pubd gaz 2 September 2005 p 61Form LF04 Version 1—Queensland Reef Fin Fish Fishery Logbook

pubd gaz 14 October 2005 p 590Form PB01 Version 1—Queensland Developmental Prawn and Bug Trapping Logbook

pubd gaz 14 October 2005 p 590Form RQ/SM1—Monthly Stocktake

pubd gaz 2 July 2004 p 696Form RQ/SM2—Wholesale sales of coral reef fin fish and Spanish mackerel

pubd gaz 2 July 2004 p 696Form RQ/SM3—Records to be kept about imports of coral reef fin fish and Spanish mackerel

pubd gaz 2 July 2004 p 696Form RQ/SM4—Records to be kept about commercial carriage of coral reef fin fish and Spanish

mackerelpubd gaz 2 July 2004 p 696

Form RQ/SM5—Records to be kept about commercial storage of coral reef fin fish and Spanishmackerel



FLUORIDATION OF PUBLIC WATER SUPPLIES ACT 1963


Form SW03B Version 3—Queensland Stout Whiting Trawl Fishery Logbookpubd gaz 14 October 2005 p 590

FLUORIDATION OF PUBLIC WATER SUPPLIES ACT 1963

Form 1—Notification of intention to add fluoride to public water supplypubd gaz 3 September 1999 p 53

Form 2—Notification of intention to commence the addition of fluorine to public water supplypubd gaz 3 September 1999 p 53

Form 3—Notification of non-operation of fluoridation equipment for a continuous period of 1 weekpubd gaz 3 September 1999 p 53

Form 4A—Fluoridation (sodium fluoride) plant operation monthly record and reportpubd gaz 3 September 1999 p 53

FOOD ACT 1981

Form 1 Version 1—Application for licencepubd gaz 21 June 1996 p 1062

Form 2 Version 2—Notice of Isolation of Pathogenpubd gaz 15 January 1999 p 117

Form 3 Version 1—Application for renewal of licencepubd gaz 21 June 1996 p 1062

Form 4 Version 1—Certificate of renewal of licencepubd gaz 21 June 1996 p 1062

Form 5 Version 2—Notice of Appeal against the Refusal of an Authorised Officer to give aCertificate under Section 21(2)

pubd gaz 15 January 1999 p 117Form 6 Version 1—Certificate of registration of premises, place or vehicle

pubd gaz 21 June 1996 p 1062Form 7 Version 1—Certificate of provisional registration of premises, place or vehicle

pubd gaz 21 June 1996 p 1062Form 8 Version 1—Application for renewal of registration of premises, place or vehicle

pubd gaz 21 June 1996 p 1062Form 9 Version 1—Certificate of renewal of registration of premises, place or vehicle

pubd gaz 21 June 1996 p 1062Form 10 Version 1—Application for the transfer of registration of premises, place or vehicle

pubd gaz 21 June 1996 p 1062Form 11 Version 1—Application for Food Store Exemption


FOREIGN OWNERSHIP OF LAND REGISTER ACT 1988

Form 25 Version 3—Foreign Ownership Informationpubd gaz 23 March 2007 p 1250

FOSSICKING ACT 1994

Form 1—Application for Fossickers Licencepubd gaz 27 January 1995 p 291


FUEL SUBSIDY ACT 1997


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

FUEL SUBSIDY ACT 1997

Form QFSS1 Version 3—Application for Retailer’s Licencepubd gaz 8 February 2002 p 431

Form QFSS2 Version 1—Application for Off-road Diesel Consumer’s Licencepubd gaz 14 November 1997 p 1145

Form QFSS3 Version 3—Application for Bulk End User’s Licencepubd gaz 8 February 2002 p 431

Form QFSS4 Version 1—Registration Form—Fuel Subsidy Schemepubd gaz 14 November 1997 p 1145

Form QFSS5 Version 1—Claim Form—Fuel Subsidy Schemepubd gaz 14 November 1997 p 1145

Form QFSS6 Version 1—Certificate of Registrationpubd gaz 14 November 1997 p 1145

Form QFSS10 Version 1—Application for Variation of Licensed Quantity of Fuelpubd gaz 5 June 1998 p 759

Form QFSS11 Version 1—Bulk End Users Licence—Return for Year Ended 30 June 1998pubd gaz 5 June 1998 p 759

Form QFSS12 Version 1—Notice in Relation to Thing to be Seizedpubd gaz 30 July 1999 p 1900

Form QFSS13 Version 1—Retailer’s Claim Formpubd gaz 8 February 2002 p 431

Form QFSS14 Version 1—Bulk End User’s Claim Formpubd gaz 8 February 2002 p 431

Form QFSS15 Version 1—Variation to Retail Sites Formpubd gaz 8 February 2002 p 431

Form QFSS17 Version 1—Application by Bulk End User for Claim Period other than 3 Monthspubd gaz 8 February 2002 p 431

Form QFSS18 Version 1—Variation to Annual Anticipated Subsidy Amountpubd gaz 8 February 2002 p 431

Form QFSS20 Version 1—Notice of Ceasing to Operate as a Retailerpubd gaz 8 February 2002 p 431

FUNERAL BENEFIT BUSINESS ACT 1982

Form 1 Version 2—Funeral Benefit Business Actpubd gaz 9 July 2004 p 780


GUARDIANSHIP AND ADMINISTRATION ACT 2000


GUARDIANSHIP AND ADMINISTRATION ACT 2000

Form 1 Version 1—Application for the appointment of a guardian and/or administratorpubd gaz 30 June 2000 p 717

Form 2 Version 1—Application for a review of guardianship and/or administration orderspubd gaz 30 June 2000 p 717

Form 3 Version 1—Application to be joined as an active partypubd gaz 30 June 2000 p 717

Form 4 Version 1—Application for a stay of decision pending a hearingpubd gaz 30 June 2000 p 717

Form 5 Version 1—Application on miscellaneous matterspubd gaz 30 June 2000 p 717

Form 7 Version 1—Application for a declaration about capacitypubd gaz 30 June 2000 p 717

Form 8 Version 1—Application for recognition of an order made under another lawpubd gaz 30 June 2000 p 717

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 p 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


HEALTH ACT 1937


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

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


HEALTH PRACTITIONERS (PROFESSIONAL STANDARDS) ACT 1999


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 879From HDPR96.04 Version July 2004—Application for a Licence as a Wholesale Representative

pubd gaz 12 November 2004 p 879Form HDPR96.05 Version July 2004—Application for a Licence to Sell Controlled Drugs by

Wholesalepubd gaz 12 November 2004 p 879

Form HDPR96.06 Version July 2004—Application for a Licence to Manufacture Controlled Drugspubd gaz 12 November 2004 p 879

Form HDPR96.07 Version July 2004—Application for a Licence to Sell Restricted Drugs byWholesale

pubd gaz 12 November 2004 p 879Form HDPR96.08 Version July 2004—Application for a Licence to Sell Controlled Drugs by

Wholesalepubd gaz 12 November 2004 p 879

Form HDPR96.09 Version July 2004—Application for Renewal of Licencepubd gaz 12 November 2004 p 879

Form P—Application for a licence to sell poisons for purposes other than human therapeutic usepubd gaz 7 May 1999 p 87

Form PMW—Application for a licence to manufacture poisons and/or sell poisons by wholesalepubd gaz 7 May 1999 p 87

Form RDM—Application for a licence to manufacture restricted drugspubd gaz 7 May 1999 p 87

Form RDW—Application for a licence to sell restricted drugs by wholesalepubd gaz 7 May 1999 p 87

Form SP1 Version 1—Application for registration of premises for skin penetrationpubd gaz 6 September 1996 pp 77–8

Form SP2 Version 1—Application for renewal of registration of premises for skin penetrationpubd gaz 6 September 1996 pp 77–8

Form SP3 Version 1—Certificate of registration/renewal of registration of premises for skinpenetration

pubd gaz 6 September 1996 pp 77–8

HEALTH PRACTITIONERS (PROFESSIONAL STANDARDS) ACT 1999

Form DHPPS385A Version March 2002—Notice of Convictionpubd gaz 8 March 2002 p 932


HOUSING ACT 2003


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


HOUSING ACT 2003

Form 1 Version 2 March 2004—Housing Applicantspubd gaz 19 March 2004 p 1070


INDUSTRIAL RELATIONS ACT 1999


Form 2 Version 2 March 2004—Registered Providerspubd gaz 19 March 2004 p 1070

Form 3 Version 1 May 2004—Application for Registrationpubd gaz 11 June 2004 p 406

Form 4 Version 1 May 2004—Application for Cancellation of Registrationpubd gaz 11 June 2004 p 406

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 1—Application for Housing Assistancepubd gaz 5 January 2007 p 67

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


Form 1 Version 2—Application starting a proceeding – non-chapter 12 approved formpubd gaz 12 December 2003 pp 1186–7

Form 1A Version 1—Application in existing proceedingpubd gaz 12 December 2003 pp 1186–7

Form 2 Version 2—February 2002—Application for reinstatementpubd gaz 15 February 2002 p 613

Form 3 Version 1—Application to recover unpaid wages etcpubd gaz 5 January 2001 pp 49–51

Form 4 Version 1—Amended Applicationpubd gaz 5 January 2001 pp 49–51

Form 5 Version 1—Application to appealpubd gaz 5 January 2001 pp 49–51

Form 5A Version 1—Application for stay of decision under appealpubd gaz 12 December 2003 pp 1186–7

Form 5B Version 1—Notice of Appealpubd gaz 12 December 2003 pp 1186–7

Form 6 Version 1—Application for leave to appealpubd gaz 5 January 2001 pp 49–51

Form 7 Version 1—Affidavit of servicepubd gaz 5 January 2001 pp 49–51

Form 8 Version 1—Certificate of exhibit to affidavitpubd gaz 5 January 2001 pp 49–51

Form 9 Version 1—Affidavitpubd gaz 5 January 2001 pp 49–51

Form 10 Version 1—Certificate of exemption from membership of an organisationpubd gaz 5 January 2001 pp 49–51

Form 11 Version 1—Request for attendance noticepubd gaz 5 January 2001 pp 49–51

Form 12 Version 1—Attendance notice for compulsory conferencepubd gaz 5 January 2001 pp 49–51

Form 13 Version 1—Attendance notice for production and to give evidencepubd gaz 5 January 2001 pp 49–51




Form 14 Version 1—Attendance notice to give evidencepubd gaz 5 January 2001 pp 49–51

Form 15 Version 1—Attendance notice to producepubd gaz 5 January 2001 pp 49–51

Form 16 Version 1—List of documentspubd gaz 5 January 2001 pp 49–51

Form 17 Version 1—Notice to admit factspubd gaz 5 January 2001 pp 49–51

Form 18 Version 1—Notice to admit documentspubd gaz 5 January 2001 pp 49–51

Form 19 Version 2—Notice of intention to retire from an industrial agreementpubd gaz 12 December 2003 pp 1186–7

Form 20 Version 1—Notice to show causepubd gaz 5 January 2001 pp 49–51

Form 21 Version 2—Responsepubd gaz 12 December 2003 pp 1186–7

Form 22 Version 1—Notice of appointment of agentpubd gaz 5 January 2001 pp 49–51

Form 23 Version 1—Notice of withdrawal of appointment as lawyer or agentpubd gaz 5 January 2001 pp 49–51

Form 24 Version 1—Lawyer’s notice of address for servicepubd gaz 5 January 2001 pp 49–51

Form 25 Version 1—Notice of change of lawyer or agentpubd gaz 5 January 2001 pp 49–51

Form 26 Version 1—Notice of change of address for servicepubd gaz 5 January 2001 pp 49–51

Form 27 Version 2—Application for certificate as to requested representationpubd gaz 12 December 2003 pp 1186–7

Form 28 Version 1—Application for certificate of cessation of requirement under section 144(3)pubd gaz 5 January 2001 pp 49–51

Form 29 Version 1—Certificate as to requested representationpubd gaz 5 January 2001 pp 49–51

Form 30 Version 1—Certificate of cessation of requirement under section 144(3)pubd gaz 5 January 2001 pp 49–51

Form 31 Version 1—Certificate of amount to be paid under orderpubd gaz 5 January 2001 pp 49–51

Form 32 Version 2—Application for decision about designated award for certified agreement orQWA

pubd gaz 12 December 2003 pp 1186–7Form 32A Version 1—Advice of intention to begin negotiations for a project agreement

pubd gaz 12 December 2003 pp 1186–7Form 33 Version 2—Queensland Workplace Agreement (QWA)–including employer filing

application parts 1 & 2pubd gaz 12 December 2003 pp 1186–7

Form 34 Version 1—Queensland Workplace Agreement (QWA) Amendment Agreementpubd gaz 5 January 2001 pp 49–51

Form 35 Version 1—Queensland Workplace Agreement (QWA) Extension Agreementpubd gaz 5 January 2001 pp 49–51

Form 36 Version 1—Queensland Workplace Agreement (QWA) Termination Agreementpubd gaz 5 January 2001 pp 49–51

Form 37 Version 1—Notice to Terminate a Queensland Workplace Agreement (QWA)pubd gaz 5 January 2001 pp 49–51




Form 38 Version 2—Notice of giving of authorisation to engage in industrial actionpubd gaz 12 December 2003 pp 1186–7

Form 39 Version 2—Request for help to make certified agreementpubd gaz 12 December 2003 pp 1186–7

Form 40 Version 2—Application for certification of agreementpubd gaz 12 December 2003 pp 1186–7

Form 41 Version 2—Application to extend nominal expiry date of a certified agreementpubd gaz 12 December 2003 pp 1186–7

Form 42 Version 2—Application to amend a certified agreementpubd gaz 12 December 2003 pp 1186–7

Form 43 Version 1—Notice of revocation of a determination under section 149pubd gaz 5 January 2001 pp 49–51

Form 44 Version 2—Notice terminating a certified agreement under section 172(1) or Notice ofintention to terminate a certified agreement under section 173(2)

pubd gaz 12 December 2003 pp 1186–7Form 45 Version 2—Application for approval of the termination of a certified agreement under

section 172(2) or section 173(1)pubd gaz 12 December 2003 pp 1186–7

Form 46 Version 1—Notice of discontinuance for section 74pubd gaz 5 January 2001 pp 49–51

Form 46A Version 1—Request to discontinue application other than for section 74pubd gaz 12 December 2003 pp 1186–7

Form 47 Version 2—Application to Industrial Registrar for issue of an authority under section 364pubd gaz 12 December 2003 pp 1186–7

Form 48 Version 2—Application for a claim before an Industrial Magistratepubd gaz 12 December 2003 pp 1186–7

Form 49 Version 1—Application for student’s work permitpubd gaz 5 January 2001 pp 49–51

Form 50 Version 1—Student’s work permitpubd gaz 5 January 2001 pp 49–51

Form 51 Version 1—Application by person who is aged or infirm for a permitpubd gaz 5 January 2001 pp 49–51

Form 52 Version 1—Notice of hearing of application by person who is aged or infirmpubd gaz 5 January 2001 pp 49–51

Form 53 Version 1—Permit for person who is aged or infirmpubd gaz 5 January 2001 pp 49–51

Form 54 Version 1—Wages attachment noticepubd gaz 5 January 2001 pp 49–51

Form 55 Version 1—Discharge by employee for payment receivedpubd gaz 5 January 2001 pp 49–51

Form 56 Version 2—Application starting a proceeding – Chapter 12 approved formpubd gaz 12 December 2003 pp 1186–7

Form 57 Version 1—Application starting a proceeding - other than chapter 12 approved formpubd gaz 5 January 2001 pp 49–51

Form 58 Version 2—Notice of objection to application for registrationpubd gaz 12 December 2003 pp 1186–7

Form 59 Version 2—Response to notice of objectionpubd gaz 12 December 2003 pp 1186–7

Form 60 Version 1—Officers Registerpubd gaz 5 January 2001 pp 49–51

Form 61 Version 1—Statement answering notice of objectionpubd gaz 5 January 2001 pp 49–51


INTEGRATED PLANNING ACT 1997


Form 62 Version 1—Notice of withdrawal of applications under chapter 12pubd gaz 5 January 2001 pp 49–51

Form 63 Version 1—Ballot paper - amalgamation, withdrawal from amalgamationpubd gaz 5 January 2001 pp 49–51

Form 64 Version 1—Request for conduct of electionspubd gaz 5 January 2001 pp 49–51

Form 65 Version 1—Certificate of Registrationpubd gaz 12 December 2003 pp 1186–7

Form 66 Version 1—Notice of objectionpubd gaz 12 December 2003 pp 1186–7

Form 67 Version 1—Application for order on contravention of electrical safety undertaking orworkplace health and safety undertaking

pubd gaz 12 December 2003 pp 1186–7Form 68 Version 1—Warrant of commitment where punishment is by imprisonment

pubd gaz 12 December 2003 pp 1186–7Form 69 Version 1—Application for payment instead of taking long service leave

pubd gaz 12 December 2003 pp 1186–7Form 70 Version 1—Application under section 278 for proportionate payment for long service leave

pubd gaz 12 December 2003 pp 1186–7Form 71 Version 1—Notice of industrial dispute

pubd gaz 12 December 2003 pp 1186–7Form 72 Version 1—Application for order for repayment of fee received by a private employment

agentpubd gaz 12 December 2003 pp 1186–7

Form WA. 1 Version 1—Wages Attachment Noticepubd gaz 10 September 1999 p 177


Form 1 Version 20—Development Application —IDAS Assessment Checklistpubd gaz 5 April 2007 p 1591

Form 1 Version 2.4—Development Application —Part A Common detailspubd gaz 26 May 2006 p 270

Form 1 Version 2.1—Development Application—Part B Building workpubd gaz 24 March 2006 p 1113

Form 1 Version 2.1—Development Application—Part E Operational &/ or Building Workassessable against a local government’s planning scheme

pubd gaz 15 June 2007 p 889Form 1 Version 4—Development Application—Part J Clearing native vegetation

pubd gaz 8 April 2005 p 1130Form 1 Version 3.1—Development Application—Part K1 Taking artesian or sub-artesian water

pubd gaz 26 May 2006 p 270Form 1 Version 2.1—Development Application—Part K2 Watercourse pump

pubd gaz 26 May 2006 p 270Form 1 Version 2.2—Development Application—Part K3 Water Storage

pubd gaz 26 May 2006 p 270Form 1 Version 2.1—Development Application—Part K4 Gravity diversion from a watercourse

pubd gaz 26 May 2006 p 270Form 1 Version 2.1—Development Application—Part K5 Referable dam





Form 1 Version 2.1—Development Application—Part K6 Watercourse diversionpubd gaz 26 May 2006 p 270

Form 1 Version 2.1—Development Application—Part K7 Development in a watercourse for theremoval of quarry material

pubd gaz 26 May 2006 p 270Form 1 Version 3.1—Development Application—Part K8 Works to take overland flow

pubd gaz 26 May 2006 p 270Form 1 Version 2.1—Development Application—Part K9 Works in a watercourse not covered in

Parts K1 – K8 pubd gaz 26 May 2006 p 270

Form 1 Version 1—Part K10 Works to interfere with overland flowpubd gaz 5 April 2007 p 1591

Form 1 Version 2.2—Development Application—Part M Operational work in tidal areas & coastalmanagement districts

pubd gaz 24 March 2006 p 1113Form 1 Version 1—Development Application—Part O1 Aquaculture

pubd gaz 25 February 2005 p 671Form 1 Version 1.1—Development Application—Part O2 Disturbance of marine plants; and

building or operational works within a declared fish habitat areapubd gaz 22 July 2005 p 985

Form 1 Version 1.1—Development Application—Part O3 Building or raising waterway barrierworks

pubd gaz 22 July 2005 p 985Form 1 Version 1.1—Development Application—Part P Prescribed Tidal Work

pubd gaz 24 March 2006 p 1113Form 1 Version 1—Development Application—Part Q Agricultural development in a wild river area

pubd gaz 2 March 2007 p 982Form 1 Version 1—Development Application—Part R Animal husbandry development in a wild

river areapubd gaz 2 March 2007 p 982

Form 1 Version 2—Development Application—Strategic Port Landpubd gaz 19 January 2001 p 190

Form 2 Version 3.3—Development Application—Request to change an existing approvalpubd gaz 26 May 2006 p 270

Form 7 Version 1—Public Notificationpubd gaz 27 March 1998 p 1305

Form 8 Version 1—Notification of engagement of a private certifier to ownerpubd gaz 7 November 2003 p 754

Form 10 Version 3—Building and Development Tribunals Appeal Noticepubd gaz 14 November 2003 p 868

Form 17 Version 1—Statutory Declarationpubd gaz 3 July 1998 p 1183

Form 18 Version 1.1—Notification of engagement of a private certifier to ownerpubd gaz 21 November 2003 p 957

Form 20 Version 1—Lodgement of building work documentationpubd gaz 7 November 2003 p 754

Form PEC–1 Version 2—Heading to documentspubd gaz 19 May 2000 p 214

Form PEC–2 Version 04/2005—Notice of Appealpubd gaz 8 April 2005 p 1130


INTRODUCTION AGENTS ACT 2001


Form PEC–3 Version 2—Originating applicationpubd gaz 19 May 2000 p 214

Form PEC–4 Version 04/2005—Application in Pending Proceedingpubd gaz 8 April 2005 p 1130

Form PEC–5 Version 2—Affidavitpubd gaz 19 May 2000 p 214

Form PEC–6 Version 2—Entry of appearancepubd gaz 19 May 2000 p 214

Form PEC–7 Version 2—Election to co-respondpubd gaz 19 May 2000 p 214

Form PEC–8 Version 2—Judgment/Orderpubd gaz 19 May 2000 p 214

Form PEC–9 Version 2—Notice requiring optional early settlement procedurepubd gaz 19 May 2000 p 214

Form PEC–10 Version 2—Entry of proceedingpubd gaz 19 May 2000 p 214

Form PEC-11—Judgement of the courtpubd gaz 25 June 1999 p 920

Form PEC-12—Notice of electionpubd gaz 25 June 1999 p 920

INTRODUCTION AGENTS ACT 2001

Form 1 Version 5—Application for an Introduction Agent’s Licencepubd gaz 28 July 2006 p 1479

Form 1 Version 6—Reminder Notice—Introduction Agents Licence—Individualpubd gaz 18 August 2006 p 1814

Form 1 Version 6—Reminder Notice—Introduction Agents Licence—Corporationpubd gaz 18 August 2006 p 1814

Form 1 Version 6—Renewal Notice—Introduction Agents Licence—Individualpubd gaz 18 August 2006 p 1814

Form 1 Version 6—Renewal Notice—Introduction Agents Licence—Corporationpubd gaz 18 August 2006 p 1814

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

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



JUSTICES ACT 1886


Form 4 Version 2—Complaint—General Purposes—Made, and Summonspubd gaz 31 January 1997 p 371

Form 5 Version 2—Certificate of Indictment being foundpubd gaz 16 August 1996 pp 1810–12

Form 6 Version 2—Certificate of Registrar that the costs of an Appeal are not paidpubd gaz 16 August 1996 pp 1810–12

Form 7 Version 4—Bench Charge Sheetpubd gaz 25 February 2005 p 670

Form 8 Version 3—Bench Cover Sheetpubd gaz 11 October 1996 pp 535

Form 9 Version 1—Court Summary Sheetpubd gaz 16 August 1996 pp 1810–12

Form 10 Version 4—Summons of a Witnesspubd gaz 25 May 2007 p 460

Form 11 Version 3—Warrant to apprehend defendant charged with an indictable offence wheresummons is disobeyed

pubd gaz 1 December 2006 pp 1584-5Form 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

pubd gaz 16 September 1994 p 257Form 17G Version 1—Certificate of service of notice to defendant

pubd gaz 16 September 1994 p 257Form 17H Version 1—Notice of re-hearing when case has been heard and determined ex parte in the

absence of the defendantpubd gaz 16 September 1994 p 257


JUSTICES ACT 1886


Form 18 Version 3—Warrant remanding a defendant on a charge of an indictable offence or a simpleoffence or breach of duty

pubd gaz 8 December 2006 p 1737Form 19 Version 1—Warrant of Committal for Safe Custody during an Adjournment of the Hearing

pubd gaz 16 August 1996 pp 1810–12Form 20 Version 1—Notice of Adjournment

pubd gaz 16 August 1996 pp 1810–12Form 21 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 August 1996 pp 1810–12

Form 22 Version 2—Notice to defendant to appear at adjourned hearing for the purpose of makingsubmissions on question of disqualification, cancellation, suspension or penalty

pubd gaz 1 December 2006 pp 1584-5Form 23 Version 2—Certificate of service of notice to defendant

pubd gaz 1 December 2006 pp 1584-5Form 24 Version 2—Notice of rehearing when complaint has been heard and determined in the

absence of the defendantpubd gaz 1 December 2006 pp 1584-5

Form 25 Version 1—Notice to Witness to attend Courtpubd gaz 16 August 1996 pp 1810–12

Form 26 Version 2—Notice to attend and give evidence at Trialpubd gaz 16 August 1996 pp 1810–12

Form 26A Version 1—Notice to attend and give evidence at trial (for prosecutions by theCommonwealth Director of Public Prosecutions)

pubd gaz 26 March 1999 p 1439Form 27 Version 3—Notice of Appeal to a District Court Judge

pubd gaz 8 August 1997 p 1738Form 28 Version 2—Recognizance on Appeal to a District Court Judge

pubd gaz 8 August 1997 p 1738Form 29 Version 2—Depositions of Witnesses

pubd gaz 16 August 1996 pp 1810–12Form 30 Version 2—Certificate of Conviction

pubd gaz 16 August 1996 pp 1810–12Form 31 Version 2—Certificate of Order

pubd gaz 16 August 1996 pp 1810–12Form 32A Version 2—Advice of Conviction Order

pubd gaz 27 April 2007 p 1886Form 33 Version 3—Order of dismissal of complaint and order for costs

pubd gaz 1 December 2006 pp 1584-5Form 34 Version 3—Order and certificate of dismissal of complaint

pubd gaz 1 December 2006 pp 1584-5Form 35 Version 2—Warrant of Execution

pubd gaz 16 August 1996 pp 1810–12Form 36 Version 3—Warrant of commitment for trial or for sentence

pubd gaz 1 December 2006 pp 1584-5Form 37 Version 2—Warrant to convey accused person before a Justice at a place in the District in

which the offence was committedpubd gaz 16 August 1996 pp 1810–12

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


JUSTICES ACT 1886


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 pp 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 pp 535

Form 54 Version 2—Notice of Withdrawal of Infringement Noticepubd gaz 11 October 1996 pp 535Form 55 Version 2—Application to a Magistrates Court and consent by the parties for the Clerk of

the Court to constitute a Magistrates Court and to make any order a magistrate may makepubd gaz 8 August 1997 p 1738

Form 58 Version 1—Warrant of commitmentpubd gaz 16 September 1994 p 257

Form 58A Version 1—Return to a warrant of commitmentpubd gaz 16 September 1994 p 257

Form 59 Version 1—Warrant of commitment on an order in the first instancepubd gaz 16 September 1994 p 257

Form 60 Version 1—Warrant of commitment on an order where the disobeying of it is punishable byimprisonment

pubd gaz 16 September 1994 p 257Form 61 Version 1—Warrant of commitment on a conviction where the punishment is by

imprisonmentpubd gaz 16 September 1994 p 257

Form 62 Version 1—Warrant of commitment for want of execution upon conviction for a penalty orupon an order for payment of money

pubd gaz 16 September 1994 p 257


JUSTICES ACT 1886


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 1—Warrant to apprehend defendant charged with a simple offence or breach ofduty where summons is disobeyed.

pubd gaz 1 December 2006 pp 1584-5Form F3113/PT56 Version November 1995—Infringement Notice

pubd gaz 4 April 1996 p 1531Form PT 56D Version 4 November 1997—Infringement Notice (Photographic Detection Device

Offence)pubd gaz 11 September 1998 p 143


JUSTICES OF THE PEACE AND COMMISSIONERS FOR DECLARATIONS ACT 1991


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

JUVENILE JUSTICE ACT 1992

Form 1 Version 4—Notice of Application To A Childrens Court For Identifying Particularspubd gaz 12 March 2004 p 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 p 962–4

Form 5 Version 4—Report on The Outcome of A Youth Justice Conferencepubd gaz 12 March 2004 p 962–4

Form 6 Version 4—Youth Justice Conference Agreementpubd gaz 12 March 2004 p 962–4

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 Conference pubd 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 4—Youth Justice Conference Agreement (Amended)pubd gaz 12 March 2004 p 962–4

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 15 Version 4—Warrant Remanding A Child In Custody

pubd gaz 12 March 2004 p 962–4Form 16 Version 4—Order That Parent Of Child Attend Court

pubd gaz 12 March 2004 p 962–4




Form 17 Version 3—Application by Parent for Rehearingpubd gaz 27 June 2003 pp 721–28

Form 18 Version 3—Court Decision on Application by Parent for Rehearing and Notice ofRehearing

pubd gaz 27 June 2003 pp 721–28Form 19 Version 4—Warrant Of Commitment For Trial Or For Sentence

pubd gaz 12 March 2004 p 962–4Form 20 Version 3—Application to Set Aside Finding or Order Because of Lack of Jurisdiction

pubd gaz 27 June 2003 pp 721–28Form 21 Version 4—Report on the Completion/Non Completion of a Youth Justice Conference

Agreementpubd gaz 12 March 2004 p 962–4

Form 22 Version 4—Notice That The Proceeding For An Offence Is To Be Heard By The Court OrReferred For A Further Youth Justice Conference

pubd gaz 12 March 2004 p 962–4Form 23 Version 2—Reprimand Order

pubd gaz 27 June 2003 pp 721–28Form 24 Version 2—Good Behaviour Order

pubd gaz 27 June 2003 pp 721–28Form 25 Version 2— Notice of Fine Order

pubd gaz 27 June 2003 pp 721–28Form 26 Version 3—Probation Order

pubd gaz 12 March 2004 p 962–4Form 27 Version 3—Community Service Order

pubd gaz 12 March 2004 p 962–4Form 28 Version 2—Notice of Detention Order

pubd gaz 27 June 2003 pp 721–28Form 28A Version 1—Order to Allow Publication of Identifying Information

pubd gaz 7 February 2003 p 383Form 29 Version 3—Application By Proper Officer For Breach Of A Fine Order

pubd gaz 12 March 2004 p 962–4Form 30 Version 2—Order to Allow Publication of Identifying Information

pubd gaz 27 June 2003 pp 721–28Form 31 Version 3 27 November 2003—Court Decision–Breach of Probation Order on

Application–Breach of Probation Order Child Found Guilty of Indictable Offence(s)pubd gaz 19 December 2003 p 1295

Form 32 Version 3—Application For Variation, Discharge, Resentence, Of Probation Order OrCommunity Service Order Or Intensive Supervision Order Or Conditional Release Order In TheInterests Of Justice

pubd gaz 12 March 2004 p 962–4Form 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 p 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 36 Version 3—Warrant To Detain In A Detention Centre

pubd gaz 12 March 2004 p 962–4




Form 37 Version 3—Application For Variation Of Detention Order In The Interests Of Justicepubd gaz 12 March 2004 p 962–4

Form 38 Version 3—Conditional Release Orderpubd gaz 12 March 2004 p 962–4

Form 39 Version 2—Warrant To Arrest A Child On Complaint Of Breach Of Community BasedOrder Or Supervised Release Order

pubd gaz 12 March 2004 p 962–4Form 39(a) Version 1—Warrant to Apprehend Defendant Where Summons Is Disobeyed

pubd gaz 12 March 2004 p 962–4Form 40 Version 3 27 November 2003—Court Decision–Breach of Intensive Supervision Order on

Application–Breach of Intensive Supervision Order Child found Guilty of An Indictable Offencepubd gaz 19 December 2003 p 1295

Form 41 Version 3 27 November 2003—Court Decision on Application For Breach of ConditionalRelease Order

pubd gaz 19 December 2003 p 1295Form 42 Version 2—Notice to Parent of Child Offender

pubd gaz 27 June 2003 pp 721–28Form 43 Version 2—Order Requiring Parent to Pay Compensation

pubd gaz 27 June 2003 pp 721–28Form 44 Version 4—Authority For Admission To Detention Centre

pubd gaz 12 March 2004 p 962–4Form 45 Version 2—Leave of Absence (LOA) From Youth Detention Centre *Escorted/Unescorted

pubd gaz 27 June 2003 pp 721–28Form 46 Version 3—Application For Transfer To Prison

pubd gaz 12 March 2004 p 962–4Form 47 Version 2—Order on Application for Transfer to Prison

pubd gaz 27 June 2003 pp 721–28Form 48 Version 3—Request By Court For A Presentence Report

pubd gaz 12 March 2004 p 962–4Form 49 Version 3—Court Decision – Breach of Supervised Release Order on Application

pubd gaz 12 March 2004 p 962–4Form 50 Version 2—Application for Extension of Time for Payment of Amounts

pubd gaz 27 June 2003 pp 721–28Form 51 Version 1—Court Decision on Application for Variation of Detention Order in the Interests

of Justicepubd gaz 27 June 2003 pp 721–28

Form 52 Version 2—Intensive Supervision Orderpubd gaz 12 March 2004 p 962–4

Form 53 Version 2—Application For Sentence Reviewpubd gaz 12 March 2004 p 962–4

Form 54 Version 1—Court Decision on Application for Sentence Reviewpubd gaz 27 June 2003 pp 721–28

Form 55 Version 2—Instrument Ordering Chief Executive, Department Of Communities To ProduceChild

pubd gaz 12 March 2004 p 962–4Form 56 Version 2—Instrument Ordering Chief Executive, Department of Communities Not To

Produce Childpubd gaz 12 March 2004 p 962–4

Form 57 Version 1—Application for Bail at the Childrens Court of Queensland at Brisbanepubd gaz 27 June 2003 pp 721–28

Form 58 Version 2—Application To Re-Open Criminal Proceedingspubd gaz 12 March 2004 p 962–4


LAND ACT 1994


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 AND RESOURCES TRIBUNAL ACT 1999


LAND AND RESOURCES TRIBUNAL ACT 1999

Form 1 Version 1—Titlepubd gaz 12 May 2000 p 123

Form 2 Version 2—Application to start proceedingspubd gaz 19 May 2000 p 213

Form 3 Version 2—Responsepubd gaz 19 May 2000 p 213

Form 4 Version 2—Application in a proceedingpubd gaz 19 May 2000 p 213

LAND SALES ACT 1984

Form 1 Version 5—Land Sales Notice to Proposed Purchaserpubd gaz 11 November 2005 p 946

Form 2 Version 3—Application for Exemptionpubd gaz 12 August 2005 p 1294

LAND TAX ACT 1915



Form LT2 Version 1—Queensland Tax Returnpubd gaz 30 July 1999 p 1899

Form LT3 Version 1—Notice of Assessment of Land Taxpubd gaz 30 July 1999 p 1899

Form LT9 Version 1—Oath of Fidelity and Secrecypubd gaz 30 July 1999 p 1899

Form LT10 Version 2—Claim for Land Tax Deduction—Company Owning Building Containing“Home Units”

pubd gaz 25 August 2000 pp 1474Form LT11 Version 1—Deduction Claim – Land Used for the Business of Agriculture, Pasturage or

Dairy Farmingpubd gaz 16 January 2004 p 135

Form LT12 Version 1—Deduction Claim – Land Used for a Principal Place of Residence –Individual

pubd gaz 16 January 2004 p 135Form LT13 Version 1—Deduction Claim – Land Used for a Principal Place of Residence – Trustee

pubd gaz 16 January 2004 p 135Form LT14 Version 1—Deduction Claim – Land Used for a Principal Place of Residence – Trustee

of Deceased Estatepubd gaz 16 January 2004 p 135

Form LT15 Version 1—Exemption Claimpubd gaz 16 January 2004 p 135

Form LT16 Version 1—Absentee/Resident Status Declarationpubd gaz 16 January 2004 p 135

Form LT17 Version 1—Application for a Land Tax Clearance Certificatepubd gaz 16 January 2004 p 135


LAND TITLE ACT 1994


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



LEGAL PROFESSION ACT 2007


Form 23 Version 4—Settlement Noticepubd gaz 23 March 2007 p 1250

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


Form 23 LQS Version 1—Notice of a Corporation’s Intention to Engage in Legal Practice inQueensland

pubd gaz 22 June p 1014Form 24 LQS Version 1—Notice of a Corporation’s Failure to Comply with Subsection 114(1)

pubd gaz 22 June p 1014Form 25 LQS Version 1—Notice of Cessation of Legal Practice by a Former Incorporated Legal

Practicepubd gaz 22 June p 1014

Form 26 LQS Version 1—Notice that an Incorporated Legal Practice No Longer Has a LegalPractitioner Director

pubd gaz 22 June p 1014Form 27 LQS Version 1—Notice of Intention by Australian Legal Practitioner to Provide Legal

Services as a Partner in a Multidisciplinary Partnershippubd gaz 22 June p 1014

Form 28 LQS Version 1—Application by Foreign Lawyer for Grant or Renewal of Registration toPractice Foreign Law in Queensland

pubd gaz 22 June p 1014Form 1 JAG Version 1—Form of disclosure of costs to clients (Legal Costs—your right to know)

pubd gaz 29 June 2007 p 1149Form 2 JAG Version 1—Form of notification of client’s rights (Your rights in relation to legal costs)


Forms previously made under the repealed Legal Profession Act 2004Form 1 Version 1—Complaint against a solicitor, barrister or law practice employee

pubd gaz 25 August 2004 p 1324Form 1 Version 1—Originating Application for Admission as a Legal Practitioner

pubd gaz 25 August 2004 p 1324Form 1B Version 1—Application for Associate (Law Student) Membership of the Queensland Law

Societypubd gaz 17 June 2005 p 565

Form 1 QLS Version 5—Application for Grant of a Practising Certificatepubd gaz 20 April 2007 p 1792

Form 1A QLS Version 2—Application for Associate Membershippubd gaz 25 August 2006 p 1985




Form 1 QLS Version 1—Notification by Interstate Legal Practitioner of Authority to WithdrawMoney from Local Trust Account

pubd gaz 30 July 2004 p 1007Form 2 QLS Version 1—Notification by Interstate Legal Practitioner of Termination of

Authorisation or Variation of Circumstances Relating to Authority to Withdraw Money fromLocal Trust Account

pubd gaz 30 July 2004 p 1007Form 2 QLS Version 3—Application for Renewal of Practising Certificate

pubd gaz 20 April 2007 p 1791Form 2 QLS Version 3—Application for Membership of the Queensland Law Society

pubd gaz 20 April 2007 p 1791Form 2 QLS Version 2—Renewal of Membership of the Queensland Law Society

pubd gaz 5 May 2006 p 68Form 2A Version 1—Electronic Application for Renewal of Practising Certificate

pubd gaz 29 April 2005 p 1389Form 3 QLS Version 2—Auditor’s Certificate as to Compliance

pubd gaz 26 May 2006 p 336Form 3 QLS Version 2—Nomination Paper

pubd gaz 11 May 2007 p 218Form 4 QLS Version 1—Notice of No Professional Indemnity Insurance

pubd gaz 2 July 2004 p 697Form 5 QLS Version 1—Application by a Certificate Holder for Revocation of Condition

pubd gaz 2 July 2004 p 697Form 6 QLS Version 1—Notice by a Certificate Holder of a Conviction

pubd gaz 2 July 2004 p 697Form 7 QLS Version 1—Notice by a Practitioner of a ‘Show Cause’ Event

pubd gaz 2 July 2004 p 697Form 7 QLS Version 1—Application for Renewal of Associate Membership

pubd gaz 5 May 2006 p 68Form 8 QLS Version 1—Application by Practitioner for Amendment or Cancellation of Practising

Certificatepubd gaz 2 July 2004 p 697

Form 13 QLS Version 1—Claim for Compensation from Fidelity Guarantee Fundpubd gaz 2 July 2004 p 697

Form 14 QLS Version 2—Notice of Appointment of QLS Officer as Supervisorpubd gaz 20 April 2007 p 1791

Form 15 QLS Version 1—Notice of Appointment of Person Other than QLS Officer as Supervisorpubd gaz 2 July 2004 p 697

Form 16 QLS Version 1—Receipt Issued by Supervisorpubd gaz 2 July 2004 p 697

Form 17 QLS Version 1—Notice of Appointment of Managerpubd gaz 2 July 2004 p 697

Form 18 QLS Version 1—Receipt Issued by Managerpubd gaz 2 July 2004 p 697

Form 19 QLS Version 1—Notice of Appointment of QLS Officer as Receiverpubd gaz 2 July 2004 p 697

Form 20 QLS Version 1—Notice of Appointment of Person Other than QLS Officer as Receiverpubd gaz 2 July 2004 p 697

Form 21 QLS Version 1—Authority to Receiver to Carry on Legal Practice Where the Receiver is aLegal Practitioner



LIQUOR ACT 1992


Form 22 QLS Version 1—Authority to a Legal Practitioner to Carry on Legal Practice on Behalf of aReceiver Who is Not a Legal Practitioner

pubd gaz 2 July 2004 p 697Form 29 QLS Version 1—Application for Grant of a Volunteer Practising Certificate

pubd gaz 25 May 2007 p 460Form LPT 1 Version 1—Discipline Application


LIQUOR ACT 1992

Form LL 1 Version 2d—Application for a Liquor Licencepub gaz 29 June 2007 pp 1153–4

Form LL 3Version 2a—Application for Transfer of a Liquor Licencepub gaz 29 June 2007 pp 1153–4

Form LL 4 Version 2a—Application for Acceptance of New Nomineepub gaz 29 June 2007 pp 1153–4

Form LL 5 Version 2a—Personal Details Schedulepub gaz 29 June 2007 pp 1153–4

Form LL 6 Version 2a—Application for Registration of Financial Interestpub gaz 29 June 2007 pp 1153–4

Form LL 7 Version 2a—Application for a General Purpose Permitpub gaz 29 June 2007 pp 1153–4

Form LL 8 Version 2b—Application for New Restricted Club Permitpub gaz 29 June 2007 pp 1153–4

Form LL 9 Version 2a—Application for Extended Hours Permit (on a regular or permanent basis)pub gaz 29 June 2007 pp 1153–4

Form LL 10 Version 2a—Application for One-Off Extended Hours Permitpub gaz 29 June 2007 pp 1153–4

Form LL 11 Version 2a—Application for Extended Hours for Restricted Club Permitpub gaz 29 June 2007 pp 1153–4

Form LL 12 Version 2a—Application for Renewal of Extended Hours Permit to Trade Beyond3.00am

pub gaz 29 June 2007 pp 1153–4Form LL 13 Version 2a—Application for Catering Away Permit (one-off public event)

pub gaz 29 June 2007 pp 1153–4Form LL 14 Version 2a—Application for Catering Away Permit (on a regular basis)

pub gaz 29 June 2007 pp 1153–4Form LL 15 Version 2b—Application for Renewal of a Restricted Club Permit

pub gaz 29 June 2007 pp 1153–4Form LL 16 Version 2a—Application for Temporary Change in Licensed Area

pub gaz 29 June 2007 pp 1153–4Form LL 17 Version 2a—Application for Temporary Variation of Licence

pub gaz 29 June 2007 pp 1153–4Form LL 18 Version 2a—Application for Functions/Catering Endorsement on Licence

pub gaz 29 June 2007 pp 1153–4Form LL 19 Version 2a—Application for Variation of Licence (on a permanent basis)

pub gaz 29 June 2007 pp 1153–4Form LL 20 Version 2a—Application for a Detached Bottleshop

pub gaz 29 June 2007 pp 1153–4Form LL 21 Version 2a—Application to Relocate a Detached Bottleshop

pub gaz 29 June 2007 pp 1153–4


LIQUOR ACT 1992


Form LL 22 Version 2a—Application to Transfer a Detached Bottleshoppub gaz 29 June 2007 pp 1153–4

Form LL 23 Version 2a—Application to Alter, Rebuild or Change the Premisespub gaz 29 June 2007 pp 1153–4

Form LL 24 Version 2a—Application to Change the Licensed Areapub gaz 29 June 2007 pp 1153–4

Form LL 25 Version 2a—Notification of House Policypub gaz 29 June 2007 pp 1153–4

Form LL 26 Version 2a—Statement of Completed Workspub gaz 29 June 2007 pp 1153–4

Form LL 27 Version 2a—Notification of Absence from Licensed Premisespub gaz 29 June 2007 pp 1153–4

Form LL 28 Version 2a—Application for Temporary Authoritypub gaz 29 June 2007 pp 1153–4

Form LL 31 Version 2a—Site Assessment - Service Station/Fuel Depotpub gaz 29 June 2007 pp 1153–4

Form LL 32 Version 2a—Application for Adult Entertainment Permitpub gaz 29 June 2007 pp 1153–4

Form LL 33 Version 2a—Personal Details Schedule - Adult Entertainment Permitpub gaz 29 June 2007 pp 1153–4

Form LL 34 Version 2a—Character Referencepub gaz 29 June 2007 pp 1153–4

Form LL 35 Version 2a—Application for Change of Controllers for Adult Entertainment Permitpub gaz 29 June 2007 pp 1153–4

Form 36 Version 1—Responsible Service of Alcohol Statement of Attainment certificatepubd gaz 2 June 2006 p 454

Form LL 37 Version 1a—Review of Decision - Responsible Service of Alcohol Trainerpub gaz 29 June 2007 pp 1153–4

Form LL 38 Version 1a—Review of Decision - Responsible Management of Licensed Venue Trainerpub gaz 29 June 2007 pp 1153–4

Form LL 40 Version 1a—Application for Renewal - Responsible Service of Alcohol Trainerpub gaz 29 June 2007 pp 1153–4

Form LL 42 Version 1—Application for Approval–Responsible Service of Alcohol trainerpubd gaz 21 July 2006 p 1369–70

Form LL 43 Version 1—Application for Approval–Responsible Management of Licensed VenueTrainer

pubd gaz 21 July 2006 p 1369–70Form WL 1 Version 2—Application for a Wine Producers Licence

pubd gaz 21 July 2006 p 1369–70Form WL 2 Version 2—Application for a Wine Merchant Licence

pubd gaz 21 July 2006 p 1369–70Form WL 3 Version 2—Application for Transfer of a Licence

pubd gaz 21 July 2006 p 1369–70Form WL 4 Version 2—Application for Acceptance of New Nominee/s

pubd gaz 21 July 2006 p 1369–70Form WL 5 Version 2—Personal Details Schedule

pubd gaz 21 July 2006 p 1369–70Form WL 6 Version 2—Application for Extended Hours Permit (on a regular pr permanent basis)

pubd gaz 21 July 2006 p 1369–70Form WL 7 Version 2—Application for Extended Hours Permit (not on a regular basis)

pubd gaz 21 July 2006 p 1369–70


LOCAL GOVERNMENT ACT 1993


Form WL 8 Version 2—Application for a Wine Permitpubd gaz 21 July 2006 p 1369–70

Form WL 9 Version 2—Application for Endorsement of Condition of Licencepubd gaz 21 July 2006 p 1369–70

Form WL 10 Version 2—Application for a Satellite Cellar Doorpubd gaz 21 July 2006 p 1369–70


Form 1 Version 1—Statement of Interests of a Councillorpubd gaz 25 March 1994 p 1151

Form 1—Restricted Dog—to be used for applications to keep restricted dogs and to apply for therenewal of restricted dog permits

pubd gaz 12 April 2002 p 1383Form 2 Version 1—Statement of Interests of a Councillor’s Related Person

pubd gaz 25 March 1994 p 1151Form 2—Restricted Dog—to be used for issuing restricted dog permits and renewing restricted dog

permitspubd gaz 12 April 2002 p 1383

Form 3 Version 1—Notice of Correct Particulars for a Statement of Interests of a Councillor or aCouncillor’s Related Person

pubd gaz 25 March 1994 p 1151Form 4 Version 1—Statement of Interests of a Relevant Employee

pubd gaz 25 March 1994 p 1151Form 5 Version 1—Statement of Interests of a Relevant Employee’s Related Person

pubd gaz 25 March 1994 p 1151Form 6 Version 1—Notice of Correct Particulars for a Statement of Interests of a Relevant Employee

or a Relevant Employee’s Related Personpubd gaz 25 March 1994 p 1151

Form 7 Version 1—Transfer (for the purposes of section 32 of the Local GovernmentRegulation 1994)

pubd gaz 31 March 1994 p 1267Form 8 Version 1—General Request (for the purposes of sections 33 and 35 of the Local

Government Regulation 1994)pubd gaz 31 March 1994 p 1267

Form 9 Version 2—Application—Order to Enter (Section 1063)pubd gaz 17 April 2003 p 1385

Form 10 Version 2—Application—Warrant to Enter (Section 1094)pubd gaz 17 April 2003 p 1385



Forms for Local Government ElectionsForm LGPF1 Version 1—Appointment of Returning Officer (Other than the Chief Executive

Officer)pubd gaz 24 April 2006 p 1553

Form LGPF2 Version 1—Appointment of Assistant Returning Officer(s)pubd gaz 24 April 2006 p 1553




Form LGPF3 Version 1—Appointment of Presiding Officerspubd gaz 24 April 2006 p 1553

Form LGPF4 Version 2—Appointment of Other Issuing Officerspubd gaz 12 May 2006 pp 156–7

Form LGPF5 Version 1—Declaration by Returning Officer, Assistant Returning Officer, PresidingOfficer or Other Issuing Officer

pubd gaz 12 May 2006 pp 156–7Form LGPF6 Version 1—Certification of Voters Roll (Issuing Officer’s Copy)

pubd gaz 12 May 2006 pp 156–7Form LGPF7 Version 1—Notice of Poll

pubd gaz 12 May 2006 pp 156–7Form LGPF8 Version 1—Notice of Declaration of Mobile Polling Booths

pubd gaz 12 May 2006 pp 156–7Form LGPF9 Version 1—Ballot Paper – Question

pubd gaz 12 May 2006 pp 156–7Form LGPF10 Version 1—Delivery Note – Ballot Papers

pubd gaz 12 May 2006 pp 156–7Form LGPF11 Version 1—Appointment of and Declaration by Scrutineer

pubd gaz 12 May 2006 pp 156–7Form LGPF12 Version 1—Record of Declaration Envelopes and Ballot Papers Returned at Polling

Boothpubd gaz 12 May 2006 pp 156–7

Form LGPF13 Version 1—Application for Electoral Visitor Votepubd gaz 12 May 2006 pp 156–7

Form LGPF14 Version 1—Application for Declaration Votepubd gaz 12 May 2006 pp 156–7

Form LGPF15 Version 1—Declaration by Person who must Cast Declaration Votepubd gaz 12 May 2006 pp 156–7

Form LGPF16 Version 1—Declaration Envelope – No. 1pubd gaz 12 May 2006 pp 156–7

Form LGPF17 Version 1—Declaration Envelope – No. 2pubd gaz 12 May 2006 pp 156–7

Form LGPF18 Version 1—Declaration Envelope – No. 3 (Postal Ballot)pubd gaz 12 May 2006 pp 156–7

Form LGPF19 Version 1—Declaration Envelope – No. 4 (Postal Ballot)pubd gaz 12 May 2006 pp 156–7

Form LGPF20 Version 1—Instructions on Casting a Declaration Votepubd gaz 12 May 2006 pp 156–7

Form LGPF21 Version 1—Declaration by Person Requesting Replacement Ballot Paper at PollingBooth, Voting Place or Electoral Visit

pubd gaz 12 May 2006 pp 156–7Form LGPF22 Version 1—Declaration by Person Requesting Replacement Ballot Paper be Posted

pubd gaz 12 May 2006 pp 156–7Form LGPF23 Version 1—Record of Replacement Ballot Papers Issued

pubd gaz 12 May 2006 pp 156–7Form LGPF24 Version 1—Statement by Presiding Officer after Preliminary Count

pubd gaz 12 May 2006 pp 156–7Form LGPF25 Version 1—Statement of Reconciliation of Ballot Papers – Preliminary Count

pubd gaz 12 May 2006 pp 156–7Form LGPF26 Version 1—List of Electors Who Appear to have Voted More than Once

pubd gaz 12 May 2006 pp 156–7


MANUFACTURED HOMES (RESIDENTIAL PARKS) ACT 2003


Form LGPF27 Version 1—Declaration of Pollpubd gaz 12 May 2006 pp 156–7

Form LGPF28 Version 1—Notice of Final Result of Pollpubd gaz 12 May 2006 pp 156–7

Form LGPF29 Version 1—Certification of List of Electors Who Appear to have Failed to Votepubd gaz 12 May 2006 pp 156–7

Form LGPF30 Version 1—Notice to Elector of Failure to Votepubd gaz 12 May 2006 pp 156–7

Form LGPF31 Version 1—Notice to Declaration Voter of Ballot Paper Not Countedpubd gaz 12 May 2006 pp 156–7

Forms for Local Government Election GiftsForm 1 Version 2—Return of Gifts by an elected candidiate at a local government election

pubd gaz 14 November 2003 p 867Form 2 Version 2—Return of Gifts by an unsuccessful candidate at a local government election

pubd gaz 14 November 2003 p 867Form 3 Version 2—Return of Gifts by a person (or organisation) other than a registered political

party of candidate for a local government electionpubd gaz 14 November 2003 p 867

Forms for Statement of InterestsForm 1—Statement of Interests of a Councillor

pubd gaz 3 March 2000 p 808Form 2—Statement of Interests of a Councillor’s Related Person

pubd gaz 3 March 2000 p 808Form 3—Notice of Correct Particulars for a Statement of Interests of a Councillor or a Councillor’s

Related Personpubd gaz 3 March 2000 p 808

Form 4—Statement of Interests of a Relevant Employeepubd gaz 3 March 2000 p 808

Form 5—Statement of Interests of a Relevant Employee’s Related Personpubd gaz 3 March 2000 p 808

Form 6—Notice of Correct Particulars for a Statement of Interests of a Relevant Employee or aRelevant Employee’s Related Person


MANUFACTURED HOMES (RESIDENTIAL PARKS) ACT 2003

Form 8 Version 2—Manufactured Homepubd gaz 21 January 2005 p 192

Form 9 Version 2—Selling Authoritypubd gaz 29 October 2004 p 729

MEDICAL PRACTITIONERS REGISTRATION ACT 2001

Form M1 Version July 2005—Application for Registration as a Medical Practitioner in Queenslandpubd gaz 29 July 2005 p 1144

Form M2 Version July 2005—Application for Specialist Registration as a Medical Practitioner inQueensland



MEDICAL PRACTITIONERS REGISTRATION ACT 2001


Form M3 Version July 2002—Renewal of Registration as a Medical Practitioner (General andSpecialist)

pubd gaz 2 August 2002 p 1289Form M4 Version July 2003—Notice of Expiry of Registration—Application for Restoration of

General Registration as a Medical Practitioner (General and Specialist)pubd gaz 18 July 2003 p 1008

Form M5 Version March 2002—Renewal of Special Purpose Registration as a Medical Practitionerpubd gaz 8 March 2002 p 932

Form M8 Version March 2002—Application for Review of Conditions on Registrationpubd gaz 8 March 2002 p 932

Form M9 Version March 2002—Notification of Completion of Internship as a Medical Practitionerpubd gaz 8 March 2002 p 932

Form M10 Version July 2002—Notification of Completion of Supervised Practice Program as aMedical Practitioner

pubd gaz 2 August 2002 p 1289Form M11 Version March 2002—Internship Report

pubd gaz 8 March 2002 p 932Form M12 Version March 2002—Supervised Practice Report

pubd gaz 8 March 2002 p 932Form M13 Version July 2003—Application for Non-Practising Registration as a Medical

Practitioner in Queenslandpubd gaz 18 July 2003 p 1008

Form M132 Version October 2004—Application for Renewal of Special Purpose Registration –Postgraduate Study or Training

pubd gaz 4 February 2005 p 333Form M133 Version October 2004—Application for Renewal of Special Purpose Registration –

Supervised Trainingpubd gaz 4 February 2005 p 333

Form M134 Version October 2004—Application for Renewal of Special Purpose Registration –Medical Teaching and Research


Area of Needpubd gaz 4 February 2005 p 333

Form M135/143A Version October 2004—Application for Renewal of Special PurposeRegistration – Area of Need/Deemed


Study or Training to Obtain a Qualification in a Specialitypubd gaz 4 February 2005 p 333

Form M138 Version October 2004—Application for Renewal of Special Purpose Registration –Practice in General Practice

pubd gaz 4 February 2005 p 333Form M1SP Version July 2005—Application for Registration as a Medical Practitioner (Special

Purpose Registration) in Queenslandpubd gaz 29 July 2005 p 1144

Form MN219 Version March 2002—Notice to Produce or Safeguard Evidencepubd gaz 8 March 2002 p 932


MEDICAL RADIATION TECHNOLOGISTS REGISTRATION ACT 2001


MEDICAL RADIATION TECHNOLOGISTS REGISTRATION ACT 2001

Form MRT101A Version June 2002—Application for General Registration as a Medical ImagingTechnologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT101B Version June 2002—Application for General Registration as a Nuclear Medicine

Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT101C Version June 2002—Application for General Registration as a Radiation Therapistin 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 MRT 301A Version April 2004—Application for Special Purpose Registration as a MedicalImaging Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT 301B Version April 2004—Application for Special Purpose Registration as a Nuclear

Medicine Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT 301C Version April 2004—Application for Special Purpose Registration as a RadiationTherapist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT 1401A 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 MRT 1401B 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 MRT 1401C 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 MRT 201 Version October 2003—Application to Register for Supervised Practice Program forMedical Radiation Technology Graduates in Queensland

pubd gaz 4 February 2005 pp 334–5Form 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 TTMR MRT 311 Version October 2002—Application for Registration under Trans-TasmanMutual Recognition as a Medical Radiation Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT 501A Version October 2004—Supervised Practice Program – Supervisor and

Professional Practice Setting Notification Formpubd gaz 4 February 2005 pp 334–5


MENTAL HEALTH ACT 2000


Form MRT 502 Version December 2004—Supervision Program - Supervisor and ProfessionalPractice Setting Notification Form

pubd gaz 4 February 2005 pp 334–5Form MRT 601A Version December 2004—Supervised Practice Program - Progress Report

(Medical Imaging Technology)pubd gaz 4 February 2005 pp 334–5

Form MRT 601B Version December 2004—Supervised Practice Program - Progress Report(Nuclear Medicine Technology)

pubd gaz 4 February 2005 pp 334–5Form MRT 601C Version December 2004—Supervised Practice Program - Progress Report

(Radiation Therapy)pubd gaz 4 February 2005 pp 334–5

Form MRT 701A Version December 2004—Supervised Practice Program – Final Report – (MedicalImaging Technology)

pubd gaz 4 February 2005 pp 334–5Form MRT 701B Version December 2004—Supervised Practice Program – Final Report – (Nuclear

Medicine Technology)pubd gaz 4 February 2005 pp 334–5

Form MRT 701C Version December 2004—Supervised Practice Program – Final Report –(Radiation Therapy)

pubd gaz 4 February 2005 pp 334–5Form MRT 801A Version December 2004—Supervised Practice Program – Professional Practice

Setting Application Form - Medical Imaging Technologypubd gaz 4 February 2005 pp 334–5

Form MRT 801B Version December 2004—Supervised Practice Program – Professional PracticeSetting Application Form - Nuclear Medicine Technology

pubd gaz 4 February 2005 pp 334–5Form MRT 801C Version December 2004—Supervised Practice Program – Professional Practice

Setting Application Form - Radiation Therapypubd gaz 4 February 2005 pp 334–5

MENTAL HEALTH ACT 2000

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


MINERAL RESOURCES ACT 1989


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 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

Form Mhc 6 Version 1—Application to inquire into a patient’s detentionpubd gaz 8 March 2002 p 928

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


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 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 15.1 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 permit pubd 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

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 16.9 Version 1—Negotiated agreement reachedpubd 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 16.12 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 306–8Form 17.7 Version 1—Negotiated agreement reached

pubd gaz 22 September 2000 pp 306–8Form 17.8 Version 1—Form of objection Registered native title rights and interests


pubd gaz 22 September 2000 pp 306–8Form 17.10 Version 1—Notice of grant

pubd gaz 22 September 2000 pp 306–8Form FDU 1265 Version 6—Royalty-Statistical Return





Form FDU 1268 Version 6—Royalty Returnpubd gaz 30 June 2006 p 917

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 pp 986

Form M10 Version 3—Notice of Renewing Entry on Occupied Landpubd gaz 14 June 1996 pp 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 2—Application for Parcel Prospecting Permit

pubd gaz 28 July 2006 p 1392Form MRA–02 Version 2—Application for District Prospecting Permit

pubd gaz 28 July 2006 p 1392Form MRA–03 Version 2—Application for Mining Claim

pubd gaz 28 July 2006 p 1392Form MRA–04 Version 2—Application for Renewal of Mining Claim

pubd gaz 28 July 2006 p 1392Form MRA–05 Version 2—Application for Exploration Permit

pubd gaz 28 July 2006 p 1392Form MRA–06 Version 2—Application for Renewal of Exploration Permit

pubd gaz 28 July 2006 p 1392Form MRA–07 Version 2—Assignment of Exploration Permit or Mineral Development Licence

pubd gaz 28 July 2006 p 1392Form MRA–08 Version 2—Application for Mineral Development Licence

pubd gaz 28 July 2006 p 1392Form MRA–09 Version 1—Notice to Owner of Land of Variation to Mineral Development Licence

pubd gaz 28 July 2006 p 1392Form MRA–10 Version 2—Application for Renewal of Mineral Development Licence

pubd gaz 28 July 2006 p 1392Form MRA–11 Version 2—Notice to Landowner of Grant of Mineral Development Licence

pubd gaz 28 July 2006 p 1392Form MRA–12 Version 1—Notice of Intention of Initial Entry on Occupied Land

pubd gaz 28 July 2006 p 1392Form MRA–13 Version 1—Notice Renewing Entry on Occupied Land

pubd gaz 28 July 2006 p 1392Form MRA–14 Version 2—Application to Record Agreements, Arrangements, Dealings or Interests

pubd gaz 28 July 2006 p 1392Form MRA–15 Version 2—Application for Mining Lease

pubd gaz 28 July 2006 p 1392Form MRA–16 Version 2—Additional Information for Coal Mining Lease Application





Form MRA–17 Version 2—Application for Renewal of Mining Leasepubd gaz 28 July 2006 p 1392

Form MRA–18 Version 1—Application for Additional Surface Area of Mining Leasepubd gaz 28 July 2006 p 1392

Form MRA–19 Version 2—Application to Conduct Drilling and Other Activities Not Included inSurface Area

pubd gaz 28 July 2006 p 1392Form MRA–20 Version 3—Objection Form (Joint NRMW and EPA Form called M1)

pubd gaz 28 July 2006 p 1392Form MRA–21 Version 1—Surrender

pubd gaz 28 July 2006 p 1392Form MRA–22 Version 2—Caveat

pubd gaz 28 July 2006 p 1392Form MRA–23 Version 2—Consent of Caveator

pubd gaz 28 July 2006 p 1392Form MRA–24 Version 2—Assignment of Mining Claim or Mining Lease

pubd gaz 28 July 2006 p 1392Form MRA–25 Version 2—Mortgage

pubd gaz 28 July 2006 p 1392Form MRA–26 Version 2—Application for Variation of Access

pubd gaz 28 July 2006 p 1392Form MRA–27 Version 2—Request for Registration of Execution

pubd gaz 28 July 2006 p 1392Form MRA–28 Version 2—Request to Record Transmission by Death—No Grant of Probate or

Letters of Administrationpubd gaz 28 July 2006 p 1392

Form MRA–29 Version 2—Request to Record Transmission by Death—Grant of Probate or Lettersof Administration

pubd gaz 28 July 2006 p 1392Form MRA–30 Version 2—Request to Record Transmission in Bankruptcy

pubd gaz 28 July 2006 p 1392Form MRA–31 Version 2—Request to Record Death of Joint Holder

pubd gaz 28 July 2006 p 1392Form MRA–32 Version 2—Request to Record Change or Correction of name

pubd gaz 28 July 2006 p 1392Form MRA–33 Version 2—Request to Record Change of Nominated Holder or Address for Service

of Correspondencepubd gaz 28 July 2006 p 1392

Form MRA–34 Version 2—Application for Assignment of Mining Tenement under Exercise ofPower of Sale by Mortgagee

pubd gaz 28 July 2006 p 1392Form MRA–36 Version 2—Notice to Show Cause

pubd gaz 28 July 2006 p 1392Part 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 849–50


MIXED USE DEVELOPMENT ACT 1993


Parts 4 & 7—Common application details—mining tenement and environmental authoritypubd gaz 5 January 2001 pp 49–51

Parts 4 & 7—Form of objectionpubd gaz 5 January 2001 pp 49–51

Part 5—Form 2 Version 3—Instrument of Exploration Permitpubd gaz 4 November 2005 p 799

Part 6—Form 2 Version 2—Instrument of Mineral Development Licencepubd gaz 27 October 1995 pp 849–50

Part 6—Form 3 Version 2—Notice to Owner of Land of Grant of Mineral Development Licencepubd gaz 27 October 1995 pp 849–50

Part 6—Form 5 Version 2—Notice to Owner of Land of Variation of Access of MineralDevelopment Licence

pubd gaz 27 October 1995 pp 849–50Part 7—Form 2 Version 2—Certificate of Application for Mining Lease

pubd gaz 27 October 1995 pp 849–50Part 7—Form 3 Version 2—Notice of Study into Environmental Impact for Mining Lease

pubd gaz 27 October 1995 pp 849–50Part 7—Form 3A Version 1—Notice of Availability of Draft Guidelines for the Preparation of

Environmental Impact Statement for Mining Leasepubd gaz 27 October 1995 pp 849–50

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

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

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


MOTOR VEHICLES AND BOATS SECURITIES ACT 1986


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

Form 1 Version 5 2004—Application to Register a Security Interestpub gaz 29 January 2004 p 346

Form 2 Version 6 2004—Application for Assignment of a Security Interestpub gaz 13 February 2004 p 603

Form 3 Version 6 2004—Application for Discharge of a Registered Security Interestpub gaz 13 February 2004 p 603

Form 4 Version 5 2004—Application to Change Particulars of a Registered Security Interestpub gaz 29 January 2004 p 346

Form 5 Version 7—Application to Renew Registration of a Security Interestpubd gaz 23 June 2006 p 880

Form 6 Version 1 2003—Application for Approved Account Holder Statuspubd gaz 27 June 2003 p 731

Form 7 Version 4 2003—Security Interest Certificatepubd gaz 27 June 2003 p 730

Form 7A Version 2 2003—Security Interest Certificatepubd gaz 25 July 2003 p 1093

Form 7B Version 2 2003—Security Interest Certificatepubd gaz 25 July 2003 p 1093

Form 8 Version 1 2003—Security Interest Extract pubd gaz 27 June 2003 p 730

Form 8A Version 2 2003—Security Interest Extractpubd gaz 25 July 2003 p 1093

Form 8B Version 2 2003—Security Interest Extractpubd gaz 25 July 2003 p 1093

Form 9 Version 1 2003—Application to Transfer a Security Interest Over a Boat and/or OutboardMotor

pubd gaz 27 June 2003 p 731Form 10 Version 5—Security Interest Certificate Request Form

pubd gaz 1 September 2006 p 81Form 11 Version 6—Security Interest Fax Request form for Motor Vehicle Searches

pubd gaz 1 September 2006 p 81Form 12 Version 3—Security Interest Fax Request Form for Boat and/or Outboard Motor Searches


MUTUAL RECOGNITION (QUEENSLAND) ACT 1992

Form MR OT111 Version February 2002—Application for Registration under Mutual Recognitionas an Occupational Therapist in Queensland



NATURE CONSERVATION ACT 1992


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

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


NURSING ACT 1992

Form QNC1 Application Form: Nursing Act (1992) in Application Package QNC1pubd gaz 1 October 2004 p 390

Form QNC2 Notification Form: Mutual Recognition Act 1992 and Trans Tasman MutualRecognition Act 2003 in Application Package QNC2


OCCUPATIONAL THERAPISTS REGISTRATION ACT 2001

Form OT101 Version February 2002—Application for General Registration as an OccupationalTherapist in Queensland



OPTOMETRISTS REGISTRATION ACT 2001


Form OT301 Version February 2002—Application for Special Purpose Registration as anOccupational Therapist in Queensland

pubd gaz 8 February 2002 pp 439–41Form OT401 Version April 2002—Application for Renewal of General Registration as an

Occupational Therapist in Queenslandpubd gaz 4 February 2005 p 336

Form OT1401 Version February 2002—Notice of Expiry of Registration and Application forRestoration of General Registration as an Occupational Therapist in Queensland

pubd gaz 8 February 2002 pp 439–41Form OT1601 Version February 2002—Application for Review of Conditions on Registration

pubd gaz 8 February 2002 pp 439–41Form OTN158 Version February 2002—Notice to Produce or Safeguard Evidence


OPTOMETRISTS REGISTRATION ACT 2001

Form O401 Version April 2002—Application for Renewal of General Registration as an Optometristin Queensland

pubd gaz 4 February 2005 p 337Form Opt101 Version February 2002—Application for General Registration as an Optometrist in

Queenslandpubd gaz 8 February 2002 pp 439–41

Form Opt301 Version February 2002—Application for Special Purpose Registration as anOptometrist in Queensland

pubd gaz 8 February 2002 pp 439–41Form Opt1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as an Optometrist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form Opt1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 8 February 2002 pp 439–41

Form OptN158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 8 February 2002 pp 439–41

OSTEOPATHS REGISTRATION ACT 2001

Form Ost101 Version April 2002—Application for General Registration as an Osteopath inQueensland

pubd gaz 4 February 2005 p 337Form Ost301 Version April 2002—Application for Special Purpose Registration as an Osteopath in

Queenslandpubd gaz 4 February 2005 p 337

Form Ost401Version May 2002—Application for Renewal of General Registration as an Osteopathin Queensland

pubd gaz 4 February 2005 p 337Form Ost1401 Version May 2002—Notice of Expiry of Registration and Application for Restoration

of General Registration as an Osteopath in Queenslandpubd gaz 4 February 2005 p 337

Form Ost1601 Version May 2002—Application for Review of Conditions on Registrationpubd gaz 4 February 2005 p 337


PARTNERSHIP ACT 1891


Form Ostn158 Version May 2002—Notice to Produce or Safeguard Evidencepubd gaz 4 February 2005 p 337

Form MR Ost111 Version May 2002—Application for Registration under Mutual Recognition as anOsteopath in Queensland

pubd gaz 4 February 2005 p 337Form TTMR Ost311 Version May 2002—Application for Registration under Trans-Tasman Mutual

Recognition as an Osteopath in Queenslandpubd gaz 4 February 2005 p 337

PARTNERSHIP ACT 1891

Form 1 Version 1—Application for Registration of Limited Partnershippubd gaz 26 November 2004 p 1035

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 5 Version 1—Application for Registration of Incorporated Limited Partnershippubd gaz 26 November 2004 p 1035

Form 6 Version 2—Changes in Registered Details of Incorporated Limited Partnershippubd gaz 26 August 2005 p 1456

Form8 Version 1—Notice of Revocation of Registration as a Venture Capital Limited Partnership(VCLP) or Australian Venture Capital Fund of Funds (AFOF)

Form 9 Version 1—Notice of Cessation as a Venture Capital Management Partnership (VCMP)pubd gaz 26 November 2004 p 1035

Form 10 Version 1—Cessation of Business by an Incorporated Limited Partnershippubd gaz 26 November 2004 p 1035

PAY–ROLL TAX ACT 1971

Form OSR-P1 Version 1—Periodic Returnpubd gaz 11 November 2005 p 944

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 PR7 Version 1—2004-2005 Annual Returnpubd gaz 11 November 2005 p 944

Form PR8 Version 1—2004-2005 Annual Return/Notification of Fixed Periodic Deductionpubd gaz 11 November 2005 p 944


PEACE AND GOOD BEHAVIOUR ACT 1982


PEACE AND GOOD BEHAVIOUR ACT 1982

Form 1 Version 1—Complaintpubd gaz 25 February 2005 p 670

Form 2 Version 1—Summonspubd gaz 25 February 2005 p 670

PENALTIES AND SENTENCES ACT 1992

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 1737 Form 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 5—Warrant of arrest and imprisonment for non-payment of penalty

pubd gaz 1 December 2006 pp 1585-6Form 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 1—Order For Commitment Of Offender Where Punishment Is By Imprisonmentpubd gaz 25 August 2006 p 1985

Form 69 Version 1—Order For Commitment Of Offender For Re-offending During SuspendedImprisonment



PERSONAL INJURIES PROCEEDINGS ACT 2002


Form 70 Version 1—Recognisance to appear for sentence of an offence relating to propertypubd gaz 1 December 2006 pp 1585-6

Form 71 Version 1—Recognisance to keep the peace and be of good behaviourpubd gaz 1 December 2006 pp 1585-6

Form 1024 Version 2—Notice to stop contravening arequirement of a Fine Option Orderpubd gaz 8 December 2006 p 1738

PERSONAL INJURIES PROCEEDINGS ACT 2002

Form 1 Version 3—Notice of Claim (Non Health Care Claims)pubd gaz 11 April 2003 p 1312

Form 2 Version 4—Notice of Claim (Health Care Claims)pubd gaz 11 April 2003 p 1312

Form 3 Version 2—Notice of Claim (Dependency Claims)pubd gaz 11 April 2003 p 1312

PEST MANAGEMENT ACT 2001

Form PMA03.01 Version January 2007—Application to the Chief Executive- Licence as a PestManagement Technician

pubd gaz 2 February 2007 p 532Form PMA03.07 Version July 2004—Application - Renewal

pubd gaz 12 November 2004 p 880Form PMA03.10 Version July 2004—Application - Variation

pubd gaz 12 November 2004 p 880pubd gaz 14 October 2005 p 584

Form PMA03.10 Version September 2005—Application to Chief Executive: Variation of Licence asa Pest Management Technician

pubd gaz 14 October 2005 p 584Form 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 February 2007—Notice to Chief Executive—Licence as a PestManagement Technician in Queensland (Trans-Tasman New Zealand Mutual Recognition)


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



PETROLEUM AND GAS (PRODUCTION AND SAFETY) ACT 2004


Form PA-05AB Version 1—Application for Approval to Sublease, or Transfer a Sublease, for aPetroleum Lease

pubd gaz 9 September 2005 p 94Form PA-10A Version 2—Application to Amend Licence

pubd gaz 9 September 2005 p 94Form PA-11A Version 1—Administrative Notifications

pubd gaz 17 December 2004 p 1215Form PA-18A Version 1—Lodging a Prescribed Agreement

pubd gaz 17 December 2004 p 1215Form PA-19A Version 3—Notice of Intention to Drill a Petroleum Well or a Water Bore

pubd gaz 9 September 2005 p 94Form PA-20A Version 3—Notice of the Completion, Alteration or Abandonment of a Petroleum

Well or Water Borepubd gaz 9 September 2005 p 94

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 PL-03AA Version 1—Application for Renewal of Petroleum Leasepubd gaz 17 December 2004 p 1215

Form PL-05A Version 1—Application to Amend Relinquishment Condition of Petroleum Leasepubd gaz 17 December 2004 p 1215


Form ATP-01A Version 1—Application to Tender for Authority to Prospectpubd gaz 17 December 2004 p 1215–6

Form ATP-02A Version 1—Application for Renewal of Authority to Prospectpubd gaz 17 December 2004 p 1215–6

Form ATP-04A Version 1—Application to Divide Granted Authority to Prospectpubd gaz 17 December 2004 p 1215–6

Form ATP-07A Version 1—Application for the Minister to Declare Potential Commercial Areapubd gaz 17 December 2004 p 1215–6

Form ATP-10A Version 1—Authority to Prospect - Authoritypubd gaz 17 December 2004 p 1215–6

Form DAA-01A Version 1—Application for Data Acquisition Authoritypubd gaz 17 December 2004 p 1215–6

Form PA-01A Version 1—Application for Surrender of Petroleum Authorities (Whole or Part)pubd gaz 17 December 2004 p 1215–6

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 1215–6

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 p 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-23A Version 1—Entry Noticepubd gaz 17 December 2004 p 1215–6

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 PFL-01A Version 1—Application for Petroleum Facility Licence

pubd gaz 17 December 2004 p 1215–6Form PFL-02A Version 1—Application for Renewal of Petroleum Facility Licence

pubd gaz 17 December 2004 p 1215–6Form PFL-03A Version 1—Petroleum Facility Licence - Licence

pubd gaz 17 December 2004 p 1215–6Form PGA389 Version 1—Application for Exemption From Additional SMP Content Requirements

pubd gaz 24 March 2005 p 951Form PGA622 Version 1—Application for gas quality approval

pubd gaz 1 April 2005 p 1016Form PGA658 Version 1—Application to install and use pre-payment gas meters

pubd gaz 1 April 2005 p 1016Form PGA697 Version 2—Operating Plant Compliance certificate

pubd gaz 16 February 2007 p 759Form PGA728A Version 1—Application for Gas Work Authorisation (Industrial Appliances or

Servicing)pubd gaz 16 February 2007 p 759

Form PGA728AV Version 2—Application for Gas Work Authorisation (Motor Fuel)pubd gaz 13 April 2007 p 1684

Form PGA728AM Version 1—Application for Gas Work Authorisation (Major Project)pubd gaz 16 February 2007 p 759

Form PGA728AH Version 1—Application for Gas Work Authorisation (Hydrocarbon Refrigerants)pubd gaz 16 February 2007 p 759

Form PGA728L Version 6—Application for Gas Work Licencepubd gaz 16 February 2007 p 759

Form PGA733(1) Version 2—Import/Manufacturer Compliance certificatepubd gaz 16 February 2007 p 759

Form PGA733(2) Version 1—Application to offer for sale, install or use a gas device or gas fittingpubd gaz 1 April 2005 p 1016




Form PGA734 Version 2—Gas System Compliance Certificatepubd gaz 11 November 2005 p 888

Form PGA734(2) Version 1—Gas SystemDefect Noticepubd gaz 11 November 2005 p 888

Form PGR76 Version 1—Application for section 76 exemption from regulationspubd gaz 1 April 2005 p 1016

Form PGR101/102 Version 1—Vehicle/vessel Inspection Certificatepubd gaz 1 April 2005 p 1016

Form PGR114 Version 1—Application for approval to decant LPGpubd gaz 1 April 2005 p 1016

Form PL-01A Version 2—Application for ATP-Related Petroleum Leasepubd gaz 4 November 2005 p 799

Form PL-01AA Version 1—Application for Petroleum Lease by or jointly with Coal or Oil ShaleMining Tenement Holder

pubd gaz 4 November 2005 p 799Form PL-02A Version 1—Application to Tender for Petroleum Lease

pubd gaz 17 December 2004 p 1215–6Form PL-03A Version 1—Application for Renewal of Petroleum Lease

pubd gaz 17 December 2004 p 1215–6Form PL-05A Version 1—Application to Amend Relinquishment Condition of Petroleum Lease

pubd gaz 17 December 2004 p 1215–6Form PL-06A Version 1—Application to Divide Granted Conventional Petroleum Lease

pubd gaz 17 December 2004 p 1215–6Form PL-07A Version 1—Application to Divide Granted Coal Seam Gas Petroleum Lease

pubd gaz 17 December 2004 p 1215–6Form PL-16A Version 1—Petroleum Lease - Authority

pubd gaz 17 December 2004 p 1215–6Form PPL-01A Version 1—Application for Pipeline Licence

pubd gaz 17 December 2004 p 1215–6Form PPL-02A Version 1—Application for Renewal of Pipeline Licence

pubd gaz 17 December 2004 p 1215–6Form PPL-03A Version 1—Application for Permission to Enter Land for the Purpose of Exercising

Rights Under a Pipeline Licence or Petroleum Facility Licence (A “Part 5 Permission”)pubd gaz 17 December 2004 p 1215–6

Form PPL-05A Version 1—Pipeline licence - Licencepubd gaz 17 December 2004 p 1215–6

Form PSL-01A Version 1—Application for Survey Licencepubd gaz 17 December 2004 p 1215–6

Form PSL-02A Version 1—Survey licence - Licencepubd gaz 17 December 2004 p 1215–6

Form WRA-01A Version 1—Application for Water Monitoring Authoritypubd gaz 17 December 2004 p 1215–6

Form WRA-02A Version 1—Notification of Transfer of Water Supply Bore or Water ObservationBore to Landowner

pubd gaz 17 December 2004 p 1215–6Form WRA-03A Version 1—Notification of Transfer of Petroleum Well to Holder of Geothermal

Exploration Permit or Mining Tenementpubd gaz 17 December 2004 p 1215–6

Form WRA-04A Version 1—Notification of Transfer of Water Observation Bore to Holder ofPetroleum Tenure or Water Monitoring Authority

pubd gaz 17 December 2004 p 1215–6


PETROLEUM (SUBMERGED LANDS) ACT 1982


Form WRA-05A Version 1—Notification of Conversion of Petroleum Well to Water Supply Borepubd gaz 17 December 2004 p 1215–6

Form WRA-06A Version 1—Application to Amend a Water Monitoring Authoritypubd gaz 17 December 2004 p 1215–6

Form WRA-07A Version 1—Application for a Trigger Thresholdpubd gaz 17 December 2004 p 1215–6

Form WRA-08A Version 1—Water Monitoring Authority - Authoritypubd gaz 17 December 2004 p 1215–6

PETROLEUM (SUBMERGED LANDS) ACT 1982

Form PPL-01AA Version 1—Application for Pipeline Licence (Adjacent Area)pubd gaz 14 October 2005 p 528

PHARMACISTS REGISTRATION ACT 2001

Form P101 Version February 2002—Application for General Registration as a Pharmacist inQueensland

pubd gaz 8 February 2002 pp 439–41Form P301 Version February 2002—Application for Special Purpose Registration as a Pharmacist in

Queensland pubd gaz 8 February 2002 pp 439–41

Form P401 Version October 2004—Application from Graduates completing Supervised Practice, forGeneral Registration as a Pharmacist in Queensland

pubd gaz 4 February 2005 p 338Form P1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Pharmacist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form P1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 8 February 2002 pp 439–41

Form Ph401 Version March 2002—Application for Renewal of General Registration as a Pharmacistin Queensland

pubd gaz 4 February 2005 p 338Form PN163 Version February 2002—Notice to Produce or Safeguard Evidence


PHYSIOTHERAPISTS REGISTRATION ACT 2001

Form Phy101 Version February 2002—Application for General Registration as a Physiotherapist inQueensland

pubd gaz 8 February 2002 pp 439–41Form Phy301 Version February 2002—Application for Special Purpose Registration as a

Physiotherapist in Queensland pubd gaz 8 February 2002 pp 439–41

Form Phy401 Version May 2002—Application for Renewal of General Registration as aPhysiotherapist in Queensland



PLANT PROTECTION ACT 1989


Form Phy1401 Version February 2002—Notice of Expiry of Registration and Application forRestoration of General Registration as a Physiotherapist in Queensland

pubd gaz 8 February 2002 pp 439–41Form Phy1601 Version February 2002—Application for Review of Conditions on Registration

pubd gaz 8 February 2002 pp 439–41Form PhyN158 Version February 2002—Notice to Produce or Safeguard Evidence


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

PLUMBING AND DRAINAGE ACT 2002

Form 1 Version 2—Application for Compliance Assessmentpubd gaz 24 February 2006 p 796

Form 2 Version 2—Proposed Plumbing & Drainage & On-site Sewerage Workpubd gaz 24 February 2006 p 796

Form 3 Version 2—Verification of Covered Workpubd gaz 24 February 2006 p 796

Form 4 Version 1—Notifiable Minor Workpubd gaz 31 October 2003 p 689

Form 5 Version 2—Application for Compliance Assessment—Remote Areapubd gaz 24 February 2006 p 796

Form 6 Version 2—Notice of Compliance—Remote Areapubd gaz 24 February 2006 p 796

Form 7 Version 2—Notification of Responsible Personpubd gaz 24 February 2006 p 796

Form 8 Version 1—Notice of Compliance—On-site Sewerage Workpubd gaz 24 February 2006 p 796

Form 9 Version 1—Report on Inspection and Testing of Backflow Prevention Devices, RegisteredAir Gaps and Registered Break Tanks



PODIATRISTS REGISTRATION ACT 2001


Form 10 Version 1—Application for Chief Executive Approvalpubd gaz 24 February 2006 p 796

Form 21 Version 2—Application for a Licensepubd gaz 8 October 2004 p 473

Form 22 Version 2—Application for Renewal or Restoration of a Licensepubd gaz 8 October 2004 p 473

Form 23 Version 1—Application for a Review of Licence Conditionspubd gaz 31 October 2003 p 689

Form 24 Version 1—Application for Replacement of a Licencepubd gaz 31 October 2003 p 689

PODIATRISTS REGISTRATION ACT 2001

Form Pod101 Version February 2002—Application for General Registration as a Podiatrist inQueensland

pubd gaz 4 February 2005 p 339Form Pod301 Version February 2002—Application for Special Purpose Registration as a Podiatrist

in Queenslandpubd gaz 4 February 2005 p 339

Form Pod401 Version April 2002—Application for Renewal of General Registration as a Podiatristin Queensland

pubd gaz 4 February 2005 p 339Form Pod1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Podiatrist in Queenslandpubd gaz 4 February 2005 p 339

Form Pod1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 4 February 2005 p 339

Form Podn158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 4 February 2005 p 339

Form MR POD111 Version May 2002—Application for Registration under Mutual Recognition as aPodiatrist in Queensland

pubd gaz 4 February 2005 p 339Form TTMR POD311 Version May 2002—Application for Registration under Trans-Tasman

Mutual Recognition as a Podiatrist in Queenslandpubd gaz 4 February 2005 p 339

POLICE POWERS AND RESPONSIBILITIES ACT 2000

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 3—Statement to Occupier (Summary of Occupier’s Rights and Obligations Under

a Search Warrant)pubd gaz 8 September 2006 pp 168–9

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

pubd gaz 8 September 2006 pp 168–9Form 80B Version 2—Forensic Procedure Consent (Written) Signed by the Adult Suspected of

Committing an Offencepubd gaz 8 September 2006 pp 168–9

Form 81A Version 2—Statement of Explanation for Forensic Procedure Consent to an Adult for theTaking 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)





Form 82A Version 2—Statement of Explanation for Forensic Procedure Consent to a Parent of aChild Under 14 Suspected of Committing an Offence

pubd gaz 8 September 2006 pp 168–9Form 82B Version 2—Forensic Procedure Consent (Written) Signed by the Parent of a Child Under

14 Suspected of Committing an Offencepubd gaz 8 September 2006 pp 168–9

Form 83A Version 2—Statement of Explanation for Forensic Procedure Consent to a Parent for theTaking 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)

pubd gaz 8 September 2006 pp 168–9Form 86A Version 2—Statement of Explanation for Forensic Procedure Consent to Person with

Impaired 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)





Form 87B Version 2—Forensic Procedure Consent (Written) Signed by the Person with ImpairedCapacity 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 99 Version 1—Impounding Notice (First Vehicle Related Offence)pubd gaz 8 September 2006 pp 168–9

Form 100 Version 1—Impounding Notice (Second or Subsequent Vehicle Related Offence)pubd gaz 8 September 2006 pp 168–9

Form 101 Version 1—Application for Impounding Order (Vehicle Related Offence)pubd gaz 8 September 2006 pp 168–9

Form 102 Version 1—Application for Forfeiture Order (Vehicle Related Offence)pubd gaz 8 September 2006 pp 168–9

Form 103 Version 1—Impounding Notice (Motorbike Noise Direction Offence)pubd gaz 8 September 2006 pp 168–9

Form 104 Version 1—Impounding Notice (First Motorbike Noise Order Offence)pubd gaz 8 September 2006 pp 168–9

Form 105 Version 1—Impounding Notice (Second or Subsequent Motorbike Noise Order Offence)pubd gaz 8 September 2006 pp 168–9

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 108 Version 1—Statement of Explanation (Vehicle Related Offence and Motorbike NoiseOrder Offence)

pubd gaz 8 September 2006 pp 168–9Form 109 Version 1—Challenge Notice

pubd gaz 8 September 2006 pp 168–9Form 110 Version 1—Application for an Impounding Order (Evasion Offence)

pubd gaz 8 September 2006 pp 168–9Form 111 Version 1—Application for a Forfeiture Order (Evasion Offence)

pubd gaz 8 September 2006 pp 168–9F2869 Version August 2002—Defect Notice

pubd gaz 15 April 2005 pp 1208–9


POWERS OF ATTORNEY ACT 1998


F3162 Version July 97—Vehicle Movement Prohibition Noticepubd gaz 15 April 2005 p 1207

F3632 Version June 98—Driver Prohibition Noticepubd gaz 15 April 2005 p 1207

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

Form PEA 1 Version 1—Information Statement for Work Seekers (Other than Models andPerformers)

pubd gaz 6 May 2005 p 71Form PEA 2 Version 1—Information Statement for Work Seekers (Models and Performers)


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 1—Application for Approval of Prescribed Alteration to a Licensed PrivateHealth Facility

pubd gaz 1 December 2000 p 1286Form 8935 Version 1—Application for a Licence to Operate a Private Health Facility

pubd gaz 1 December 2000 p 1286Form 8936 Version 1—Application for Approval to Extend the Term of an Approval

pubd gaz 1 December 2000 p 1286Form 8937 Version 1—Application for Renewal of a Private Health Facility Licence

pubd gaz 1 December 2000 p 1286Form 8938 Version 1—Application for Approval for a Private Health Facility

pubd gaz 1 December 2000 p 1286Form 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



PROFESSIONAL ENGINEERS ACT 2002


PROFESSIONAL ENGINEERS ACT 2002

Form 2 Version 2—Application for Registrationpubd gaz 17 November 2006 p 1319

Form 3 Version 2—Application for Renewal of Registrationpubd gaz 17 November 2006 p 1319

Form 4 Version 2—Application for Restoration of Registrationpubd gaz 17 November 2006 p 1319

Form 6 Version 1—Complaint: Unsatisfactory Professional Conductpubd gaz 11 November 2005 p 943

PROPERTY AGENTS AND MOTOR DEALERS ACT 2000

Form 1 Version 2—Application for a Property Agents and Motor Dealers Licencepubd gaz 28 June 2002 p 873

Form 1-1 Version 4—Application for Individual’s Licencepubd gaz 21 July 2006 p 1366

Form 1-2 Version 4—Application for Corporation’s Licencepubd gaz 21 July 2006 p 1366

Form 1-3 Version 4—Application for Resident Letting Licencepubd gaz 21 July 2006 p 1366

Form 1-4 Version 3—Application for Pastoral House Licencepubd gaz 21 July 2006 p 1366

Form 2 Version 6—Renewal Notice—Property Agents and Motor Dealers Licencepubd gaz 11August 2006 p 1713

Form 2 Version 6—Restoration Notice—Property Agents and Motor Dealers Licencepubd gaz 11August 2006 p 1713

Form 3 Version 6—Application for A Property Agents and Motor Dealers Registration Certificatepubd gaz 21 July 2006 p 1366

Form 4 Version 5—Renewal Notice—Property Agents and Motor Dealers Registration Certificatepubd gaz 11August 2006 p 1713

Form 4 Version 5 Restoration Notice—Property Agents and Motor Dealers Registration Certificatepubd gaz 11August 2006 p 1713

Form 11 Version 10—Application for Appointment/Extension of Appointment of SubstituteLicensee

pubd gaz 21 July 2006 p 1366Form 14 Version 1—Application For Approval As An Auditor

pubd gaz 21 July 2006 p 1365Form 20—Appointment to Act as Restricted Letting Agent

pubd gaz 6 July 2001 pp 915–6Form 20a Version 2—Appointment of Agent (Letting and Property Management)

pubd gaz 5 August 2005 p 1214Form 21—Sole or Exclusive Agency Notice for Sale of Property (Real Estate Agent)

pubd gaz 6 July 2001 pp 915–6Form 21a Version 2—Appointment of Real Estate Agent (Commercial and Industrial Sales, Leasing

and Property Management)pubd gaz 5 August 2005 p 1214

Form 22—Appointment to Act as Real Estate Agentpubd gaz 6 July 2001 pp 915–6

Form 22a Version 2—Appointment of Real Estate Agent (Sales and Purchases)pubd gaz 5 August 2005 p 1214


PROPERTY AGENTS AND MOTOR DEALERS ACT 2000


Form 23 Version 3—Reappointment of Real Estate Agent, Pastoral House or Auctioneerpubd gaz 16 April 2004 p 1475

Form 24a Version 2—Appointment to Act as Auctioneerpubd gaz 5 August 2005 p 1214

Form 25 Version 2—Sole or Exclusive Agency Notice for Sale of Property (Pastoral House)pubd gaz 14 July 2006 p 1267

Form 26 Version 4—Appointment to Act as Pastoral Housepubd gaz 14 July 2006 p 1267

Form 27b Version 2—Selling Agent’s Disclosure to Buyerpubd gaz 7 June 2002 p 571

Form 27—Disclosure to Buyer (By a Real Estate Agent, Real Estate Salesperson or PropertyDeveloper)

pubd gaz 6 July 2001 pp 915–6Form 28 Version 3—Disclosure of Beneficial Interest to Seller (By a Real Estate Agent, Real Estate

Salesperson, Auctioneer, Trainee Auctioneer, Pastoral House or Pastoral House Officer)pubd gaz 5 August 2005 p 1214

Form 29—Warning Statement (For Sale of Residential Property No Cooling-Off Period)pubd gaz 6 July 2001 pp 915–6

Form 30—Warning Statement (For Sale of Residential Property Cooling-Off Period)pubd gaz 6 July 2001 pp 915–6

Form 30c Version 3—Warning Statementpubd gaz 5 August 2005 p 1214

Form 31—Declaration by Seller Sale of Residential Propertypubd gaz 6 July 2001 pp 915–6

Form 31a—Declaration by Seller (Sale of Residential Property)pubd gaz 16 November 2001 p 976

Form 32—Lawyer’s Certificate Waiving Cooling-Off Periodpubd gaz 6 July 2001 pp 915–6

Form 32a Version 4—Lawyer's Certificationspubd gaz 5 August 2005 p 1214

Form 33—Lawyer’s Certificate Shortening Cooling-Off Periodpubd gaz 6 July 2001 pp 915–6

Form 34 Version 3—Appointment of Motor Dealer to Sell a Motor Vehicle on Consignmentpubd gaz 5 August 2005 p 1214

Form 35 Version 3—Disclosure of Beneficial Interest to Seller (By a Motor Dealer or MotorSalesperson)

pubd gaz 5 August 2005 p 1214Form 36 Version 4—Guarantee of Title to Buyer (By a Motor Dealer)

pubd gaz 1 June 2007 p 581Form 37a Version 1—Important Pre-purchase information cooling-off period

pubd gaz 6 October 2006 p 575Form 38a-1 Version 1—Notice of Statutory Warrant

pubd gaz 6 October 2006 p 575Form 38a-2 Version 1—Statutory Warrant Period

pubd gaz 6 October 2006 p 575Form 39—Option to Purchase During Cooling-Off Period

pubd gaz 6 July 2001 pp 915–6Form 40—Guarantee of Title (By an Auctioneer)

pubd gaz 6 July 2001 pp 915–6Form 41—Buyer’s Acknowledgment of Receipt of Documents

pubd gaz 6 July 2001 pp 915–6


PROPERTY LAW ACT 1974


Form 42 Version 3—Statutory Warranty by an Auctioneerpubd gaz 14 July 2006 p 1267

Form 43 Version 1—Notice of No Statutory Warrantypubd gaz 6 October 2006 p 575

Form 50 Version 4—Claim Against the Claim Fundpubd gaz 4 August 2006 p 1609

Form 50-1 Version 3—Claim For a Marketeering Contraventionpubd gaz 4 August 2006 p 1610

Form 51 Version 1—Notice of Intention to Claim for a Marketeering Contraventionpubd gaz 26 March 2004 p 1166

Form 52 Version 2—Application to Have Claim Determinedpubd gaz 26 March 2004 p 1166

Form 53 Version 2—Claim Out of Time Noticepubd gaz 26 March 2004 p 1166

Form 60 Version 1—Notice of Cooling-Off Period and Statutory Warrantypubd gaz 1 June 2007 p 581

Form 61 Version 1—Notice of Cooling-Off Period and No Statutory Warrantypubd gaz 1 June 2007 p 581

Form 62 Version 1—Statutory Warranty Period and Guarantee of Title to Buyerpubd gaz 1 June 2007 p 581

Form 63 Version 1—Guarantee of Title to Buyer (by a Motor Dealer)pubd gaz 1 June 2007 p 581

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–Form 13 —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


PROSTITUTION ACT 1999

Form 1 Version 1 8 February 2002—Notice of appeal to the Independent Assessor Against aDecision of a Local Government

pubd gaz 22 February 2002 p 749Form 2 Version 1—Brothel Licence Application

pubd gaz 15 April 2005 p 1206Form A Version 1—Statement of Personal Details

pubd gaz 15 April 2005 p 1206Form B Version 1—Associates’ Details

pubd gaz 15 April 2005 p 1206Form C Version 1—Proposed Brothel Details

pubd gaz 15 April 2005 p 1206Form 3 Version 1—Brothel Licence Renewal Application


pubd gaz 15 April 2005 p 1206Form B Version 1—Brothel Details

pubd gaz 15 April 2005 p 1206Form 4 Version 1—Approval Manager’s Certificate Application


pubd gaz 15 April 2005 p 1206Form B Version 1—Associates’ Details

pubd gaz 15 April 2005 p 1206Form C Version 1—Brothel Details

pubd gaz 15 April 2005 p 1206Form 5 Version 1—Approved Manager’s Certificate Renewal Application

pubd gaz 15 April 2005 p 1206Form 6 Version 1—Application for Variation of an Approved Manager’s Certificate


PSYCHOLOGISTS REGISTRATION ACT 2001

Form PSY101 Version September 2002—Application for General Registration as a Psychologist inQueensland

pubd gaz 4 February 2005 p 340Form PSY301 Version September 2002—Application for Special Purpose Registration as a

Psychologist in Queenslandpubd gaz 4 February 2005 p 340

Form PSY401Version April 2002—Application for Renewal of General Registration as aPsychologist in Queensland

pubd gaz 4 February 2005 p 340Form PSY1401 Version March 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Psychologist in Queenslandpubd gaz 4 February 2005 p 340

Form PSY1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 4 February 2005 p 340

Form PSYN158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 4 February 2005 p 340


PUBLIC HEALTH ACT 2005


Form MR PSY111 Version May 2002—Application for Registration under Mutual Recognition as aPsychologist in Queensland

pubd gaz 4 February 2005 p 340Form TTMR PSY311 Version May 2002—Application for Registration under Trans-Tasman Mutual

Recognition as a Psychologist in Queenslandpubd gaz 4 February 2005 p 340

PUBLIC HEALTH ACT 2005

Form PHA S70 Version 1.5—Notifiable Conditions Report Form for Clinicianspubd gaz 2 February 2007 p 530

QUEENSLAND BUILDING SERVICES AUTHORITY ACT 1991

Form 1 Version 4—Independent Review Report (For Turnover Categories 1–3 only)pubd gaz 2 June 2006 p 569

Form 2 Version 4—Audit Report (For Turnover Categories 4 to 8)pubd gaz 2 June 2006 p 569

Form 3 Version 4—Independent Review Report (For Turnover Categories 4–8—1st year only)pubd gaz 2 June 2006 p 569

Form 4 Version 4—Request to Change renewal datepubd gaz 2 June 2006 p 569

Form 5 Version 3— Declaration—Professional Indemnity Insurancepubd gaz 2 June 2006 p 569

Form 6 Version 4—Deed of Covenant and Assurancepubd gaz 2 June 2006 p 569

Form 7 Version 2—Licence Renewal Notice—Individualpubd gaz 2 June 2006 p 569

Form 8 Version 2—Licence Renewal Notice—Companypubd gaz 2 June 2006 p 569

Form 10 Version 1—Independent Review Report—Audit Exemption (For Turnover Categories 4–8)pubd gaz 2 June 2006 p 569

Form 11 Version 1—Declaration–Allowable Annual Turnover under $100,000 per annumpubd gaz 2 June 2006 p 569

Form 12 Version 1—Declaration–Allowable Annual Turnover under $300,000 per annumpubd gaz 2 June 2006 p 569

Form 13 Version 1—Covenator’s Statement of Financial Positionpubd gaz 2 June 2006 p 569

Form 14 Version 1—Review Control Sheetpubd gaz 2 June 2006 p 569

QUEENSLAND LAW SOCIETY ACT 1952

Form 1 Version 1—Application for Membership of the Queensland Law Societypubd gaz 29 April 2005 p 1389

Form 1 Version 1—Practising certificatepubd gaz 24 May 1996 p 706

Form 2 Version 1—Renewal of Membership of the Queensland Law Societypubd gaz 29 April 2005 p 1389


RACING ACT 2002


Form 2A Version 1—Electronic Application for Renewal of Membership of the Queensland LawSociety

pubd gaz 29 April 2005 p 1389Form 3 Version 1—Nomination Paper

pubd gaz 29 April 2005 p 1389Form 4 Version 1—Voting Paper

pubd gaz 29 April 2005 p 1389Form 5 Version 1—Appointment of Proxy for Annual General Meeting

pubd gaz 29 April 2005 p 1389Form 6 Version 1—Appointment of Proxy for Special General Meeting

pubd gaz 29 April 2005 p 1389Form 8 Version 1—Application for assessment of account under a client agreement

pubd gaz 3 July 1998 p 1184Form 8 Version 1—Schedule to application for assessment of account under a client agreement

pubd gaz 3 July 1998 p 1185Form 9 Version 1—Appointment of cost assessor

pubd gaz 3 July 1998 p 1186Form 10 Version 1—Cost assessor’s written agreement


RACING ACT 2002

Form 1 Version 1— Racing Appeals Tribunal—Notice of Appealpubd gaz 8 August 2003 p 1231

Form 3 Version 2—Application for Approval as a Control Bodypubd gaz 6 May 2005 p 70

Form 4 Version 2—Agreement to pay cost of mediationpubd gaz 6 May 2005 p 70

Form 5 Version 2—Consent and authority for information about associate to be obtained for chiefexecutive

pubd gaz 6 May 2005 p 70Form 6 Version 1—Personal Probity Form

pubd gaz 27 June 2003 p 729Form 7 Version 2—Notice of any changes to information contained in Control Body Approval

Applicationpubd gaz 6 May 2005 p 70

Form 8 Version 2—Application for a variation of a Control Body Approvalpubd gaz 6 May 2005 p 70

Form 9 Version 1—Annual Audit Programpubd gaz 27 June 2003 p 729

Form 10 Version 2—Annual management plan for a Control Bodypubd gaz 6 May 2005 p 70

Form 11 Version 2—Notice of cessation of an executive officer of a Control Bodypubd gaz 6 May 2005 p 70

Form 12 Version 2—Notice of appointment of executive officer of a Control Bodypubd gaz 6 May 2005 p 70

Form 13 Version 2—Notice of event resulting in a Control Body not being an eligible corporationpubd gaz 6 May 2005 p 70

Form 14 Version 2—Notice of event resulting in an executive officer of a Control Body no longerbeing an eligible individual



RADIATION SAFETY ACT 1999


Form 15 Version 2—Application for Accreditation as an Accredited Facilitypubd gaz 6 May 2005 p 70

Form 16 Version 2—Application for a variation of accreditationpubd gaz 6 May 2005 p 70

Form 17 Version 2—Receipt for a seized thingpubd gaz 6 May 2005 p 70

Form 18 Version 2—Notice to person in control of a thingpubd gaz 6 May 2005 p 70

Form 19 Version 1—Probity Formpubd gaz 25 August 2004 p 1321


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 1.4—Application for a Licence to Use Ionising Radiation Apparatus for DiagnosticRadiography or Radiation Therapy

pubd gaz 9 January 2004 p 63Form 8 Version 1.4—Application for a Radiation Safety Officer Certificate

pubd gaz 9 January 2004 p 63Form 9 Version 1.4—Application for a Licence to Transport Radioactive Substances

pubd gaz 9 January 2004 p 63Form 10 Version 1.4—Application for an Accreditation Certificate

pubd gaz 9 January 2004 p 63Form 11 Version 2—Possession Licence

pubd gaz 9 January 2004 p 63Form 12 Version 2—Use Licence

pubd gaz 9 January 2004 p 63Form 13 Version 2—Transport Licence

pubd gaz 9 January 2004 p 63Form 14 Version 2—Radiation Safety Officer Certificate

pubd gaz 9 January 2004 p 63Form 15 Version 2—Accreditation Certificate

pubd gaz 9 January 2004 p 63Form 16 Version 2.2—Application for Approval to Acquire a Sealed Radioactive Substance

pubd gaz 9 January 2004 p 63Form 17 Version 2.2—Application for Approval to Acquire a Radiation Apparatus





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 2.2—Application for Approval to Acquire an Unsealed Radioactive Substancepubd gaz 9 January 2004 p 63

Form 21 Version 3—Application Form – Renewal of a Transport Licence pubd gaz 9 January 2004 p 63

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 2.2—Application for Approval to Relocate a Radiation Sourcepubd gaz 9 January 2004 p 63

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 29 Version 1.0—Application to Change the Conditions of an Act Instrumentpubd gaz 25 August 2006 p 1986

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





Form HR006:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

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






Form NM013:1999 Version 1—Assessment Report—Sealed Source Irradiatorspubd gaz 16 May 2003 p 207



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 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 (ACCOMMODATION) ACT 2002


RESIDENTIAL SERVICES (ACCOMMODATION) ACT 2002

Form 1a Version 8 August 2006—Entry Condition Report —General Tenanciespubd gaz 8 December 2006 p 1738

Form 1b Version 7 July 2006—Entry Condition Report – Moveable Dwellingspubd gaz 22 September 2006 p 373

Form 2 Version 9 July 2006—Bond Lodgementpubd gaz 22 September 2006 p 373

Form 2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

Form 3 Version 5 July 2006—Transfer of Bondpubd gaz 22 September 2006 p 373

Form 4 Version 9 July 2006—Refund of Rental Bondpubd gaz 22 September 2006 p 373

Form 5 Version 9 July 2006—Change of Lessor / Lessor’s Agentpubd gaz 22 September 2006 p 373

Form 6 Version 5 July 2006—Change of Shared Bond Arrangementpubd gaz 22 September 2006 p 373

Form 7 Version 6 July 2006—Part Payment of Rental Bondpubd gaz 22 September 2006 p 373

Form 9 Version 9 July 2006—Entry Noticepubd gaz 22 September 2006 p 373

Form 10 Version 7 July 2006—Notice of Lessor’s Intention to Sell Premisespubd gaz 22 September 2006 p 373

Form 11 Version 8 July 2006—Notice to Remedy Breachpubd gaz 22 September 2006 p 373

Form 12 Version 6 July 2006—Notice to Leavepubd gaz 22 September 2006 p 373

Form 13 Version 9 July 2006—Notice of Intention to Leavepubd gaz 22 September 2006 p 373

Form 14a Version 6 July 2006—Exit Condition Report – General tenanciespubd gaz 22 September 2006 p 373

Form 14b Version 1 July 2006—Exit Condition Report – Moveable Dwellingspubd gaz 22 September 2006 p 373

Form 15 Version 5 July 2006—Abandonment Termination Noticepubd gaz 22 September 2006 p 373

Form 16 Version 6 July 2006—Dispute Resolution Requestpubd gaz 22 September 2006 p 373

Form 18a Version 9 July 2006—General Tenancy Agreementpubd gaz 22 September 2006 p 373

Form 18b Version 4 July 2006—Moveable Dwelling Tenancy Agreementpubd gaz 22 September 2006 p 373

Form R1 Version 2 July 2006—Entry Condition Reportpubd gaz 22 September 2006 p 373

Form R2 Version 2 July 2006—Bond Lodgementpubd gaz 22 September 2006 p 373

Form R2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

Form R3 Version 1 July 2006—Transfer of Bondpubd gaz 22 September 2006 p 373

Form R4 Version 2 July 2006— Refund of Rental Bondpubd gaz 22 September 2006 p 373


RESIDENTIAL SERVICES (ACCREDITATION) ACT 2002


Form R5 Version 1 July 2006—Change of Service Provider/Managerpubd gaz 22 September 2006 p 373

Form R6 Version 1 July 2006—Change of Shared Bond Arrangementpubd gaz 22 September 2006 p 373

Form R7 Version 1 July 2006—Part-Payment of Rental Bondpubd gaz 22 September 2006 p 373

Form R8 Version 2 January 2004—Service Provider’s/Manager’s Signature Recordpubd gaz 3 June 2005 p 408

Form R9 Version 2 July 2006—Entry Noticepubd gaz 22 September 2006 p 373

Form R11 Version 1 July 2006—Notice to Remedy Breachpubd gaz 22 September 2006 p 373

Form R12 Version 1 July 2006—Notice to Leavepubd gaz 22 September 2006 p 373

Form R13 Version 1 July 2006—Resident Leaving Formpubd gaz 22 September 2006 p 373

Form R16 Version 1 July 2006—Dispute Resolution Requestpubd gaz 22 September 2006 p 373

Form R18 Version 4 August 2006—Residential Service Agreementpubd gaz 8 December 2006 p 1738

RESIDENTIAL SERVICES (ACCREDITATION) ACT 2002

Form 1 Version 4—Application for Registration of a Residential Servicepubd gaz 1 December 2006 p 1586

Form 2 Version 1—Application for accreditation of a residential servicepubd gaz 30 August 2002 p 1552

Form 3 Version 1—Application for renewal of a residential servicepubd gaz 30 August 2002 p 1552

Form 4 Version 4—Application to Become a Registered Service Provider of a currently registeredResidential Service (Change of Service Provider)

pubd gaz 1 December 2006 p 1586Form 5 Version 1—Application for Review of Decision

pub gaz 16 September 2005 p 219

RESIDENTIAL TENANCIES ACT 1994

Form 1 Version 1—Condition Reportpubd gaz 24 March 1995 p 1286

Form 1a Version 8 August 2006—Entry Condition Report —General Tenanciespubd gaz 8 December 2006 p 1738

Form 1b Version 7 July 2006—Entry Condition Report – Moveable Dwellingspubd gaz 22 September 2006 p 373

Form 2 Version 9 July 2006—Bond Lodgementpubd gaz 22 September 2006 p 373

Form 2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

Form 3 Version 5 July 2006—Transfer of Bondpubd gaz 22 September 2006 p 373


RESIDENTIAL TENANCIES ACT 1994


Form 4 Version 9 July 2006—Refund of Rental Bondpubd gaz 22 September 2006 p 373

Form 5 Version 9 July 2006—Change of Lessor / Lessor’s Agentpubd gaz 22 September 2006 p 373

Form 6 Version 5 July 2006—Change of Shared Bond Arrangementpubd gaz 22 September 2006 p 373

Form 7 Version 6 July 2006—Part Payment of Rental Bondpubd gaz 22 September 2006 p 373

Form 8 Version 3 October 2004—Lessor’s Agent Signature Recordpubd gaz 3 June 2005 p 407

Form 9 Version 9 July 2006—Entry Noticepubd gaz 22 September 2006 p 373

Form 10 Version 7 July 2006—Notice of Lessor’s Intention to Sell Premisespubd gaz 22 September 2006 p 373

Form 11 Version 8 July 2006—Notice to Remedy Breachpubd gaz 22 September 2006 p 373

Form 11a Version 1—Notice to Remedy Breach (Rent Arrears) *QDHLGP use onlypubd gaz 24 March 1995 p 1286

Form 11b Version 1—Notice to Remedy Breach (Other than Rent Arrears) *QDHLGP use onlypubd gaz 24 March 1995 p 1286

Form 11c(1) Version November 1998—Notice to Remedy Breach – Rent Arrearspubd gaz 3 June 2005 p 407

Form 11c(2) Version November 1998—Notice to Remedy Breach – Other than Rent Arrearspubd gaz 3 June 2005 p 407

Form 12 Version 6 July 2006—Notice to Leavepubd gaz 22 September 2006 p 373

Form 12a Version 1—Notice to Leave (Rent Arrears) *QDHLGP use onlypubd gaz 24 March 1995 p 1286

Form 12b Version 1—Notice to Leave (Other than Rent Arrears) *QDHLGP use onlypubd gaz 24 March 1995 p 1286

Form 12c(1) Version November 1998—Notice to Leave (Rent Arrears)pubd gaz 3 June 2005 p 407

Form 12c(2) Version November 1998—Notice to Leave (Other than Rent Arrears)pubd gaz 3 June 2005 p 407

Form 12c(3) Version 9 September 2003—Notice to Leave - Without Groundspubd gaz 3 June 2005 p 407

Form 13 Version 9 July 2006—Notice of Intention to Leavepubd gaz 22 September 2006 p 373

Form 14 Version 1—Dispute Noticepubd gaz 24 March 1995 p 1286

Form 14a Version 6 July 2006—Exit Condition Report – General tenanciespubd gaz 22 September 2006 p 373

Form 14b Version 1 July 2006—Exit Condition Report – Moveable Dwellingspubd gaz 22 September 2006 p 373

Form 15 Version 5 July 2006—Abandonment Termination Noticepubd gaz 22 September 2006 p 373

Form 16 Version 6 July 2006—Dispute Resolution Requestpubd gaz 22 September 2006 p 373

Form 17a Version 11 August 2005—Information Statement Renting in Queenslandpubd gaz 11 November 2005 p 945


RETAIL SHOP LEASES ACT 1994


Form 17a Version 13 April 2007—Renting a home: a tenant’s guide to the rules for renting inQueensland

pubd gaz 8 June 2007 p 758Form 17b Version 11 February 2007—Information Statement. Renting in Queensland—Your rights

and responsibilities as a tenant in moveable dwelling tenanciespubd gaz 8 June 2007 p 758

Form 18a Version 9 July 2006—General Tenancy Agreementpubd gaz 22 September 2006 p 373

Form 18b Version 4 July 2006—Moveable Dwelling Tenancy Agreementpubd gaz 22 September 2006 p 373

Form 18c Version August 2005—State Tenancy Agreementpub gaz 9 September 2005 p 142

Form R1 Version 2 July 2006—Entry Condition Reportpubd gaz 22 September 2006 p 373

Form R2 Version 2 July 2006—Bond Lodgementpubd gaz 22 September 2006 p 373

Form R2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

Form R3 Version 1 July 2006—Transfer of Bondpubd gaz 22 September 2006 p 373

Form R4 Version 2 July 2006—Refund of Rental Bondpubd gaz 22 September 2006 p 373

Form R5 Version 1 July 2006—Change of Service Provider/Managerpubd gaz 22 September 2006 p 373

Form R6 Version 1 July 2006—Change of Shared Bond Arrangementpubd gaz 22 September 2006 p 373

Form R7 Version 1 July 2006—Part-Payment of Rental Bondpubd gaz 22 September 2006 p 373

Form R9 Version 2 July 2006—Entry Noticepubd gaz 22 September 2006 p 373

Form R11 Version 1 July 2006—Notice to Remedy Breachpubd gaz 22 September 2006 p 373

Form R12 Version 1 July 2006—Notice to Leavepubd gaz 22 September 2006 p 373

Form R13 Version 1 July 2006—Resident Leaving Formpubd gaz 22 September 2006 p 373

Form R16 Version 1 July 2006—Dispute Resolution Requestpubd gaz 22 September 2006 p 373

Form R18 Version 4 August 2006—Residential Service Agreementpubd gaz 8 December 2006 p 1738

RETAIL SHOP LEASES ACT 1994

Form 1 Version 1—Disclosure Statementpubd gaz 28 October 1994 p 808

Form 2 Version 1—Annual Estimate of Outgoingspubd gaz 28 October 1994 p 808

Form 3 Version 1—Statement of Outgoings and Outgoings Recoveredpubd gaz 28 October 1994 p 808

Form 4 Version 1—Notice of Disputepubd gaz 28 October 1994 p 808


RETIREMENT VILLAGES ACT 1999


Form 5 Version 1—Referral of Disputepubd gaz 28 October 1994 p 808

Form 6 Version 1—Application to Renew Disputepubd gaz 28 October 1994 p 808

RETIREMENT VILLAGES ACT 1999

Form 1 Version 3—Public Information Documentpubd gaz 17 March 2006 p 1089

Certificate of Registrationpubd gaz 11 August 2000 p 1300

Retirement Villages Tribunal Dispute Notice/Application for Tribunal Hearingpubd gaz 11 August 2000 p 1302

Application for Registration as a Retirement Village Schemepubd gaz 11 August 2000 p 1303

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

Form 1 Version 3—Application for a Second-Hand Dealer’s/Pawnbroker’s Licencepubd gaz 28 July 2006 p 1478

Form 4 Version 3—Application for Approval of an Authorised Placepubd gaz 28 July 2006 p 1478

Form 5 Version 2—Renewal Notice—Second-hand Dealer’s and/or Pawnbrokers Licencepubd gaz 18 August 2006 p 1816

SECURITY PROVIDERS ACT 1993

Form 1 Version 9—Application for a Private Investigator’s/Security Officer’s/Crowd Controller’sLicence

pubd gaz 18 August 2006 pp 1812–3Form 2 Version 8— Application for Security Firm’s licence

pubd gaz 18 August 2006 pp 1812–3Form 5 Version 7—Renewal Notice–Security Officer/Crowd Controller/Private Investigator

pubd gaz 23 March 2007 p 1363Form 5 Version 7—Renewal Notice – Security Firm–Individual

pubd gaz 23 March 2007 p 1363Form 5 Version 7—Renewal Notice – Security Firm–Corporation



SOUTH BANK CORPORATION ACT 1989


Form 5 Version 7—Reminder Notice – Security Officer/Crowd Controller/Private Investigatorpubd gaz 23 March 2007 p 1363

Form 5 Version 7—Reminder Notice – Security Firm–Individualpubd gaz 23 March 2007 p 1363

Form 5 Version 7—Reminder Notice – Security Firm–Corporationpubd gaz 23 March 2007 p 1363

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

SPEECH PATHOLOGISTS REGISTRATION ACT 2001

Form SP101 Version February 2002—Application for General Registration as a Speech Pathologistin Queensland

pubd gaz 8 February 2002 pp 439–41Form SP301 Version February 2002—Application for Special Purpose Registration as a Speech

Pathologist in Queensland pubd 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

Form 1001 Version 1—Application for a Fine Option Orderpubd gaz 1 December 2000 pp 1284–5

Form 1002 Version 1—Application for an Instalment Planpubd gaz 1 December 2000 pp 1284–5

Form 1003 Version 1—Enforcement Orderpubd gaz 1 December 2000 pp 1284–5

Form 1004 Version 1—Fine Option Orderpubd gaz 1 December 2000 pp 1284–5

Form 1005 Version 1—Fine Option Order Withdrawal Noticepubd gaz 1 December 2000 pp 1284–5


STATE PENALTIES ENFORCEMENT ACT 1999


Form 1006 Version 1—Fine Option Order Reinstatement Noticepubd gaz 1 December 2000 pp 1284–5

Form 1007 Version 1—Fine Option Order Revocation Noticepubd gaz 1 December 2000 pp 1284–5

Form 1008 Version 1—Correspondence Letterpubd gaz 1 December 2000 pp 1284–5

Form 1009 Version 1—Instalment Payment Noticepubd gaz 1 December 2000 pp 1284–5

Form 1010 Version 1—Voluntary Instalment Payment Noticepubd gaz 1 December 2000 pp 1284–5

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 1—Application to Cancel Enforcement Orderpubd gaz 1 December 2000 pp 1284–5

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

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 1—Letter to Juvenile on defaulting Voluntary Instalment Planpubd gaz 1 December 2000 pp 1284–5

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


STATUS OF CHILDREN ACT 1978


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 1—Appeal against refusal to Cancel Enforcement Orderpubd gaz 1 December 2000 pp 1284–5

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 F3113/PT 56 December 2002—(P)—Infringement Notice—First and Final Noticepubd gaz 22 August 2003 p 1368

Form F1501 February 2003—Prosecution Unit Infringement Notice—First and Final Noticepubd gaz 29 August 2003 pp 1433–4

Form PT56D Version 10 September 2002—Infringement Notice—Photographic Detection DeviceOffence)

pubd gaz 3 October 2003 p 379Form SPER200–1/2002 Version 1—Notice of Intention to Suspend Driver Licence

pubd gaz 8 March 2002 p 933Form 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


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

Form 1 Approved Tags—Identification of Stockpubd gaz 5 November 1999 p 912


STORAGE LIENS ACT 1973




Form 4 Approved Tags—Identification of Stockpubd gaz 11 February 2000 p 529

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 Thingspubd gaz 22 December 2000 p 1551

Form FDU 1094—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 870

Form FDU1425 Version 01/06—Penalty Infringement Noticepubd gaz 23 June 2006 p 879

STORAGE LIENS ACT 1973

Form 1 Version 2—Notice of Storage Lienpubd gaz 2 June 2006 p 453

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


SUPREME COURT OF QUEENSLAND ACT 1991

The following forms are used under the provisions of the Criminal Code, the Criminal PracticeRules 1999, the Bail Act 1980 and the District Court 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 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 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 1217–8Form 22 Version 1—Subpoena to produce a document to the proper officer of the court

pubd gaz 4 August 2000 pp 1217–8Form 23 Version 1—Notice to be served with form 21 subpoena

pubd gaz 4 August 2000 pp 1217–8Form 24 Version 1—Notice to be served with form 22 subpoena

pubd gaz 4 August 2000 pp 1217–8Form 25 Version 1—Judge’s certificate

pubd gaz 4 August 2000 pp 1217–8Form 26 Version 5—Notice of appeal or application for leave to appeal against conviction or

sentence (for appeals other than under the District Court Act 1967, s 116)pubd gaz 22 March 2002 p 1108




Form 27 Version 4—Notice of application for leave to appealpubd gaz 25 May 2001 p 324

Form 28 Version 4—Notice of application for extension of time within which to appealpubd gaz 22 March 2002 p 1108

Form 29 Version 3—Notice of application for extension of time within which to file notice ofapplication for leave to appeal

pubd gaz 6 April 2001 p 1448Form 30 Version 1—Notice of abandonment of appeal or application

pubd gaz 4 August 2000 pp 1217–8Form 31 Version 1—Notice of abandonment of application

pubd gaz 4 August 2000 pp 1217–8Form 32 Version 1—Notice of order staying execution of order quashing conviction under

section 672(1)pubd gaz 4 August 2000 pp 1217–8

Form 33 Version 1—Notice of order for detention or admission to bail pending appeal to High Court pubd gaz 4 August 2000 pp 1217–8

Form 34 Version 2—Notice of Attorney-General’s appeal against sentencepub gaz 15 December 2000 p 1471

Form 35 Version 2—Notice of Attorney-General’s referencepub gaz 15 December 2000 p 1471

Form 36 Version 1—Notice to appellant of judge’s decisionpubd gaz 4 August 2000 pp 1217–8

Form 37 Version 1—Notice of application for rehearing by Court of Appealpubd gaz 4 August 2000 pp 1217–8

Form 38 Version 1—Application for leave to adduce evidencepubd gaz 4 August 2000 pp 1217–8

Form 39 Version 1—Order to witness to attend court for examinationpubd gaz 4 August 2000 pp 1217–8

Form 40 Version 1—Order to witness to attend before examiner for examinationpubd gaz 4 August 2000 pp 1217–8

Form 41 Version 1—Registrar’s certificate of expensespubd gaz 4 August 2000 pp 1217–8

Form 42 Version 1—Order to general manager of a prison after dismissal of appeal to take appellanton bail into custody

pubd gaz 4 August 2000 pp 1217–8Form 43 Version 1—Order to general manager of a prison after High Court reverses the order of the

Court of Appeal quashing a convictionpubd gaz 4 August 2000 pp 1217–8

Form 44 Version 1—Verdict and judgment recordpubd gaz 4 August 2000 pp 1217–8

Form 45 Version 1—Affidavit of servicepubd gaz 4 August 2000 pp 1217–8

Form 46 Version 1—Certificate under section 408D(3)pubd gaz 1 June 2007 p 581

Form 74A Version 1—Retaliation against a (family member of a) judicial officer (or juror orwitness)

pubd gaz 21 March 2003 p 1054Form 75 Version 2—Judicial corruption

pubd gaz 21 March 2003 p 1054Form 77 Version 2—Corruption of a juror





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 (Legal PractitionerAdmission) Rules 2004

Form 2 Version 3—Notice of Traineeshippubd gaz 21 April 2006 p 1538

Form 3 Version 1—Notice of Intention to Sit Examinationpubd gaz 8 July 2005 p 833

Form 4 Version 3—Supervisor’s Statementpubd gaz 21 April 2006 p 1538

Form 5 Version 3—Former Master’s Statementpubd gaz 21 April 2006 p 1538

Form 6 Version 1—Response Statementpubd gaz 2 June 2006 p 454

Form 7 Version 1—Statement of Eligibility and Suitabilitypubd gaz 21 April 2006 p 1538

Form 8 Version 1—Certificate of Suitabilitypubd gaz 2 June 2006 p 454

Form 9 Version 1—Notice of Intention to Apply for Admission as a Legal Practitionerpubd gaz 2 June 2006 p 454

Form 10 Version 2—Response Statement (Associate)pubd gaz 21 April 2006 p 1538

Form 11 Version 1—Response Statement (Articled Clerk)pubd gaz 2 June 2006 p 454

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 3 Version 2—Minor debt claim

pubd gaz 23 June 2000 p 638Form 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 662–6Form 8 Version 1—Notice of address for service

pubd gaz 11 June 1999 pp 662–6Form 9 Version 1—Application

pubd 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 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 29 Version 1—Application for approval as a mediatorpubd gaz 11 June 1999 pp 662–6

Form 30 Version 1—Application for approval as case appraiserpubd gaz 11 June 1999 pp 662–6

Form 31 Version 1—ADR venue provider’s noticepubd gaz 11 June 1999 pp 662–6

Form 32 Version 1—Notice of ADR fee changepubd 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




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 4—Request for Trial Datepubd gaz 22 April 2005 p 1302

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 1—Consent to judgment or order of registrarpubd gaz 5 April 2002 p 1298

Form 60 Version 3—Application to Costs Assessment and Costs Statementtpubd gaz 2 December 2005 p 1206




Form 61 Version 1—Objections to costs statementpubd gaz 11 June 1999 pp 662–6

Form 62 Version 1—Application for reconsiderationpubd gaz 11 June 1999 pp 662–6

Form 63 Version 1—Reply to application for reconsiderationpubd gaz 11 June 1999 pp 662–6

Form 63A Version 1—Registrar’s order for costs assessed—rule 688pubd gaz 21 September 2001 p 227

Form 63B Version 1—Registrar’s order for costs assessed—rule 736pubd gaz 21 September 2001 p 227

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 2—Enforcement hearing summonspubd gaz 23 June 2000 p 638

Form 71 Version 2—Statement of financial positionpubd gaz 23 June 2000 p 638

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

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 1—Affidavit supporting probate applicationpubd gaz 11 June 1999 pp 662–6

Form 106 Version 1—Affidavit (supporting application for letters of administration with will)pubd gaz 11 June 1999 pp 662–6

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 p556

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 662–6The following forms are used under the provisions of the Uniform Civil Procedure Rules,

Schedule 1A—Proceedings under Corporations LawForm 1 Version 1—Document title

pubd gaz 8 September 2000 p 128Form 2 Version 2—Originating application

pubd gaz 30 July 2004 p 1006Form 3 Version 2—Interlocutory application

pubd gaz 30 July 2004 p 1006Form 4 Version 1—Notice of appearance

pubd gaz 8 September 2000 p 128Form 5 Version 1—Notice of intervention by the Commission



SURVEY AND MAPPING INFRASTRUCTURE ACT 2003


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 1—Consent of liquidator/provisional liquidatorpubd gaz 8 September 2000 p 128

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 17 Version 2—Summons for public examination.pubd gaz 30 July 2004 p 1006

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

Form 6 Version 2—Permanent Mark Sketch Planpubd gaz 24 June 2005 p 586

Form 10 Version 1—Plan Registration Compliance Checklistpubd gaz 24 June 2005 p 586

Form 12 Version 2—Certificate for Survey Recordspubd gaz 24 June 2005 p 586

Form 13 Version 2—Certificate for Cadastral Planspubd gaz 24 June 2005 p 586

Form 18 Version 2—Certificate for Cadastral Plans—Compiledpubd gaz 24 June 2005 p 586

SURVEYORS ACT 2003

Form 1 Version 1—Application for Registration—Individual: as a Surveying Associatepubd gaz 30 July 2004 p 951

Form 2 Version 1—Application for Registration—Individual: as a Surveying Graduatepubd gaz 30 July 2004 p 951

Form 3 Version 1—Application for Registration—Individual: as a Surveyorpubd gaz 30 July 2004 p 951


TAXATION ADMINISTRATION ACT 2001


Form 4 Version 1—Application for Registration—Body Corporate: as a Surveyorpubd gaz 30 July 2004 p 951

Form 5 Version 1—Application for Registration—Individual: Registered Surveyor as an EmeritusSurveyor

pubd gaz 30 July 2004 p 951Form 6 Version 1—Application for an Endorsement: Registered Surveyor (Individual or Body

Corporate)pubd gaz 30 July 2004 p 951

Form 7 Version 1—Application for a Consulting Endorsement: Registered Surveyor (Individual)pubd gaz 30 July 2004 p 951

Form 8 Version 1—Renewal of Registration—Individual as a: Surveying Associatepubd gaz 30 July 2004 p 951

Form 9 Version 1—Renewal of Registration—Individual as a: Surveying Graduatepubd gaz 30 July 2004 p 951

Form 10 Version 1—Renewal of Registration—Individual as a: Surveyor Surveyor—withEndorsements

pubd gaz 30 July 2004 p 951Form 11 Version 1—Renewal of Registration—Individual as a: Surveyor—Consulting

Surveyor—Other Endorsementspubd gaz 30 July 2004 p 951

Form 12 Version 1—Renewal of Registration—Body Corporate as a: Surveyor Surveyor—withEndorsements

pubd gaz 30 July 2004 p 951Form 13 Version 1—Report of Practical Experience—Surveying Associate

pubd gaz 30 July 2004 p 951Form 14 Version 1—Report of Practical Experience—Surveying Graduate

pubd gaz 30 July 2004 p 951Form 15 Version 1—Application for Competence Assessment for Registration

pubd gaz 30 July 2004 p 951Form 16 Version 1—Application for a Professional Training Agreement Kit

pubd gaz 30 July 2004 p 951Form 17 Version 1—Application for Approval of a Professional Assessment Project

pubd gaz 30 July 2004 p 951Form 18 Version 1—Notification for Change of Registrant Details

pubd gaz 30 July 2004 p 951Form 19 Version 1—Application for Replacement / Duplication Registration Certificate


TAXATION ADMINISTRATION ACT 2001

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


TIMBER UTILISATION AND MARKETING ACT 1987


TIMBER UTILISATION AND MARKETING ACT 1987

Form FDU 190 Version 1 November 1994—Application for Approval of Preservative Treatment(s)pubd gaz 16 December 1994 p 1785

Form FDU 191 Version 1 November 1994—Application for Registration of Brand (ImportedTimber)

pubd gaz 16 December 1994 p 1785Form FDU 192 Version 1 November 1994—Application for Authorisation to Use Approved

Preservative Treatment(s) and Registration of Brandpubd gaz 16 December 1994 p 1785

Form FDU 193 Version 1 November 1994—Application for Transfer of Authorisation(s) andRegistration of Brand(s)

pubd gaz 16 December 1994 p 1785Form FDU 194 Version 1 November 1994—Application for Renewal of Authorisation(s) and

Registration of Brand(s)pubd gaz 16 December 1994 p 1785

Form FDU 195 Version 1 November 1994—Application for Registration of Brand (RemilledTimber)

pubd gaz 16 December 1994 p 1785Form FDU 196 Version 1 November 1994—Application for Recognition of Brand(s)

pubd gaz 16 December 1994 p 1785Form FDU 197 Version 1 November 1994—Notice of Seizure of Timber or Article


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

Form 1 Version 2—Renewal Notice—Inbound Tour Operatorpubd gaz 18 August 2006 p 1816

Form 1 Version 4—Application for Registration as an Inbound Tour Operatorpubd gaz 21 July 2006 p 1367


TOW TRUCK ACT 1973


TOW TRUCK ACT 1973

Form F6 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 F7 Version 2—Performance Guideline for Pilot and Escort Vehicles and Drivers

pubd gaz 14 September 2001 pp 132–3Form F9 Version 1—Performance Guidelines for Queensland Street Rods

pubd gaz 14 September 2001 pp 132–3Form F10 Version 1—Performance Guidelines for Increased Mass Limits for Vehicles with Road

Friendly Suspensionspubd gaz 14 September 2001 pp 132–3

Form F12 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 F1785—Towing Authority Forms

pubd gaz 14 September 2001 pp 132–3Form F1853—Certificate of Modification

pubd gaz 14 September 2001 pp 132–3Form F1855—Approved Person’s Application

pubd gaz 14 September 2001 pp 132–3Form F1947—Certificate of Inspection

pubd gaz 14 September 2001 pp 132–3Form F2161—Specialist Driver’s/Assistant’s Application

pubd gaz 14 September 2001 pp 132–3Form F2259—Business Licence/Registration Application

pubd gaz 14 September 2001 pp 132–3Form F2260—Business Licence/Registration/Owner’s Renewal

pubd gaz 14 September 2001 pp 132–3Form F2261—Specialist Driver’s/Assistant’s Renewal

pubd gaz 14 September 2001 pp 132–3Form F2498—Safety Certificate, Cars or Light Commercial Vehicles

pubd gaz 14 September 2001 pp 132–3Form F2499—Safety Certificate, Caravans and Trailers

pubd gaz 14 September 2001 pp 132–3Form F2500—Safety Certificate, Motorcycle

pubd gaz 14 September 2001 pp 132–3Form F2877—Seized Documents/Items Receipt

pubd gaz 14 September 2001 pp 132–3Form F3632—Driver Prohibition Notice

pubd gaz 14 September 2001 pp 132–3Form F3712 Version July 2005—Medical Certificate for Motor Vehicle Driver

pub gaz 9 September 2005 p 141Driver Certification Manual

pubd gaz 14 September 2001 pp 132–3Heavy Vehicle Driver Log Book

pubd gaz 14 September 2001 pp 132–3Modification Plate (Heavy Vehicle)

pubd gaz 14 September 2001 pp 132–3Modification Plate (Motorcycle)



TRADE MEASUREMENT ACT 1990


TRADE MEASUREMENT ACT 1990

Form 1 Version 7—Application for a Servicing Licencepubd gaz 20 January 2006 p 201

Form 1a Version 1—Change of Certifier Detailspubd gaz 20 January 2006 p 201

Form 2 Version 8—Application for Public Weighbridge Licencepubd gaz 1 June 2007 p 581

Form 2a Version 7—Change of details of Persons Employed by Licensee to Operate Weighbridgepubd gaz 20 January 2006 p 201

Form 3 Version 2—Renewal Notice Public Weighbridgepubd gaz 1 June 2007 p 581

Form 4-1 Version 2—Measurement Ticketpubd gaz 1 June 2007 p 581




TRADE MEASUREMENT ADMINISTRATION ACT 1990

Form 1 Version 7—Application for a Servicing Licencepubd gaz 20 January 2006 p 201

Form 1a Version 1—Change of Certifier Detailspubd gaz 20 January 2006 p 201

Form 2 Version 7—Application for Public Weighbridge Licencepubd gaz 20 January 2006 p 201

Form 2a Version 7—Change of details of Persons Employed by Licensee to Operate Weighbridgepubd gaz 20 January 2006 p 201

Form 3 Version 7—Application for a Certificate of Suitability for Public Weighbridgepubd gaz 20 January 2006 p 201

TRANSPORT INFRASTRUCTURE ACT 1994

Form F3389 Version June 2003—Railway Manager/Railway Operator Accreditationpub gaz 12 December 2003 p 1185

Form F3463 Version July 2000—Infringement Notice (Marine)—First and Final Noticepubd gaz 24 November 2000 p 1181

Form F4141 Version September 2003—Approved Safety Management System for Railwaypub gaz 12 December 2003 p 1185

Form F4142 Version September 2003—Exemption from Compliance with Dangerous Goods by RailRegulation Application

pub gaz 12 December 2003 p 1185Form F4143 Version September 2003—Administration Determination or Approval Application

Amendmentpub gaz 12 December 2003 p 1185

Form M3977 Version 4 February 2004—Notice of Demand for Non-payment of Tollpubd gaz 2 April 2004 p 1295


TRANSPORT OPERATIONS (MARINE POLLUTION) ACT 1995


Form M3978 Version 4 February 2004—Notice of Demand for Non-payment of Toll—StatutoryDeclaration Nomination

pubd gaz 2 April 2004 p 1295Form M3979 Version 4 February 2004—Notice of Demand for Information regarding Non-payment

of Tollpubd gaz 2 April 2004 p 1295

TRANSPORT OPERATIONS (MARINE POLLUTION) ACT 1995

Form F1974 Version June 2005—Application for Marine Pilotage Qualificationspubd gaz 30 June 2006 p 1057

Form F4286ES Version November 2006—Restricted Use Flag Application—Foreign Flag Vesselspubd gaz 30 June 2006 p 1057

Form F4367ES 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 F4339 Version April 2006—Marine Pollution Non-Compliance Notice


TRANSPORT OPERATIONS (MARINE SAFETY) ACT 1994

Form F1541 June 2004—Temporary Authoritypubd gaz 3 September 2004 pp 95–6

Form F1571 July 2004—Commercial Vessel Record Searchpubd gaz 3 September 2004 pp 95–6

Form F1572 August 2004—Restricted Use Flag Applicationpubd gaz 3 September 2004 pp 95–6

Form F1576 August 2004—Commercial/Fishing Ship Registration Transfer Applicationpubd gaz 3 September 2004 pp 95–6

Form F1587 August 2004—Machinery Space Fixed Fire Smothering Installation/InspectionStatement

pubd gaz 3 September 2004 pp 95–6Form F1588 August 2004—Electrical Installation/Inspection Statement for Commercial/Fishing

Ships – Extra Low//Low Voltagepubd gaz 3 September 2004 pp 95–6

Form F1974 Version June 2005—Application for Marine Pilotage Qualificationspubd gaz 30 June 2006 p 1057

Form F2721 August 2004—Commercial/Fishing Ship Registration Applicationpubd gaz 3 September 2004 pp 95–6

Form F3069 June 2004—National Record of Practical Experience and Sea-Service or Record ofService Book Application

pubd gaz 3 September 2004 pp 95–6Form F3071 August 2004—Marine Incident Report

pubd gaz 3 September 2004 pp 95–6Form F3096 June 2004—Recreational Marine Driver Licence Test Report

pubd gaz 3 September 2004 pp 95–6Form F3097 July 2004—Commercial/Fishing Ship Certificate of Compliance for Building of Hull,

Superstructure and/or Machinerypubd gaz 3 September 2004 pp 95–6


TRANSPORT OPERATIONS (MARINE SAFETY) ACT 1994


Form F3098 August 2004—Commercial/Fishing Ship Certificate of Compliance for Designpubd gaz 3 September 2004 pp 95–6

Form F3104 August 2004—Commercial/Fishing Ship Certificate of Compliance for Surveypubd gaz 3 September 2004 pp 95–6

Form F3157 August 2004—Change/Cancellation of Commercial/Fishing Ship RegistrationParticulars

pubd gaz 3 September 2004 pp 95–6Form F3173 June 2004—Recreational Marine Driver Licence Satisfactory Course Completion

Reportpubd gaz 3 September 2004 pp 95–6

Form F3290 August 2004—Commercial/Fishing Ship Certificate of Compliance for SafetyEquipment

pubd gaz 3 September 2004 pp 95–6Form F3291 July 2004—Commercial/Fishing Ship Certificate of Compliance for Load Line

pubd gaz 3 September 2004 pp 95–6Form F3292 August 2004—Commercial/Fishing Ship Certificate of Compliance for Stability

pubd gaz 3 September 2004 pp 95–6Form F3411 August 2004—Commercial/Fishing Ship Application for Design Approval Certificate

pubd gaz 3 September 2004 pp 95–6Form F3428 July 2004—Commercial/Fishing Ship Application for Certificate of Survey

pubd gaz 3 September 2004 pp 95–6Form F3438 August 2004—Commercial/Fishing Ship Notification of Intent to Build a Ship

pubd gaz 3 September 2004 pp 95–6Form F3463 July 2004—Infringement Notice (Maritime)

pubd gaz 3 September 2004 pp 95–6Form F3516 August 2002—Vehicle/Recreational Ship Registration Certificate and/or Label

Replacement Applicationpubd gaz 2 March 2007 p 980

Form F3517 Version February 2007—Vehicle/Recreational Ship Cancellation of RegistrationApplication

pubd gaz 2 March 2007 p 980Form F3522 Version February 2005—Release of Information Request for Vehicle/Recreational Ship

Registration Recordspubd gaz 2 March 2007 p 980

Form F3525 Version May 2006—Recreational Ship Registration Applicationpubd gaz 2 March 2007 p 980

Form F3784 August 2004—Commercial Ship Load Line Applicationpubd gaz 3 September 2004 pp 95–6

Form F3786 August 2004—Positive Flotation Statementpubd gaz 3 September 2004 pp 95–6

Form F4063 June 2003—BoatSafe Statement of Competency (Issued by training providerpubd gaz 3 September 2004 pp 95–6

Form F4064 June 2004—BoatSafe Training Organisation Applicationpubd gaz 3 September 2004 pp 95–6

Form F4076 July 2003—BoatSafe Training Provider Nominationpubd gaz 3 September 2004 pp 95–6

Form F4110 June 2003—BoatSafe Statement of Competency (Issued by assessor)pubd gaz 3 September 2004 pp 95–6

Form F4133 June 2004—BoatSafe Assessor Nominationpubd gaz 3 September 2004 pp 95–6

Form F4286ES Version November 2006—Restricted Use Flag Application—Foreign Flag Vesselspubd gaz 30 June 2006 p 1057


TRANSPORT OPERATIONS (PASSENGER TRANSPORT) ACT 1994


Form F4339 Version April 2006—Marine Pollution Non-Compliance Noticepubd gaz 30 June 2006 p 1057

Form F4367ES Version May 2006—Application for New or Transfer of Ownership or Change ofparticulars of Recreational Ships 15 metres in length and over


TRANSPORT OPERATIONS (PASSENGER TRANSPORT) ACT 1994

Form F2330ES Version December 2005—Taxi Subsidy Scheme Applicationpubd gaz 20 January 2006 p 208

Form F2768ES Version December 2005—Operator Accreditation Renewal Applicationpubd gaz 20 January 2006 p 208

Form F2828 Version July 2000—Infringement notice (Queensland Rail)—First and Final noticepubd gaz 24 November 2000 p 1181

Form F2978 Version January 2006—Driver Authorisation Applicationpubd gaz 20 January 2006 p 208

Form F2978ES Version January 2006—Driver Authorisation Applicationpubd gaz 20 January 2006 p 208

Form F2979 Version January 2006—Driver Authorisation Renewal Applicationpubd gaz 20 January 2006 p 208

Form F2979ES Version December 2005—Driver Authorisation Renewal Applicationpubd gaz 20 January 2006 p 208

Form F2982ES Version December 2005—Operator Accreditation Applicationpubd gaz 20 January 2006 p 208

Form F3712 Version July 2005—Medical Certificate for Motor Vehicle Driverpub gaz 9 September 2005 p 141

Form F3871 Version December 2005—Operator Accreditation Renewal Applicationpubd gaz 20 January 2006 p 208

Form F3880ES Version December 2005—Restricted Driver Authorisation Notificationpubd gaz 20 January 2006 p 208

Form F3881ES Version December 2005—Restricted Driver Authorisation—Pro Forma EmployersLetter

pubd gaz 20 January 2006 p 208Form F3912 Version January 2006—Driver Authorisation Renewal Application


TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT 1995

Form 3 Version 3—Guideline for Livestock Loading in Queenslandpubd gaz 7 April 2006 p 1370

Form 5—Guideline for 14.6m long and 4.6m high semitrailers in Queenslandpubd gaz 7 April 2006 p 1370

Form 10 Version 4—Guideline for Higher Mass Limits for Vehicles Fitted with Road FriendlySuspensions in Queensland

pubd gaz 30 March 2007 p 1481Form 11 Version 1—Guideline for Operation of Excess Mass Special Purpose Vehicles to 40 tonnes

and Vehicles Carrying an Indivisible Item to 49.5 tonnespubd gaz 1 September 2006 p 80

Form 16 Version 2—Guideline for Transporting Cotton Modules in Queenslandpubd gaz 9 February 2007 p 646




Form 18 Version 1—Guideline for Motor Truck and Dog Trailer combinations up to 50 tonnes totalmass in Queensland

pubd gaz 7 April 2006 p 1370Form 19 Version 1—Guideline for 14.9m long refrigerated trailers in Queensland

pubd gaz 18 August 2006 p 1817Form 20 Version 1—Guideline for increased Front Steer Axle Mass in Queenslandr

pubd gaz 9 March 2007 p 1103Form F1 Version 4 July 2001—Guidelines for Multi-combination Vehicles

pubd gaz 22 June 2001 p 699Form F4 Version 2.2—Guideline for Excess Dimension Vehicles Carrying Indivisible Articles,

Special Purpose Vehicles in Queenslandpub gaz 12 December 2003 p 1199

Form F6 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 F7 Version 2—Performance Guideline for Pilot and Escort Vehicles and Drivers

pubd gaz 14 September 2001 pp 132–3Form F8 Version 2—Performance Guidelines for “The Use of a Wheelchair Carrier”

pubd gaz 12 November 1999 p 1001Form F9 Version 1—Performance Guidelines for Queensland Street Rods

pubd gaz 14 September 2001 pp 132–3Form F10 Version 2—Performance Guideline for Higher Mass Limits for Vehicles with Road

Friendly Suspensionspubd gaz 3 January 2003 p 19

Form F12 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 718Form F13 August 1998—National Driver Log Book

pubd gaz 31 July 1998 p 1581Form F14 Version 1.3—Guideline for Excess Dimension Agricultural Vehicles and Combinations

Vehicles and Driverspubd gaz 17 April 2003 p 1381

Form F17 Version 1—Guideline for Conditionally Registered Vehiclespubd gaz 4 April 2003 p 1185

Form F18 Version 1—Traffic Controller Accreditation Scheme Approved Procedurepub gaz 12 September 2003 p 124

Form F1267 Version January 2006—Dealer/Trailer Trade Plate Applicationpubd gaz 2 March 2007 p 981

Form F1310 Version March 2003—Transfer of Registration—Vehicle Acquisition by a LicensedDealer

pubd gaz 9 May 2003 p 114Form F1501 Version February 2003—Prosecution Unit Infringement Notice—First and Final Notice

pub gaz 29 August 2003 pp 1433–4Form F1501ES Version November 2000—Infringement notice (offence management unit)—first

and final noticepubd gaz 24 November 2000 p 1181

Form F1785—Towing Authority Formspubd gaz 14 September 2001 pp 132–3

Form F1853—Certificate of Modificationpubd gaz 14 September 2001 pp 132–3

Form F1855—Approved Person’s Applicationpubd gaz 14 September 2001 pp 132–3




Form F1947—Certificate of Inspectionpubd gaz 14 September 2001 pp 132–3

Form F2121 Version January 2003—Driver Record Information Requestpub gaz 29 August 2003 pp 1433–4

Form F2161—Specialist Driver’s/Assistant’s Applicationpubd gaz 14 September 2001 pp 132–3

Form F2259—Business Licence/Registration Applicationpubd gaz 14 September 2001 pp 132–3

Form F2260—Business Licence/Registration/Owner’s Renewalpubd gaz 14 September 2001 pp 132–3

Form F2261—Specialist Driver’s/Assistant’s Renewalpubd gaz 14 September 2001 pp 132–3

Form F2336 Version July 2002—Seasonal Registration Applicationpubd gaz 9 May 2003 p 114

Form F2421 Version March 2003—Notice of Appeal against Suspension of a Driver Licencepub gaz 29 August 2003 pp 1433–4

Form F2456 Version July 2002—Application for an Order directing the issue of a Restricted Licencepub gaz 29 August 2003 pp 1433–4

Form F2487 Version June 2002—Medical Exemption from providing Specimen of Breathpub gaz 29 August 2003 pp 1433–4

Form F2498—Safety Certificate, Cars or Light Commercial Vehiclespubd gaz 14 September 2001 pp 132–3

Form F2499—Safety Certificate, Caravans and Trailerspubd gaz 14 September 2001 pp 132–3

Form F2500—Safety Certificate, Motorcyclepubd gaz 14 September 2001 pp 132–3

Form F2639 Version 1 June 2007—Special Need–Provisional Licence Application (Tenure Rule)pub gaz 29 June 2007 pp 1149–50

Form F2869 Version August 2002—Defective Vehicle Noticepubd gaz 21 February 2003 p 618

Form F2877—Seized Documents/Items Receiptpubd gaz 14 September 2001 pp 132–3

Form F2963 Version July 2004—Personalised Number Plate/s Transfer Applicationpubd gaz 4 February 2005 p 355

Form F2964 Version February 2007—Remove and/or Attach Personalised Number PlatesApplication

pubd gaz 2 March 2007 p 981Form F2981 Version 1 May 2007—Application for Reconsideration of a Decision of the Chief

Executivepub gaz 29 June 2007 pp 1149–50

Form F3000 Version 1 May 2007—Driver Licence Application/ Renewalpub gaz 29 June 2007 pp 1149–50

Form F3006 Version 1 May 2007—Replacement Licence/Address or Renewal Label Applicationpub gaz 29 June 2007 pp 1149–50

Form F3113/PT56 Version August 2000—Infringement Notice—First and Final Noticepubd gaz 24 November 2000 p 1181

Form F3135 Version January 1996—Cancellation of Vehicle Registration Application—Electronicpubd gaz 22 March 1996 p 1334

Form F3136 Version January 1996—Replacement Standard Plates Application—Electronicpubd gaz 22 March 1996 p 1334

Form F3138 Version January 1996—Vehicle Registration Transfer Application—Electronicpubd gaz 22 March 1996 p 1334




Form F3139 Version January 1996—Vehicle Registration Application—(Less than 4 tonneGVM)—Electronic

pubd gaz 22 March 1996 p 1334Form F3148 Version April 2007—Dog Trailer Inspection Sheet

pubd gaz 27 April 2007 p 1886Form F3162 July 1997—Prohibition Notice

pubd gaz 1 August 1997 p 1551Form F3178 Version January 1996—Remove Personalised/Customised Number Plates

Application—Electronicpubd gaz 22 March 1996 p 1334

Form F3179 Version January 1996—transfer of Registration—Vehicle Acquisition by a LicensedDealer—Electronic

pubd gaz 22 March 1996 p 1334Form F3181 Version May 2005—Application for an Order directing the issue of a Restricted

Licencepub gaz 9 September 2005 p 141

Form F3182 Version August 2002—Application for an Order Varying Restrictions on a RestrictedLicence

pub gaz 29 August 2003 pp 1433–4Form F3196 Version January 1996—Motorcycle registration Application—Electronic

pubd gaz 22 March 1996 p 1334Form F3197 Version January 1996—Attach Personalised/Customised Number Plates

Application—Electronicpubd gaz 22 March 1996 p 1334

Form F3272 Version October 2002—Multi-Combination Driving Experience Declarationpubd gaz 3 October 2003 p 379

Form F32869 Version December 2004—Defective Vehicle Noticepubd gaz 11 February 2005 p 512

Form F3331 Version June 1996—Seniors Card Concessional Registration Application—for MotorVehicles (electronic)

pubd gaz 20 September 1996 p 253Form F3332 Version June 1996—Federal Interstate Vehicle Registration Scheme—(electronic)

pubd gaz 20 September 1996 p 253Form F3333 Version June 1996—Vehicle Registration Application—(more than 4 tonne GVM)

Electronicpubd gaz 20 September 1996 p 253

Form F3470 Version November 2002—Defect Notice (Road Patrol)-Onlinepubd gaz 9 March 2007 p 1103

Form F3471 Version August 1997—Certificate of Inspection/Exemptionpubd gaz 9 March 2007 p 1103

Form F3516 Version August 2002—Vehicle/Recreational Ship Registration Certificate and/or LabelReplacement Application

pubd gaz 2 March 2007 p 981Form F3517 Version February 2007—Vehicle/Recreational Ship Cancellation of Registration

Applicationpubd gaz 2 March 2007 p 981

Form F3518 Version February 2007—Vehicle Registration Applicationpubd gaz 27 April 2007 p 1886

Form F3520 Version February 2007—Vehicle Transfer Applicationpubd gaz 27 April 2007 p 1886




Form F3522 Version February 2005—Release of Information Request for Vehicle/Recreational ShipRegistration Records

pubd gaz 2 March 2007 p 981Form F3523 Version July 2002—Unregistered Vehicle Permit Application

pubd gaz 16 May 2003 p 209Form F3525 Version May 2006—Recreational Ship Registration Application

pubd gaz 2 March 2007 p 981Form F3534 Version March 2003—Coloured Personalised Number Plate/s Application

pubd gaz 16 May 2003 p 209Form F3535 Version June 2004—Prestige Number Plate/s Application

pubd gaz 4 February 2005 p 355Form F3536 Version July 2004—Customised Number Plate/s Application

pubd gaz 4 February 2005 p 355Form F3537 Version June 2004—Business/Club Number Plate/s Application

pubd gaz 4 February 2005 p 355Form F3538 Version July 2004—Traditional Number Plate/s Application

pubd gaz 4 February 2005 p 355Form F3542 Version July 2004—Personalised Plate/s Replacement Application

pubd gaz 4 February 2005 p 355Form F3570 Version December 2003—Requirement to present vehicle for inspection (QT

inspection)pubd gaz 9 March 2007 p 1103

Form F3632—Driver Prohibition Noticepubd gaz 14 September 2001 pp 132–3

Form F3712 Version July 2005—Medical Certificate for Motor Vehicle Driverpub gaz 9 September 2005 p 141

Form F3759 Version—September 2002—Special Need HC Licence Applicationpubd gaz 3 October 2003 p 379

Form F3815 Version February 2007—Conditional Vehicle Registration Applicationpubd gaz 27 April 2007 p 1886

Form F3859 Version September 2002—Application for reconsideration of a Decision of the ChiefExecutive or Commissioner

pub gaz 29 August 2003 pp 1433–4Form F3908 Version March 2003—Theme Personalised Number Plate/s Application

pubd gaz 16 May 2003 p 209Form F3937 Version February 2007—Registration Concessional Application

pubd gaz 2 March 2007 p 981Form F3946 Version October 2005—Q-RIDE Registered Service Provider/Renewal Application

pubd gaz 9 December 2005 p 1343Form F3946ES June 2004—Q-RIDE Registered Service Provider Registration/Renewal Application

pubd gaz 16 July 2004 p 851Form F3948 Version May 2003—Application for Accreditation as Trainer (Driver or Rider)

pub gaz 29 August 2003 pp 1433–4Form F3980 Version September 2002—Application for Special Need-Class R Licence

pub gaz 29 August 2003 pp 1433–4Form F3996 Version July 2001—Code of Conduct for an accredited driver trainer and accredited

rider trainer pubd gaz 13 July 2001 p 1032

Form F3997 Version October 2002—Registered Service Provider Standards for providing Q-RIDEtraining





Form F3998 Version July 2001—Competency Standards for a learner undertaking Q-RIDE training pubd gaz 13 July 2001 p 1032

Form F3999 Version October 2005—Q-RIDE Certificate—Competency Declaration for Q-RIDETraining

pubd gaz 9 December 2005 p 1343Form F4028 Version 1 June 2007—Special Need–Learner or Provisional Licence Application (Age

Rule)pub gaz 29 June 2007 pp 1149–50

Form F4053 Version April 2003—Written-off Vehicle Notification (Industry)pubd gaz 9 May 2003 p 114

Form F4054 Version April 2003—Written-off Vehicle Correction Advicepubd gaz 9 May 2003 p 114

Form F4055 Version March 2003—Written-off Vehicle Notification (Dismantler—Statutorywrite-off)

pubd gaz 9 May 2003 p 114Form F4057 Version January 2003—Written-off Vehicle Inspection Checklist

pubd gaz 2 March 2007 p 982Form F4058 Version April 2003—Written-off Vehicle Notifier Registration/Amendment

Applicationpubd gaz 9 May 2003 p 114

Form F4069 Version June 2003—Written-off Vehicle Notification (Motor Vehicle andMotorbike—individual)

pubd gaz 2 March 2007 p 982Form F4070 Version March 2003—Written-off Vehicle Notification (Caravan and

Trailer—individual)pubd gaz 9 May 2003 p 114

Form F4072 Version September 2002—Written-off Vehicle Inspection Application for Nominee orExaminer

pubd gaz 20 September 2002 p 243Form F4073 Version September 2002—Written-off Vehicle Inspection Application for Approval of

Sitepubd gaz 20 September 2002 p 243

Form F4104 Version December 2006—Conditional Vehicle Registration Transfer Applicationpubd gaz 2 March 2007 p 981

Form F4115 Version June 2006—Traffic Controller Accreditation Applicationpubd gaz 23 June 2006 p 895

Form F4355 Version February 2006—Medical Condition Notificationpubd gaz 24 February 2006 p 795

Form F4358 Version February 2006—Drivers Licence Amendment Agreementpubd gaz 24 February 2006 p 795

Form F4394 Version 12/06—Notice of Suspension or Disqualificationpubd gaz 22 December 2006 p 1957

Form F4395 Version 12/06—Section 79E Order Applicationpubd gaz 22 December 2006 p 1957

Form F4396 Version 12/06—Variation of Section 79E Orderpubd gaz 22 December 2006 p 1957

Form F4450 Version 1 May 2007—Prior Driving Experience Applicationpub gaz 29 June 2007 pp 1149–50

Form F4463 Version 1 July 2007—Queensland Learner Logbookpub gaz 29 June 2007 pp 1149–50

Form F4464 Version 1 May 2007—Driving Experience Declarationpub gaz 29 June 2007 pp 1149–50


TRAVEL AGENTS ACT 1988


Form F4467 Version 1 June 2007—Certificate of Exemption for driving high-powered vehicleApplication

pub gaz 29 June 2007 pp 1149–50Form F4468 Version 1 June 2007—Certificate of Exemption for late night driving Application

pub gaz 29 June 2007 pp 1149–50Form F4469 Version 1 June 2007—Exemption from logbook requirements Application

pub gaz 29 June 2007 pp 1149–50Form F4476 Version 1 June 2007—Certificate of Exemption late night driving

pub gaz 29 June 2007 pp 1149–50Form F4477 Version 1 June 2007—Certificate of Exemption high-powered vehicle

pub gaz 29 June 2007 pp 1149–50Form 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

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

Q-RIDE Registered Service Provider Standards—Version 4pubd gaz 15 December 2006 p 1861

Q-RIDE Competency Standards—Version 5pubd gaz 15 December 2006 p 1861

TRAVEL AGENTS ACT 1988

Form 1 Version 8—Application for a Travel Agent’s Licencepubd gaz 28 July 2006 p 1479

Form 2 Version 6—Renewal Notice—Travel Agents Licence—Individual pubd gaz 18 August 2006 p 1815

Form 2 Version 6—Renewal Notice—Travel Agents Licence—Corporationpubd gaz 18 August 2006 p 1815

Form 2 Version 6—Reminder Notice—Travel Agents Licence—Individualpubd gaz 18 August 2006 p 1815

Form 2 Version 6—Reminder Notice—Travel Agents Licence—Corporationpubd gaz 18 August 2006 p 1815

Form 7 Version 3—Travel Agent Branch Applicationpubd gaz 28 July 2006 p 1479

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


TRUSTS ACT 1973


Form 3 Version 1—Notification under section 5(3)pubd gaz 24 May 1996 p 703

TRUSTS ACT 1973

Form 1 Version 1—Trusts Act 1973, section 67pubd gaz 10 May 1996 p 529

VALUATION OF LAND ACT 1944



Form 58 October 1996—Notice of Objection—Valuationpubd gaz 1 November 1996 p 800

Form 59 October 1996—Notice of Appeal to the Land Court Against a Determination of the ChiefExecutive

pubd gaz 1 November 1996 pp 801–2Form 62 Version 2—Application For Approved Subdivider’s Certificate


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


WATER ACT 2000


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


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



WEAPONS ACT 1990




Form 30 Version 3—Mortgage Prioritypubd gaz 23 March 2007 p 1249

Form LWMP1 Version 2—Application for approval of land and water management planpubd gaz 4 November 2005 p 798

Form LWMP2 Version 2—Application for deferral of the requirement to prepare land and watermanagement plan

pubd gaz 4 November 2005 p 798Form NRMIR01 Version 3—Application for Internal Review of an Original Decision

pubd gaz 25 February 2005 p 617Form SPA01 Version 4—Service Provider Application Form

pubd gaz 29 July 2005 p 1063Form SPE01 Version 2—Small Service Provider Exemption Application Form

pubd gaz 17 September 2004 p 193Form SPE02 Version 1—Service Provider System Leakage Management Plan Exemption

Application Formpubd gaz 25 May 2007 p 364

Form SPE03 Version 1—Service Provider Drought Management Plan Exemption Application Formpubd gaz 5 April 2007 p 1496

WEAPONS ACT 1990

Form 1 Version 4—01/07/2003—Application for a LicenceAnnexure Version 1—01/07/2003—CollectorsAnnexure Version 1—01/07/2003—Occupational ArmourerAnnexure Version 1—01/07/2003—Occupational DealerAnnexure Version 1—01/07/2003—Occupational OtherAnnexure Version 1—01/07/2003––Occupational Rural PurposesAnnexure Version 1—01/07/2003––Occupational SecurityAnnexure Version 1—01/07/2003––Other Reason(s)Annexure Version 2—04/11/2004––Recreational ShootingAnnexure Version 2—04/11/2004—Sports or Target Shooting

Annexure Version 1—04/11/2004—Historical or Military Demonstrated Use and Trainingpubd gaz 15 April 2005 pp 1210–11

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 1—15/01/97—Application for a Replacement Licencepubd gaz 15 April 2005 p 1210

Form 3 Version 1—15/01/97—Application for a Replacement Permit to Acquirepubd gaz 15 April 2005 p 1210

Form 4 Version 2—27/07/01—Application for a Change of Particulars (Business)pubd gaz 15 April 2005 p 1210

Form 4 Version 2—27/07/01—Application for a Change of Particulars (Personal)pubd gaz 15 April 2005 p 1210


WEAPONS ACT 1990


Form 4A Version 1—01/07/2003—Change of Address (Residential/Postal Only); Change ofName(s); Change of Weapon(s) Storage Facility

pubd gaz 15 April 2005 pp 1210–11Form 4B Version 1—01/07/2003—Change of Weapon(s) Category and/or; Change of Condition(s)

of a Licence, Permit or Approvalpubd gaz 15 April 2005 pp 1210–11

Form 4C Version 1—01/07/2003—Change of Business Particulars; Change of Representativepubd gaz 15 April 2005 pp 1210–11

Form 4D Version 1—01/07/2003—Change of Business Particulars — Other Reasonspubd gaz 15 April 2005 pp 1210–11

Form 4E Version 1—01/07/2003—Application for Transfer of Weapon(s)pubd gaz 15 April 2005 pp 1210–11

Form 5 Version 2 27 July 2001—Application for a Change of Particulars—Personalpub gaz 19 October 2001 p 577

Form 6 Version 3—01/04/97—Application to Renew Licencepubd gaz 15 April 2005 p 1210

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 9 Version 1 15 January 1997—Notice of Appealpubd gaz 30 May 1997 p 476

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 15 Version 2—09/10/00—Application for a Permit, an Approval or Exemption

pubd gaz 15 April 2005 p 1210Form 15B Version 1—28/02/2005—Application for a Shooting Range Approval or Modification

pubd gaz 17 June 2005 p 566Form 15G Version 1—01/11/2004—Application for an Approval of a Weapons Club

Annexure Version 1—01/11/2004—Recreational ShootingAnnexure Version 1—01/11/2004—Sports or Target ShootingAnnexure Version 1—01/11/2004—Historical or Military Re-Enactment Demonstration UseAnnexure Version 1—01/11/2004—Historical or Military Re-Enactment Training Only

pubd gaz 15 April 2005 pp 1210–11Form 16 Version 2—01/07/2003—Register of Transactions Involving a Weapon

pubd gaz 15 April 2005 pp 1210–11Form 17 Version 1—15/01/97—Complaint to Ground Issue of Warrant

pubd gaz 15 April 2005 p 1210Form 18 Version 1—15/01/97—Warrant

pubd gaz 15 April 2005 p 1210Form 19 Version 1 15 January 1997—Approval for Range



WINE INDUSTRY ACT 1994


Form 20 Version 2—01/07/03—Range Attendance Registerpubd gaz 15 April 2005 p 1210

Form 20A Version 1—01/07/2004—Club -Range Use Register (Category H Only)pubd gaz 15 April 2005 pp 1210–11

Form 20B Version 1—01/07/2004—Club -Range Use Register (Other than Category H)pubd gaz 15 April 2005 pp 1210–11

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 25 Version 1—15/01/97—Register of Searches (Form 5 Drugs Misuse Act)pubd gaz 15 April 2005 p 1210

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 3—09/05/2005—Application for Permit to Acquirepubd gaz 17 June 2005 p 566

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 4—01/07/2003—Proof of Identitypubd gaz 15 April 2005 pp 1210–11

Form 31 Version 1 14 November 1997—Certificate of a Firearm/Weapon being PermanentlyInoperable

pubd gaz 17 April 1998 p 1609Form 33 Version 2—28/02/2005—Declaration by Unauthorised Person for Use of a Weapon at an

Approved Rangepubd gaz 17 June 2005 p 566

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 1—01/07/2003—Licensed Dealer’s Associate Details

pubd gaz 15 April 2005 pp 1210–11Form 35 Version 1—01/07/2003—Notice Of Abandonment (National Handgun Buy Back System)

pubd gaz 15 April 2005 pp 1210–11Form 36 Version 1—01/07/2003—Statement of Eligibility

pubd gaz 15 April 2005 pp 1210–11

WINE INDUSTRY ACT 1994

Form 1 Version 1—Application for a Wine Producers Licencepubd gaz 20 January 2006 p 202

Form 2 Version 1—Application for a Wine Merchant Licencepubd gaz 20 January 2006 p 202

Form 3 Version 1—Application for transfer of a licencepubd gaz 20 January 2006 p 202

Form 4 Version 1—Application for acceptance of new nominee/spubd gaz 20 January 2006 p 202


WORKERS’ COMPENSATION AND REHABILITATION ACT 2003


Form 5 Version 1—Personal Details Schedulepubd gaz 20 January 2006 p 202

Form 6 Version 1—Application for Extended Hours Permit (on a regular or permanent basis)pubd gaz 20 January 2006 p 202

Form 7 Version 1—Application for Extended Hours Permit (not on a regular basis)pubd gaz 20 January 2006 p 203

Form 8 Version 1—Application for Wine Permitpubd gaz 20 January 2006 p 203

Form 9 Version 1—Application for endorsement of condition on licencepubd gaz 20 January 2006 p 203

Form 10 Version 1—Application for a satellite cellar doorpubd gaz 20 January 2006 p 203


Form 1 Version 1—Employer Injury Claim Reportpubd gaz 20 April 2007 p 1792

Form 2 Version 1—Worker’s Injury Claim Formpubd gaz 20 April 2007 p 1792

Form 17-046 Version 1—MYER Application for Compensation Formpubd gaz 29 June 2007 p 1155

Form 17-047 Version 1—MYER Application for Compensation-Fatal Injurypubd gaz 29 June 2007 p 1155

Form 22.R Version 2—Self-insurance Declaration of Wages Formpubd gaz 2 July 2004 p 699

Form 70.1 Version 2—Application for a Single Employer Self-Insurance Licencepubd gaz 8 September 2006 p 169

Form 70.2 Version 2—Application for a Group Employer Self-Insurance Licencepubd gaz 8 September 2006 p 169

Form 79.1 Version 2—Application for Renewal of a Single Employer Self-Insurance Licencepubd gaz 22 December 2006 p 1958

Form 79.2 Version 2—Application for Renewal of a Group Employer Self-Insurance Licencepubd gaz 22 December 2006 p 1958

Form 86.R Version 2—Workers’ Compensation Medical Certificatepubd gaz 10 February 2006 p 518

Form 86F.R Version 1—Workers’ Compensation Medical Certificate Fatal Injurypubd gaz 1 July 2003 pp 764–8

Form 87.R Version 1—Declaration (Where no medical certificate)pubd gaz 1 July 2003 pp 764–8

Form 100.1R Version 1—Review of Workplace Rehabilitation Policy and Procedurespubd gaz 8 September 2006 p 169

Form 132.ACES Version 1—Application for Compensation Form for Injured Workers (ACES AgedCare Employers’ Self-insurance Group)

pubd gaz 24 December 2004 p 1347Form 132.AI.WC Version 1—Application for Compensation—Asbestos Injury (WorkCover

Queensland)pubd gaz 30 June 2006 p 1048

Form 132.AMH Version 1—Application for Compensation Form (Australia Meat Holdings PtyLimited)





Form 132.ANZ Version 1—Application for Compensation (ANZ Banking Group Limited)pubd gaz 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 764–8Form 132.BAL Version 1—Application for Compensation Form for Workers (Brambles Australia

Limited)pubd gaz 1 July 2003 pp 764–8

Form 132.BHP Version 1—Application for Compensation Form (BHP Billiton)pubd gaz 1 July 2003 pp 64–8

Form 132.CBA Version 1—Commonwealth Bank of Australia Group Application for Workers’Compensation

pubd gaz 1 July 2003 pp 764–8Form 132.CC Version 1—Compensation Application (Brisbane City Council)

pubd gaz 1 July 2003 pp 764–8Form 132.CMG Version 1—Application for Compensation Form for Workers (Consolidated Meat

Group)pubd gaz 1 July 2003 pp 764–8

Form 132.CML Version 1—Employee’s Application for Compensation (Coles Myer Ltd)pubd gaz 1 July 2003 pp 764–8

Form 132.CSR Version 1—Application for Compensation (CSR Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.WC 133A Version 1—Employer’s Report—Fatal Injury (WorkCover Queensland)pubd gaz 30 June 2006 p 1048

Form 132F.WC Version 3—Application for Compensation—Fatal Injury (WorkCover Queensland)pubd gaz 30 June 2006 p 1048

Form 132.FNAB Version 1—Application for Compensation Form—Fatal Injurypubd gaz 26 March 2004 p 1139

Form 132.GCCC Version 1—Application for Compensation Form for Workers (Gold Coast CityCouncil)

pubd gaz 1 July 2003 pp 764–8Form 132.GCL Version 1—Compensation Application Form for Workers (Golden Circle Limited)

pubd gaz 1 July 2003 pp 764–8Form 132.JL Version 1—Application for Compensation Form for Injured Workers (Jupiters


Form 132.LGW Version 1—Application for Compensation (Local Government Association ofQueensland)

pubd gaz 1 July 2003 pp 764–8Form 132.MIM Version 1—Application for Compensation Form for Workers (M.I.M. Holdings


Form 132.MNL Version 1—Application for Compensation (Mayne Group Limited)pubd gaz 1 July 2003 pp 764–8

Form 132.NAB Version 1—Application for Compensation Formpubd 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 Workers Compensation (Queensland Rail)pubd gaz 1 July 2003 pp 764–8




Form 132.RWC Version 1—Application for Compensation Form for Workerspubd gaz 1 July 2003 pp 764–8

Form 132.TCC Version 1—Application for Compensation Form for Workers (Townsville CityCouncil)

pubd gaz 1 July 2003 pp 764–8Form 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.WBC Version 1—Application for Compensation (Westpac Banking Corporation)pubd gaz 1 July 2003 pp 764–8

Form 132.WC Version 2—Application for Compensation (WorkCover Queensland)pubd gaz 2 July 2004 p 699

Form 132.WW Version 1—Application for Compensation Form for Workers (Woolworths Limited –Queensland)

pubd gaz 1 July 2003 pp 764–8Form 132F.ACES 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 MeatHoldings Pty Limited)

pubd gaz 1 July 2003 pp 764–8Form 132F.ANZ Version 1—Application for Compensation Fatal Injury (ANZ Banking Group


Form 132F.ARN Version 1—Application for Workers Compensation – Fatal Injurypubd gaz 1 July 2003 pp 764–8

Form 132F.BAL Version 1—Application for Compensation Fatal Injury (Brambles AustraliaLimited)

pubd gaz 1 July 2003 pp 764–8Form 132F.BHP Version 1—Application for Compensation Form – Fatal Injury (BHP Billiton)

pubd gaz 1 July 2003 pp 764–8Form 132F.CBA Version 1—Commonwealth Bank of Australia Group Application for

Compensation – Fatal Injurypubd 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 MeatGroup)

pubd gaz 1 July 2003 pp 764–8Form 132F.CML Version 1—Application for Compensation Fatal Injury (Coles Myer Ltd)

pubd gaz 1 July 2003 pp 764–8Form 132F.CSR Version 1—Application for Compensation Fatal Injury (CSR Limited)

pubd gaz 1 July 2003 pp 764–8Form 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 CircleLimited)





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 Associationof Queensland)

pubd gaz 1 July 2003 pp 764–8Form 132F.MIM Version 1—Application for Compensation Fatal Injury (M.I.M. Holdings Limited)

pubd gaz 1 July 2003 pp 764–8Form 132F.MNL Version 1—Application for Workers’ Compensation Fatal Injury (Mayne Group


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.RWC Version 1—Application for Compensation Fatal Injury (Redland Shire Council)pubd gaz 1 July 2003 pp 764–8

Form 132F.TCC Version 1—Compensation Application Form Fatal Injury (Townsville CityCouncil)

pubd gaz 1 July 2003 pp 764–8Form 132F.TOLL Version 1—Application for Compensation—Fatal Injury (Toll Holdings Limited)

pubd gaz 8 September 2006 p 169Form 132F.UQ Version 1—Application for Compensation Fatal Injury (University of Queensland)

pubd gaz 1 July 2003 pp 764–8Form 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 (WorkCoverQueensland)

pubd gaz 24 December 2004 p 1347Form 132F.WW Version 1—Application for Workers’ Compensation – Fatal (Woolworths

Limited – Queensland)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 133, 133A.WC Version 1—Employer’s Report (WorkCover Queensland)pubd gaz 30 June 2006 p 1048

Form 133F.WC Version 2—Employer’s Report – Fatal Injury (WorkCover Queensland)pubd gaz 24 December 2004 p 1347

Form 185.1 Version 2—Notice of Assessment (Industrial deafness)pubd gaz 26 March 2004 p 1139

Form 185.2 Version 1—Notice of Assessment (Work related impairment of <50%; physical orpsychiatric / psychological injury)

pubd gaz 1 July 2003 pp 764–8Form 185.3 Version 2—Notice of Assessment (Work related impairment of <50%; physical or

psychiatric / psychological injury; additional lump sum for gratuitous care)pubd gaz 2 July 2004 p 699

Form 185.4 Version 1—Notice of Assessment (Work related impairment of <50%; physical andpsychiatric / psychological injury)



WORKPLACE HEALTH AND SAFETY ACT 1995


Form 185.5 Version 2—Notice of Assessment (Work related impairment of <50%; physical andpsychiatric / psychological injury; additional lump sum for gratuitous care)

pubd gaz 2 July 2004 p 699Form 185.6 Version 1—Notice of Assessment (Work related impairment of 50% or more; physical

or psychiatric / psychological injury)pubd gaz 1 July 2003 pp 764–8

Form 185.7 Version 2—Notice of Assessment (Work related impairment of 50% or more; physicalor psychiatric / psychological injury; additional lump sum compensation for gratuitous care)

pubd gaz 2 July 2004 p 699Form 185.8 Version 1—Notice of Assessment (Work related impairment of 50% or more; physical

and psychiatric / psychological injury)pubd gaz 1 July 2003 pp 764–8

Form 185.9 Version 2—Notice of Assessment (Work related impairment of 50% or more; physicaland psychiatric / psychological injury; additional lump sum compensation for gratuitous care)

pubd gaz 2 July 2004 p 699Form 185.10 Version 1—Notice of Assessment (Industrial deafness)

pubd gaz 1 July 2003 pp 764–8Form 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 andpsychiatric / psychological injury)

pubd gaz 1 July 2003 pp 764–8Form 275 Version 1—Notice of Claim for Damages

pubd gaz 1 July 2003 pp 764–8Form 500A Version 2—Medical Assessment Tribunal Referral

pubd gaz 23 February 2007 p 867Form 542.1 Version 1—Application for Review Policies, Premiums and Levies

pubd gaz 1 July 2003 pp 764–8Form 542.2 Version 1—Application for Review Statutory Claims

pubd gaz 1 July 2003 pp 764–8Form 542.3 Version 1—Application for Review

pubd gaz 11 August 2006 p 1710Form DW02 Version 1—Declaration of Wages

pubd gaz 1 July 2003 pp 769Form DWR02 Version 1—Declaration of Wages - Reminder

pubd gaz 1 July 2003 pp 769Form HHWAPP02 Version 1—Application for Insurance Policy – Household Workers

pubd gaz 1 July 2003 pp 769Form PN02 Version 1—Premium Notice

pubd gaz 1 July 2003 pp 769Form POLAPP02 Version 1—Application for Insurance Policy

pubd gaz 1 July 2003 pp 769Form WPIIAPP02 Version 1—Application for Workplace Personal Injury Insurance Policy

pubd gaz 1 July 2003 pp 769


Form 2A—Application for Registration of a Registrable Workplacepubd gaz 30 August 2002 p 1551




Form 3 Version 2 July 2003—Incident Notificationpubd gaz 4 July 2003 p 834

Form 4 Version 5—Hazard report formpubd gaz 30 March 2007 p 1481

Form 5 Version 9—Workplace Health and Safety Officer Assessment Report/Certificate ofAuthority application

pubd gaz 25 November 2005 p 1127Form 6 Version 19—Prescribed occupation application/assessment report

pubd gaz 18 August 2006 p 1817Form 7 Version 1—Notice of Change to a Registered Workplace

pubd gaz 19 December 1997 pp 1760–1Form 8 Version 8—Application for registration of registrable plant

pubd gaz 23 December 2005 p 1569Form 9 Version 16—Application for a replacement certificate/exemption from a holding a certificate

pubd gaz 29 June 2007 p 1150Form 10 Version 7—Application To Be An Accredited Provider

pubd gaz 24 October 2003 p 599Form 11 Version 3 October 2003—Who Is Your Workplace Health and Safety Representative

pubd gaz 17 October 2003 p 527Form 12 Version 8—Prohibition notice

pubd gaz 15 December 2006 p 1861Form 13 Version 6—Improvement notice

pubd gaz 11 August 2006 p 1715Form 14 Version 8—Application for registration of registrable plant design

pubd gaz 29 October 2004 p 730Form 15 Version 3—Receipt for property

pubd gaz 15 December 2006 p 1861Form 16 Version 1—Notice of Requirement

pubd gaz 19 December 1997 pp 1760–1Form 17 Version 2 June 2003—Application for Review of Decision

pubd gaz 4 July 2003 p 834Form 18 Version 1—Certificate of Registration of Plant

pubd gaz 19 December 1997 pp 1760–1Form 19 Version 1—Certificate of Registration of a Workplace

pubd gaz 19 December 1997 pp 1760–1Form 20 Version 5—November 2003—Application for Renewal of Registration of a Workplace

pubd gaz 6 November 2003 pp 755Form 22 Version 1—Certificate of Authority

pubd gaz 19 December 1997 pp 1760–1Form 23 Version 1—Notification of Lead-Risk Job

pubd gaz 19 December 1997 pp 1760–1Form 24 Version 5—Infringement notice

pubd gaz 11 August 2006 p 1715Form 25 Version 8—Application for renewal of registration of registrable plant

pubd gaz 23 December 2005 p 1569Form 26 Version 2—Medical declaration for resort diving

pubd gaz 25 June 2004 p 569Form 30 Version 4—Application/assessment report form for a certificate to perform asbestos

removal work/demolition workpubd gaz 21 July 2006 p 1372

Form 32 Version 1 1 January 2001—Business Certificate to Perform Asbestos Removal/Demolitionpubd gaz 16 February 2001 p 682




Form 34 Version 2—Notice of appointment of Principal Contractorpubd gaz 23 December 2005 p 1569

Form 36 Version 2—Application for a certificate to work in a prescribed occupationpubd gaz 29 June 2007 p 1150

Form 41 Version 1—Workplace Health and Safety Officer assessment report/certificate of authorityapplication


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