>>> Download: Application form – Consent to check and release a National Police Certificate

Consent to Check and Release a National Police Certificate – Application Form (.pdf 377kb)

Section 1: Applicant Details

The following information is mandatory:

  • Family name and all other surnames you have been known by
  • Given name and any other given names you have been known by
  • Current residential address
  • Date of birth and full place of birth (e.g. Town, State and Country)
  • Day-time telephone number. This number will be used should we need to contact you regarding your application
  • Drivers licence details are encouraged as they help with identification if there is a person with similar details.

Section 2: Type of Police Record Check required

Select which type of Police Record Check you require.

  • National Police Record Check (Fee applies)
    • A check will be made of the police records held by all Australian police jurisdictions.
  • National Police Record and Fingerprint Check (Fee applies)
      • A check will be made of the police and fingerprint records held by all Australian police jurisdictions.
      • Applicants are required to attend their local police station in order to provide their fingerprints.
      • Alternative arrangements exist for some State Government Departments.  Applicants should contact the relevant department prior to attending their local station for fingerprinting:

Section 3: Purpose of Record Check

It is mandatory to select one tick box only.

  • This section deals with the reason for the Police Record Check and will determine the level of information that is released.
  • Please select the option most appropriate for your requirements.
  • For more information on what will be released please refer to the release guidelines.

Section 4: Payment Options/Fees

Please read Section 4 carefully.

  • The National Police Record Check and the National Police Record & Fingerprint Check currently attract a fee.
  • Tasmania Police will not process any Police Record Checks without the required payment.
  • Payment can be made by attaching a cheque or money order to your application form.
  • Alternatively, you may pay with a credit card by providing appropriate details on the application form.

Note: Receipts for payments will only be provided upon prior request. If you require a receipt please tick the relevant box on the application form.

Section 5:Declaration Of Volunteer / Concession Status

Applicants seeking to volunteer for organisations may be eligible to receive a National Police Record Check for a reduced fee.

  • To receive the concession rate, organisations must complete the concession rate application form.
  • If your organisation is registered with Tasmania Police please have section 5 signed by an authorised officer.

Section 6: Evidence Of Identity

Please read Section 6 carefully.

  • Before a Police Record Check can be conducted, applicants must supply ONE Commencement Document, ONE Primary Document and ONE Secondary Document.  Copies of identification must be certified by a Justice of the Peace or Commissioner of Declarations.
  • One form of identity must include a copy of a clear photograph.
  • Examples of acceptable forms of identity can be found on the application form.

Section 7: Statement of Consent and Indemnity

  • Sign and print your name on the application form in front of a witness, before having them sign the form.

Note: Applications received at Criminal History Services, Tasmania Police without the requisite information, identification, payment or signature of consent will be returned to the applicant without being processed.