Driver Authorisation Application
Driver Authorisation (DA)

Drivers of motor vehicles used to provide particular public passenger services are required to hold DA.
The purpose of DA is to maximise public confidence in public passenger services in relation to the drivers of publicpassenger vehicles.
Information bulletins about DA and application forms may be obtained from the Department of Transport and Main
Roads (the department) website www.tmr.qld.gov.au.
If you hold a current DA elsewhere you may be eligible to apply under mutual recognition. Please refer to theinformation bulletin Mutual Recognition of Public Passenger Driver Authorities issued in other States, Territories or New
Zealand PT01.

Applicants for DA must have an entitlement to work in Australia

DA applicants must have a legal entitlement to work in Australia. Applicants must provide evidence specified in section
6 of the application form that they are:• an Australian citizen• a permanent resident of Australia• a New Zealand citizen who is the holder of a special category visa as defined by the Migration Act 1958
(Commonwealth), section 32• entitled, under a visa granted under the Migration Act (Commonwealth) to work in Australia.
If you are not an Australian citizen or permanent resident, you must present your foreign passport, Visa Evidence Cardor Document for Travel to Australia at the time of application. You must also complete an Authority to Check a Visa
Holder’s Work Entitlement (form F4595) so the department can verify you have an entitlement to work in Australia.

Holders of DA must have an acceptable criminal history

Criminal history checks are undertaken by the department on all DA applicants before an application can be approved.
Applicants cannot provide their own criminal history check, because the criminal history check information provided tothe department for DA purposes contains more information than is normally released.
All criminal history is considered, regardless of time elapsed. Driver disqualifying offences are categorised into category
A, B and C offences. Persons convicted of category A driver disqualifying offences are ineligible for DA. Persons
convicted of a category B driver disqualifying offence cannot hold DA unless they can demonstrate an exceptional caseexists. DA can also be refused if a person is convicted of a category C driver disqualifying offence or charged with adriver disqualifying offence (any category) and the charge has not been finally disposed of.
Information bulletin Driver Authorisation - Effect of a Driver Disqualifying Offence PT17 provides more information
about category A, B and C disqualifying offences.

Holders of DA must have an acceptable driving history

Driving history checks are part of the DA application process for assessing the suitability of a person to hold DA.
Information bulletin Driver Authorisation - Effect of a Driving History PT16 provides more information.
A DA application will not be accepted where an applicant has an alcohol interlock condition on their driver licence.

Medical fitness

Applicants must obtain and submit a Medical Certificate for Motor Vehicle Driver (form F3712) assessed in accordancewith the commercial medical standards set out in Austroads Assessing Fitness to Drive – For Commercial and Private
Vehicle Drivers publication. This publication is available from the Austroads website www.austroads.com.au.
The certificate must be no more than six months old. The applicant is responsible for payment of all fees associatedwith the issue of the certificate. Medical certificates not using form F3712 may be not be accepted. Once an authorised
passenger transport driver turns 75 years of age, the driver is required to submit a medical certificate issued for acommercial vehicle driver to the department on an annual basis.

Categories of DA

There are two categories of DA:• Booked hire/taxi - authorises a driver to provide any public passenger service that requires DA including thoseservices provided under General DA. Required by drivers of taxi and booked hire services (including services
provided under a limousine licence).
• General - authorises a person to provide any public passenger service other than a taxi service or booked hire
service.
From 1 September 2018 the scheduled and motorcycle tourist services DA categories have been replaced by general
DA.
Instructions

continued over page... Page 1 of 6 LTSR Forms Area F2978 CFD V01 Aug 2021

Driver licence requirements• A DA applicant must hold a current Australian open or restricted driver licence for the type of vehicle to be used
• Applicants for booked hire/taxi and general DA are required to have held an open, restricted, provisional or
probationary driver licence (Australian or overseas) for at least three years in total• In addition, applicants for booked hire/taxi DA must have held for a continuous period of at least one year any of thefollowing licences or a series of the following licences:• an Australian open, restricted, provisional or probationary driver licence• or a corresponding foreign licence issued by an experienced driver recognition country or a recognised country
listed on the Austroads website. (These are countries recognised as having similar driver licensing standards toAustralia.)

DA fees

Full payment of fees is required when the application is lodged. Information about DA fees may be found on thedepartment’s website www.tmr.qld.gov.au.

How to submit your DA application

The application form must be lodged in person at a transport and motoring service centre (locations may be found on
the Queensland Government website www.qld.gov.au). The form must be accompanied by evidence of identity (EOI),
your driver licence, evidence of Australian work entitlement and full payment. If you are not the holder of a Queensland
driver licence, you may have to complete the New Customer Application (form F3503), and provide EOI. Refer to EOIRequirements for Individuals/Organisations (form F4362).
The majority of applications are finalised within two weeks. Some applications can take longer while national criminal
and traffic history checks are being obtained from other agencies. Upon approval of your application, you can use aninterim industry authority as evidence that you are authorised until your industry authority card arrives in the mail. To
obtain your interim industry authority by email ask to sign up for the department’s e-reminders when submitting yourapplication. For more information on e-reminders please refer to www.qld.gov.au/transport/enotice.

Digital photo and signature

You will be required to allow the taking of a digital photo and the recording of a digitised signature to help verify youridentity and to reproduce the photo and signature on your industry authority card.

Instructions
Page 2 of 6 LTSR Forms Area F2978 CFD V01 Aug 2021

Reset Form

Print Form

Driver Authorisation Application
Transport Operations (Passenger Transport) Act 1994
This form is to be used if you are applying for Queensland driverauthorisation (DA) to drive a public passenger vehicle.

1. Personal details

4. Have you ever been known by any other name?
No

Go to Q5

Yes

Give full details of all names

Family name

Given name/s

5. (a) Have you lived in New Zealand or in another
Australian state or territory?
No

Residential address

Go to (b)YesGive details, then go to (b)Where?

When? (Year/s)

Postcode
Postal address (if different to residential address)(b) Have you lived in any other country for morethan 12 months in the last 10 years and been
aged at least 18 years of age or more for any
period during this time?

Postcode
Mobile/Telephone number

Telephone (other)

Email address

No

Go to Q6

Yes

Give details

Where?
Date of birth

Town/City of birth//State of birthCountry of birth

Town/City and state of birth details must be supplied if bornin Australia

2. Customer reference number

Do you have a departmental customer reference number(CRN)? (A CRN is a Queensland driver licence number,
Adult Proof of Age card number, Photo Identification card orIndustry Authority number).

Yes

When? (Year/s)

Provide CRN and then go to Q3

6. Entitlement to work in Australia(a) Are you an Australian citizen, Australian permanent
resident or a New Zealand citizen holding a special
category visa?
No

Go to (b) Yes

Your application will be accepted on presentation of
one of the following documents. Please tick (ü) whichdocuments you will be providing and provide details
below—
Green Medicare Card

No

Complete a New Customer Application (form
F3503)(a) Do you have either:• a current Australian open driver licence• a restricted driver licence issued by a court order for
driving a public passenger service.
No

Queensland Birth Extract
Australian Citizenship Certificate/Extract

3. Driver licence details

Yes

Full Australian Birth Certificate

You cannot hold DA.

(b) Was your driver licence issued in Queensland?
Yes

Go to Q4

No

Please provide interstate driver licence number

Australian Naturalisation Certificate
Australian Passport(which is not expired more than two years)
New Zealand Passport
Evidence of your permanent residency
Document number
Place of issue (if stated)

Date of issue (if stated)/

State issued

Expiry date//

Note: you will need to present your interstate driver
licence with your application.

/

Note: If your name is different from the name on the documents
you are providing this question, you need to submit a changeof name document. For a list of acceptable documents pleaserefer to Evidence of Identity Requirements for Individuals/
Organisations (form F4362).

continued over page...
Page 3 of 6 LTSR Forms Area F2978 CFD V01 Aug 2021

Driver Authorisation Application continued... Page 4 of 6(b) Do you hold a current visa with a work entitlement?
No

Your application cannot be processed. Pleasecontact the Department of Home Affairs about
your entitlement to work in Australia.

YesYour passport, Visa Evidence Card orDocument for Travel to Australia will be
required by the department along with acompleted Authority to Check a Visa Holder’sWork Entitlement (form F4595).

10. Have you ever been convicted of a criminal, drugor weapons offence or been charged with any ofthese offences and the charge has not been finallydisposed of?
Note: All criminal history must be declared regardless of time
elapsed. The department conducts a criminal history check on eachapplicant.

No

Yes

Please provide date, place, offence andoutcome if known.

7. DA categories and licence requirements(a) What category of DA are you applying for?

Booked hire/taxi [authorises the holder todrive a vehicle being used to provide any kindof public passenger service. Required for
drivers of taxi or booked hire services]

General [authorises the holder to drive a vehicle
being used to provide any public passenger
service other than a taxi service or booked hire
service](b) Do you meet the driver licence requirements (referto page 2) for the category you are applying for?
Yes

Go to Q8No

The application may be refused if you do notmeet these requirements.

8. How long do you want your DA for?
One year

Two years

Four years

Five years

Other

/

Three years/• The fee will be determined by the issue period chosen.
• If you hold a current work visa with a work entitlement, DA
will not be issued past your work entitlement end date.
• DA will not be issued past your medical certificate expiry
date.

9. Medical Fitness

If insufficient space, attach separate sheet

11. Have you ever had a DA or equivalent authority
suspended, cancelled or refused in Queensland or
elsewhere?
No

Yes

If known give the authority number anddetails of the suspension or cancellation.

Applicants must submit a Medical Certificate for Motor
Vehicle Driver (form F3712) issued in accordance with thecommercial standards stated in the Assessing Fitness to
Drive - Commercial and Private Vehicle Drivers medical
standards. The certificate must be no more than six months
old. Certificates not using form F3712 may not be accepted.
Are you submitting your medical certificate with thisapplication?
Yes

No

This application will not be fully assesseduntil the medical certificate is lodged.

If insufficient space, attach separate sheet
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Driver Authorisation Application continued... Page 5 of 6

12. Driving history

The department will be verifying your driving history.
(a) In the last five years have you had your driver
licence amended, suspended, cancelled or have you
been disqualified from holding or obtaining a driver
licence, or have you committed a traffic offenceother than parking (for example, speeding)?
No

Yes

Please provide date, place, offence
and outcome if known.

Statement

I declare that:
I understand my responsibilities as the holder of a driverauthorisation under the Transport Operations (Passenger
Transport) Act and I understand that failure to comply with
relevant legislation may result in the refusal, suspension orcancellation of driver authorisation.
Please note: An applicant in this application shall not:• wilfully make or authorise the making of a statement thatis misleading• wilfully make or authorise the omission of any matteror thing without which the application is misleading in amaterial respect.
If you do not tell the truth in your application you may beprosecuted under the relevant Acts or Regulations.
I state that I have read the above statement and theinformation provided in this application is complete, true andcorrect in every detail.
Applicant’s signature

Date
/

/

Privacy statement: The department is collecting the information on this form toassess your suitability for a DA. The department is authorised by the Transport
Operations (Passenger Transport) Act to collect this information and to obtain
information from other government agencies relating to your criminal and driving
history and by the Migration Act (Commonwealth) to verify your entitlement towork in Australia. The documents collected for the purpose of this application will
be accessible by authorised departmental persons and some of this information
may be disclosed to the Queensland Police Service and interstate licensing
authorites as allowed under the Acts.

If insufficient space, attach separate sheet

13. Applicant declaration

I give my consent for the department to conduct enquiries
it deems necessary to assess my application and ongoingsuitability to hold driver authorisation, including, but notnecessarily limited to:• a national criminal history check through the Queensland
Police Service and a New Zealand criminal history checkthrough New Zealand Police if required. I authorise therelease of that information by Queensland Police Service,
the Australian Police Services and New Zealand Police tothe department• a driving history check in all states and territories ofAustralia• enquiries with the courts, police, prosecuting authorities
or other relevant bodies or entities to enable thedepartment to make a full and informed assessment of
my suitability for DA• verifying that I hold a current visa with an entitlement towork in Australia if required• verifying evidence of identity information provided in thisapplication.
I authorise the department to use this information to maintaina database which is used to prepare correspondence,monitor transactions and to provide accredited operatorsand other relevant government agencies with information
relating to my DA.
I give my consent to the department taking, keeping, andusing my personal information, digital photo and digitised
signature for the issue of DA under the Transport Operations(Passenger Transport) Act, or as otherwise authorised bylaw.

If this application is approved, and an industry authority card is produced, thedepartment’s card contractor will have controlled access to your information,
digital photo and digitised signature to make a card. Your information and digital
photo may be accessed by authorised departmental persons or police exercising
a power in relation to this Act, section 328A of the Criminal Code Act 1899 orotherwise authorised under the Police Powers and Responsibilities Act 2000. The
department will not disclose your personal details, documents or digital photo to
any other third parties without your consent unless required by law.

Office Use Only over page...
Page 5 of 6 LTSR Forms Area F2978 CFD V01 Aug 2021

Driver Authorisation Application continued... Page 6 of 6

Office Use Only - Checklist

Lodging Customer Service Centre (CSC) to complete
Lodgement date/

CSC lodged at/

Refusal of DA - PT office to complete
Decision maker
Application refused

Issue refusal noticeComments

Operator user ID

Booked hire/taxi

GeneralRefusal request sent to DA hub

Further action

Please indicate with a þ when completed/submitted, or a ýwhen not required.
EOI proof ofidentification(If not sighted, specify reason)
Work entitlement
checked_____/ _____/ _____(Work entitlement end date)

1:1 match performed
Fee paid
Application
forwarded to DA hub$(Amount paid) (Receipt number)

DA hub to complete

Criminal history check results

Nil

History referred to PT

Driver licence requirements
Queensland driving
history
Interstate driving
history
Check for previous
DA history
Medical certificate_____/ _____/ _____(Expiry date)

Approval of DA

Is the application approved?
Yes_____/ _____/ _____ _____/ _____/ _____(Issue date)(Expiry date)

Approving officer
Approval entered on TICA

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Page 6 of 6 LTSR Forms Area F2978 CFD V01 Aug 2021

Private and Commercial Vehicle Driver’s
Health Assessment
Important information

Transport Operations (Passenger Transport) Act 1994
Transport Operations (Road Use Management) Act 1995

This form is provided to guide your treating doctor’s assessment of your medical fitness to drive. This assessment should be
conducted in accordance with the national medical standards as set out in the Austroads Assessing Fitness to Drive - Commercial
and Private Vehicle Drivers publication (AFTD).
• When making your appointment to see your treating doctor, we recommend that you advise the reason for your visit so that an
appropriate length appointment can be made for you.
• It is recommended that you complete the health questionnaire below prior to attending your appointment.
• If you need to wear glasses/contact lenses/hearing aids when driving, take them with you to the assessment.
• At the beginning of your appointment, give this form to your treating doctor who will complete the rest of the form and retain it
for their records.
• After the assessment, your health professional will complete the Medical Certificate for Motor Vehicle Driver (form F3712) foryou to present to the Department of Transport and Main Roads (the department).
Your treating doctor’s fees are set at their discretion and you are responsible for the payment of these fees.
No YesPart 1 - Health Questionnaire - to be completed by
5. Have you ever had an ear operation, or do you
the patient (this form will be kept by the health professional)
use a hearing aid?
1. Personal details (please print)
6. Have you ever had any serious injury, illness,
Family nameoperation, or been in hospital for any reason?
7. Has anyone noticed that your breathing stops
or is disrupted by episodes of choking during
Given name/syour sleep?
8. How frequently do you drink alcohol?
State/territory/country of issue
Date of birth
Daily
Occasionally//

Driver licence number (if known)
Please answer the following questions by ticking theapplicable box. If you are unsure of a question, ask yourhealth professional what it means before answering. Your
health professional may ask you additional questions during
the assessment.
No Yes
1. Are you currently being treated by a healthprofessional for any illness or injury?
2. Do you use any drugs or medicationsprescribed by a health professional?
3. Do you use any drugs or medications notprescribed by a health professional?
4. Have you ever had, or been told by a healthprofessional that you had any of the following? No Yes
4.1 High blood pressure
4.2 Heart disease
4.3 Chest pain, angina
4.4 Any condition requiring heart surgery
4.5 Palpitations/Irregular heartbeat
4.6 Abnormal shortness of breath
4.7 Head injury/Spinal injury
4.8 Seizures, fits, convulsions, epilepsy
4.9 Blackouts, fainting
4.10 Stroke
4.11 Dizziness, vertigo, problems with balance
4.12 Double vision, difficulty seeing
4.13 Colour blindness
4.14 Kidney disease
4.15 Diabetes
4.16 Neck, back or limb disorders
4.17 Hearing loss or deafness
4.18 Psychiatric illness or nervous disorder
4.19 Sleep disorder, sleep apnoea or narcolepsy

Two-three times per week

Never

2. Patient declaration

I declare that the information I have provided on this form formy treating doctor is true and complete.
Patient’s signature

Date
/

/

Important: Please do not send this completed assessment
to the department as it should be retained by the treating
doctor and form part of your medical file. Your treating
doctor’s recommendation regarding your medical fitness
to drive should be recorded on the Medical Certificate forMotor Vehicle Driver (form F3712).

continued page 2...
Page 1 of 2 LTSR Forms Area F3195 CFD V01 Feb 2017

Part 2 - Clinical Examination - to be completed by the treating doctor
Patient’s details

Family name (please print)

5.2 Does this person need towear glasses or contact No
lenses for driving?

Given name/s

Normal
5.3 Visual fields(confrontation to each eye)Yes
Abnormal

6. Hearing (Commercial vehicle drivers only)

Residential address

6.1 Hearing

NormalAbnormal

7.1 Protein

NormalAbnormal

7.2 Glucose

NormalAbnormal

7. Urinalysis

Postcode
Please be guided by the information your patient has provided
in Part 1 - Health Questionnaire. You may apply appropriate
tests other than those outlined here i.e. mine mental state, or
equivalent for cognitive conditions.

1. Cardiovascular system
1.1 Blood pressure - (repeat if necessary)
Systolic

mmHg

mmHg

Diastolic

mmHg

mmHg

1.2 Pulse rate

Regular

Irregular

1.3 Heart sounds

NormalAbnormal

1.4 Peripheral pulses

NormalAbnormal

NormalAbnormal

NormalAbnormal

8. Neuropsychological assessment
Where clinically indicated, apply the Mini Mental State
Questionnaire or General Health Questionnaire orequivalent.
8.1 Score

9. Relevant clinical findings
Note comments on any relevant findings detected in
the questionnaire or examination, making reference tothe requirements of the standards outlined in the AFTD
guidelines.

2. Chest/Lungs
2.1 Chest/Lungs

3. Abdomen (Liver)
3.1 Abdomen (liver)

10. Assessment

4. Neurological/Locomotor
4.1 Cervical spine rotation Normal

AbnormalWhich standard did you assess your patient against in the
AFTD?

4.2 Back movement

NormalAbnormalPrivate(a) Appearance

NormalAbnormal(b) Joint movements

NormalAbnormal(a) Appearance

NormalAbnormal(b) Joint movements

NormalAbnormal

4.5 Reflexes

NormalAbnormal

4.6 Romberg’s sign

NormalAbnormal

4.3 Upper limbs

4.4 Lower limbs

A pass requires the ability to maintain balance while
standing with shoes off, feet together side by side,eyes closed and arms by sides, for 30 seconds.

5. Vision
5.1 What is your assessment of the person’s visualacuity?
R

6/

L

6/

Binocular

Commercial

Treating doctor’s full name (please print)
Signature

Date of examination//

Your recommendation regarding your patient’s medical
fitness to drive should be provided on the Medical Certificate
for Motor Vehicle Driver (form F3712)
Important: Please do not send this completedassessment to the department as it should be retainedby you and form part of your patient’s medical file. Your
recommendation regarding your patient’s medical fitness
to drive should be recorded on the Medical Certificate forMotor Vehicle Driver (form F3712).

6/

Page 2 of 2 LTSR Forms Area F3195 CFD V01 Feb 2017