1022 Forms notified or published in the Government gazette—Issue 29 (2006)

AGRICULTURAL CHEMICALS DISTRIBUTION CONTROL ACT 1966

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 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 Contractor 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—Animal Welfare Directionpubd gaz 17 January 2003 p 165

Forms notified or published in the gazette—Issue 29 (2006) 1023

APPEAL COSTS FUND ACT 1973

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

Form FDU 1167—Receipt for Seized Propertypubd gaz 1 March 2002 p 846

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

Form FDU 1169—Schedule to Animal Welfare Directionpubd gaz 17 January 2003 p 165

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

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

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

pubd gaz 28 January 2000 pp 264–5Form 7 Version 1—Certificate of the Appeal Costs Board authorising payment from the Appeal

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

pubd gaz 28 January 2000 pp 264–5Form 10 Version 1—Certificate of the Appeal Costs Board authorising payment from the Appeal

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

1024 Forms notified or published in the Government gazette—Issue 29 (2006)

ARCHITECTS ACT 2002

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 28 January 2000 pp 264–5Form 13 Version 1—Certificate of the Appeal Costs Board authorising payment from the Appeal

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 1517Form 2 Version 1—Particulars of persons granted bail by deposit of money

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

pubd gaz 24 August 2001 p 1517Form 4 Version 1—Notice of time and place of adjourned hearing of offence where defendant does

not appear personally in accordance with his bailpubd gaz 24 August 2001 p 1517

Form 5 Version 1—Notice of person granted bail by deposit of money or permitted to go at largewithout bail

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

pubd gaz 24 August 2001 p 1517Form 7 Version 1—Undertaking as to Bail

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

pubd gaz 31 May 1996 p 816

Forms notified or published in the gazette—Issue 29 (2006) 1025

BILLS OF SALE AND OTHER INSTRUMENTS ACT 1955

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

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

Form 22 Version 1—Warrant committing a defendant who has failed to appear in accordance withundertaking

pubd gaz 24 August 2001 p 1517Form 23 Version 1—Release notice (by court)

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

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

pubd gaz 24 November 2000 p 1180

BILLS OF SALE AND OTHER INSTRUMENTS ACT 1955

Form 1 Version 3 2004—Application to Register an Interestpubd gaz 9 January 2004 p 60

1026 Forms notified or published in the Government gazette—Issue 29 (2006)

BODY CORPORATE AND COMMUNITY MANAGEMENT ACT 1997

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 2 Version 3 2004—Application to Discharge an Interestpubd gaz 9 January 2004 p 60

Form 3 Version 3 2004—Application for Partial Discharge of an Interestspubd gaz 9 January 2004 p 60

Form 4 Version 3 2004—Application for Variation of an Interestpubd gaz 9 January 2004 p 60

Form 5 Version 3 2004—Application for Renewal of an Interestpubd gaz 9 January 2004 p 60

Form 6 Version 3 2004—Application for Assignment of an Interestpubd gaz 9 January 2004 p 60

BODY CORPORATE AND COMMUNITY MANAGEMENT ACT 1997

Form BCCM1 Version 4—Notice to body corporate of a contravention of a body corporate by-lawpubd gaz 30 April 2004 p 1599

Form BCCM2 Version 2—Notice of authorised signatories on body corporate financial institutionaccount

pubd gaz 11 July 2003 p 904Form BCCM6 Version 2—Proxy form for body corporate general meetings

pubd gaz 11 July 2003 p 904Form BCCM7 Version 3—Proxy form for committee meetings

pubd gaz 5 December 2003 p 1111Form BCCM13 Version 2—Body corporate information certificate

pubd gaz 11 July 2003 p 904Form BCCM 14 Version 6—Contract Warning

pubd gaz 21 April 2006 p 1540Form BCCM15 Version 5—Dispute resolution application

pubd gaz 1 July 2005 p 755Form BCCM16 Version 1—Certificate of dismissal

pubd gaz 11 July 2003 p 904Form BCCM17 Version 1—Notice of an adjudicator’s order

pubd gaz 11 July 2003 p 904Form BCCM18 Version 2—Guidelines for the engagement of a body corporate manager to carry out

the functions of a committee and its executive memberspubd gaz 30 April 2004 p 1599

Form BCCM19 Version 1—The effect of a change in the regulation module applying to a schemepubd gaz 5 December 2003 p 1111

Form BCCM20 Version 2—This explanatory note deals with a proposal to amend:• The terms of an engagement of a service contractor; or• An authorisation as a letting agent

When that amendment includes a right or option of extension or renewalpubd gaz 30 April 2004 p 1599

Form CMS Version 2—First/New Community Management Statementpub gaz 22 August 2003 p 1328

BRANDS ACT 1915

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

Forms notified or published in the gazette—Issue 29 (2006) 1027

BUILDING ACT 1975

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

BUILDING ACT 1975

Form 9 Version 1—Application to vary the Standard Building Regulationpubd gaz 29 May 1998 p 651

Form 10 Version 1—Building and Development Tribunals Appeal Noticepubd gaz 29 May 1998 p 651

Form 11 Version 2—Certificate of Classificationpubd gaz 7 November 2003 p 754

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

Form 13 Version 1—Change of Classification Applicationpubd gaz 8 May 1998 p 184

Form 14 Version 2—Certificate of Classification for a building or structure built before 1 April 1976pubd gaz 7 November 2003 p 754

Form 15 Version 2—Compliance Certificate—Design/Appraisalpubd gaz 7 November 2003 p 754

Form 16 Version 2—Certificate of Inspectionpubd gaz 7 November 2003 p 754

Form 17 Version 1—Inspection of Pool and Fencingpubd gaz 14 February 2003 p 523

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

Form 21 Version 1—Final inspection certificate, Single detached class 1a buildings; and Class 10buildings or structures

pubd gaz 7 November 2003 p 754

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

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

1028 Forms notified or published in the Government gazette—Issue 29 (2006)

BUILDING UNITS AND GROUP TITLES ACT 1980

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1029

CHILD EMPLOYMENT ACT 2006

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

Form 20 Version 3—Application for Determination of Qualificationspubd gaz 2 June 2006 p 452

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

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

CHILD EMPLOYMENT ACT 2006

Form 1 Version 1—Parent’s Consent Formpubd gaz 30 June 2006 p 1049

CHILD PROTECTION ACT 1999

Form 2 Version 2—Application to extend and/or vary a temporary assessment orderpubd gaz 5 December 2003 p 1103

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 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 11 Version 2—Application to extend and/vary/revoke a child protection orderpubd gaz 5 December 2003 p 1103

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

pubd gaz 5 December 2003 p 1103Form 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 2—Adjournment of proceeding for a child protection order

pubd gaz 5 December 2003 p 1103Form 17 Version 1—Recognised Aboriginal or Torres Strait Islander agency

pubd gaz 14 April 2000 p 1391Form 18 Version 2—Report of a family meeting

pubd gaz 5 December 2003 p 1103

1030 Forms notified or published in the Government gazette—Issue 29 (2006)

CHILDREN SERVICES TRIBUNAL ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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 APA Version 3—Application for Approvalpubd gaz 9 June 2006 p 677

Form CA Version 1—Care Agreement Formpubd gaz 9 June 2006 p 677

Form CCC Version 2—Change in Carer Circumstances Formpubd gaz 9 June 2006 p 677

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

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 1—Application for a temporary assessment orderpubd gaz 14 April 2000 p 1391

Forms notified or published in the gazette—Issue 29 (2006) 1031

CHILDRENS COURT ACT 1992

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 2 Version 1—Application to extend and / or vary a temporary assessment orderpubd gaz 14 April 2000 p 1391

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 1—Application for a court assessment orderpubd gaz 14 April 2000 p 1391

Form 6 Version 1—Application to extend / vary / revoke a court assessment orderpubd gaz 14 April 2000 p 1391

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 1—Application for a child protection orderpubd gaz 14 April 2000 p 1391

Form 11 Version 1—Application to extend and / vary / revoke a child protection orderpubd gaz 14 April 2000 p 1391

Form 12 Version 1—Application to revoke a child protection order and make another childprotection order

pubd gaz 14 April 2000 p 1391Form 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 1—Adjournment of proceeding for a child protection order

pubd gaz 14 April 2000 p 1391Form 17 Version 1—Recognised Aboriginal or Torres Strait Islander agency

pubd gaz 14 April 2000 p 1391Form 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 1391

1032 Forms notified or published in the Government gazette—Issue 29 (2006)

CHIROPRACTORS REGISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1033

COMMERCIAL AND CONSUMER TRIBUNAL ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

pubd gaz 8 August 2003 p 1232

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

1034 Forms notified or published in the Government gazette—Issue 29 (2006)

CONTRACT CLEANING INDUSTRY (PORTABLE LONG SERVICE LEAVE) ACT 2005

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 5 Version 2—Pumps and farming sheds- exemption applicationpubd gaz 16 January 2004 p 132

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

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

CORONERS ACT 2003

Form 1 Version 3—Police Notification of Death to Coronerpubd gaz 11 November 2005 p 947

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 955–6

Forms notified or published in the gazette—Issue 29 (2006) 1035

CORRECTIVE SERVICES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

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

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

Form 14 Version 2—Order for Release of body for Burial (including cremation)pubd gaz 30 June 2006 p 1049

Form 15 Version 1—Application to Coroner to Hold an Inquestpubd gaz 21 November 2003 p 955–6

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

CORRECTIVE SERVICES ACT 2000

Form 1 Version 1—Authority to Admit Sentenced Person to a Corrective Services Facilitypubd gaz 29 June 2001 pp 780–2

Form 2 Version 1—Application by Prisoner to Have Child Accommodated in a Corrective ServicesFacility

pubd gaz 29 June 2001 pp 780–2Form 3 Version 1—Notice of Intent to Marry

pubd gaz 29 June 2001 pp 780–2Form 4 Version 1—Notice of Intent to Change Name by Deed Poll

pubd gaz 29 June 2001 pp 780–2

1036 Forms notified or published in the Government gazette—Issue 29 (2006)

CORRECTIVE SERVICES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 5 Version 2—Special Treatment Orderpubd gaz 15 February 2002 p 616

Form 6 Version 1—Crisis Support Orderpubd gaz 29 June 2001 pp 780–2

Form 7 Version 2—Maximum Security Orderpubd gaz 15 February 2002 p 616

Form 8 Version 2—Order for Amendment/Cancellation of Maximum Security Orderpubd gaz 15 February 2002 p 616

Form 9 Version 1—Order for Transfer of a Prisonerpubd gaz 29 June 2001 pp 780–2

Form 10 Version 1—Instrument Ordering Chief Executive to Produce Prisonerpubd gaz 29 June 2001 pp 780–2

Form 11 Version 1—Order for Transfer of Prisoner to Attend Courtpubd gaz 29 June 2001 pp 780–2

Form 12 Version 1—Application for Removal of a Prisoner from a Corrective Services Facility forLaw Enforcement Purposes

pubd gaz 29 June 2001 pp 780–2Form 12(a) Version 2—Approval for Removal of a Prisoner from a Corrective Services Facility for

Law Enforcement Purposespubd gaz 15 February 2002 p 616

Form 13 Version 2—Community Work Orderpubd gaz 15 February 2002 p 616

Form 14 Version 2—Order for Amendment/Repeal of Community Work Orderpubd gaz 30 May 2003 p 361

Form 15 Version 1—Instrument Extending Grant of *Community Work Order/ *Release to WorkOrder

pubd gaz 29 June 2001 pp 780–2Form 15(a) Version 2—Notice of Amendment of Instrument Extending Grant of Community Work

Order/Release to Work/Home Detention Orderpubd gaz 19 December 2003 p 1289

Form 16 Version 1—Leave of Absence Orderpubd gaz 29 June 2001 pp 780–2

Form 17 Version 1—Notice to Prisoner of *Amendment/ *Repeal/ *Suspension of Leave ofAbsence Order

pubd gaz 29 June 2001 pp 780–2Form 18 Version 1—Interstate Leave Permit

pubd gaz 29 June 2001 pp 780–2Form 19 Version 2—Repeal/Amendment of Interstate Leave Permit

pubd gaz 19 December 2003 p 1289Form 20 Version 1—Conditional Release Order

pubd gaz 29 June 2001 pp 780–2Form 20(a) Version 3—Amendment/*Cancellation of Conditional Release Order

pubd gaz 19 December 2003 p 1289Form 21 Version 1—Early Discharge Order

pubd gaz 29 June 2001 pp 780–2Form 22 Version 2—Warrant by Authorised Person/Magistrate for Arrest of Prisoner Unlawfully at

Largepubd gaz 26 September 2003 p 291

Form 23 Version 1—Breach of Disciplinepubd gaz 29 June 2001 pp 780–2

Form 24 Version 1—Separate Confinement Orderpubd gaz 29 June 2001 pp 780–2

Forms notified or published in the gazette—Issue 29 (2006) 1037

CORRECTIVE SERVICES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 25 Version 1—Receipt for Seized Propertypubd gaz 29 June 2001 pp 780–2

Form 26 Version 1—Notice of Forfeit of Seized Thingpubd gaz 29 June 2001 pp 780–2

Form 27 Version 3—Application To Visit A Prisoner (Personal Visitor)pubd gaz 29 July 2005 p 1143

Form 28 Version 1—Application by Prisoner for Exceptional Circumstances Parole Orderpubd gaz 29 June 2001 pp 780–2

Form 29 Version 1—Application by Prisoner for Post Prison Community–Based Release Orderpubd gaz 29 June 2001 pp 780–2

Form 30 Version 2—Release to Work Orderpubd gaz 19 December 2003 p 1289

Form 31 Version 4—Home Detention Orderpubd gaz 19 December 2003 p 1289

Form 32 Version 2—Exceptional Circumstances Parole Orderpubd gaz 19 December 2003 p 1289

Form 33 Version 2—Parole Orderpubd gaz 19 December 2003 p 1289

Form 34 Version 2—Permit to Leave and Remain out of Queenslandpubd gaz 19 December 2003 p 1289

Form 35 Version 2—Permit for Prisoner on Parole to Travel Overseaspubd gaz 19 December 2003 p 1289

Form 36 Version 2—Order by Chief Executive for Suspension of Post–Prison Community BasedRelease Order

pubd gaz 26 September 2003 p 291Form 36a Version 2—Notice of Order for Suspension of Post–Prison Community Based Release

Orderpubd gaz 26 September 2003 p 291

Form 37 Version 1—Warrant by Chief Executive for Arrest and Conveyance of Prisoner to Prisonpubd gaz 29 June 2001 pp 780–2

Form 38 Version 3—Order by Board for Amendment/Suspension/ Cancellation of Post-PrisonCommunity Based Release Order

pubd gaz 19 December 2003 p 1289Form 39 Version 1—Warrant by Board for Arrest and Conveyance of Prisoner to Prison

pubd gaz 29 June 2001 pp 780–2Form 40 Version 1—Warrant for Arrest and Conveyance of Prisoner to Prison

pubd gaz 29 June 2001 pp 780–2Form 41 Version 2—Information Notice

pubd gaz 26 September 2003 p 291Form 42 Version 1—Order by Queensland Community Corrections Board for Prisoner to Serve Part

of Unexpired Portion of Period of Imprisonmentpubd gaz 29 June 2001 pp 780–2

Form 43 Version 1—Application by Prisoner for Review of Third Refusal of Application byRegional Community Corrections Board

pubd gaz 29 June 2001 pp 780–2Form 44 Version 1—Declaration of Emergency

pubd gaz 29 June 2001 pp 780–2Form 45 Version 1—Certification of a Corrective Services Officer as a Corrective Services Dog

Handlerpubd gaz 29 June 2001 pp 780–2

Form 46 Version 1—Certification of a Dog as a Corrective Services Dogpubd gaz 29 June 2001 pp 780–2

1038 Forms notified or published in the Government gazette—Issue 29 (2006)

CREMATIONS ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 47 Version 1—Instrument of Appointment of Inspectorpubd gaz 29 June 2001 pp 780–2

Form 48 Version 1—Instrument of Authorisation of Volunteerpubd gaz 29 June 2001 pp 780–2

Form 49 Version 2—Application to be Registered as a Concerned Personpubd gaz 26 September 2003 p 291

Form 50 Version 1—Request by Court for Pre–Sentence Report by Corrective Services Officerpubd gaz 29 June 2001 pp 780–2

Form 51 Version 1—Application by Prisoner for Leave to Appear or Be Represented by an Agentbefore a Corrections Board

pubd gaz 29 June 2001 pp 780–2

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 Certificatepubd gaz 14 November 2003 p 863

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

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

CRIMINAL CODE [1899]

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

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 817

Forms notified or published in the gazette—Issue 29 (2006) 1039

DANGEROUS GOODS SAFETY MANAGEMENT ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 7 Version 1—Warrant of Commitment for non-payment of moneys due under a forfeitedrecognizance

pubd gaz 31 May 1996 p 817Form 8 Version 1—Warrant of Execution for moneys due under a forfeited recognizance or

undertaking as to bailpubd gaz 31 May 1996 p 817

Form 9 Version 1—Order in respect of surety or sureties made upon a declaration forfeiting anundertaking as to bail

pubd gaz 31 May 1996 p 817Form 10 Version 1—Notice to surety or sureties of Order made on forfeiture of undertaking as to

bailpubd gaz 31 May 1996 p 817

Form 11 Version 1—Application for variation or rescission of Order forfeiture recognizance andnotice to complainant or Crown Solicitor

pubd gaz 31 May 1996 p 817Form 12 Version 1—Application for variation or rescission of Order made against a surety to an

undertaking as to bail and notice to complainant or Crown Solicitorpubd gaz 31 May 1996 p 817

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 331

1040 Forms notified or published in the Government gazette—Issue 29 (2006)

DENTAL TECHNICIANS AND DENTAL PROSTHETISTS REGISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form D201 Version January 2002—Application for Dental Specialist Registration in Queenslandpub gaz 21 December 2001 p 1443

Form D301 Version January 2002—Application for Special Purpose Registration in Queenslandunder the Dental Practitioners Registration Act 2001

pub gaz 21 December 2001 p 1443Form D401 Version March 2004—Application for Registration as a Dental Auxiliary in Queensland

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

pubd gaz 4 February 2005 p 331Form D1401 Version January 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Dentist in Queenslandpub gaz 21 December 2001 p 1443

Form D1501 Version January 2002—Notice of Expiry of Registration and Application forRestoration 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 1443Form MR D411 Version October 2004—Application for Registration under Mutual Recognition as a

Dental Auxiliary in Queenslandpubd gaz 4 February 2005 p 331

Form TTMR DA311 Version October 2004—Application for Registration under Trans-TasmanMutual Recognition as a Dental Auxiliary in Queensland

pubd 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

Forms notified or published in the gazette—Issue 29 (2006) 1041

DISASTER MANAGEMENT ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

pubd gaz 2 April 2004 p 1300

1042 Forms notified or published in the Government gazette—Issue 29 (2006)

DISEASES IN TIMBER ACT 1975

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 17 May 1996 p 622

DISTRICT COURT OF QUEENSLAND ACT 1967

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

DOMESTIC AND FAMILY VIOLENCE PROTECTION ACT 1989

Form DV1 Version 4—Application for a Protection Orderpubd gaz 28 February 2003 pp 767–8

Form DV2 Version 3—Temporary Protection Orderpubd gaz 28 February 2003 pp 767–8

Form DV3 Version 3—Protection Orderpubd gaz 28 February 2003 pp 767–8

Form DV4A Version 1—Revocation of a Domestic Violence Orderpubd gaz 28 February 2003 pp 767–8

Form DV4B Version 2—Variation to a Domestic Violence Orderpubd gaz 28 February 2003 pp 767–8

Form DV5 Version 3—Application to Revoke or Vary a Domestic Violence Orderpubd gaz 28 February 2003 pp 767–8

Form DV6 Version 3—Temporary Protection Order Section 54 Applicationpubd gaz 28 February 2003 pp 767–8

Form DV7 Version 3—Temporary Protection Orderpubd gaz 28 February 2003 pp 767–8

Form DV8 Version 3—Application for Registration in Queensland of an Interstate DomesticViolence Order

pubd gaz 28 February 2003 pp 767–8Form DV9 Version 3—Notice of Registration of an Interstate Domestic Violence Order

pubd gaz 28 February 2003 pp 767–8Form DV10 Version 3—Notice of Appeal

pubd gaz 28 February 2003 pp 767–8Form DV11 Version 3—Release from Custody

pubd gaz 28 February 2003 pp 767–8

Forms notified or published in the gazette—Issue 29 (2006) 1043

DRUG REHABILITATION (COURT DIVERSION) ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form DV12 Version 3—Summons of a Witnesspubd gaz 28 February 2003 pp 767–8

Form DV13 Version 3—Warrantpubd gaz 28 February 2003 pp 767–8

DRUG REHABILITATION (COURT DIVERSION) ACT 2000

Form 1 Version 1—Order—Referral for assessmentpubd gaz 9 June 2000 p 446

Form 2 Version 1—Instrument ordering production of a prisonerpubd gaz 9 June 2000 p 446

Form 3(a) Version 2—Intensive drug rehabilitation order (North Queensland)pubd gaz 20 December 2002 p 1346

Form 4 Version 1—Amendments to intensive drug rehabilitation orderpubd gaz 9 June 2000 p 446

Form 5 Version 1—Warrant of commitment where suspension of sentence delayedpubd gaz 9 June 2000 p 446

Form 6 Version 1—Release authoritypubd gaz 9 June 2000 p 446

Form 7 Version 1—Permit for offender to leave or stay out of Queenslandpubd gaz 9 June 2000 p 446

Form 8 Version 1—Community service orderpubd gaz 9 June 2000 p 446

Form 9 Version 1—Warrant of commitment for detoxification or assessmentpubd gaz 9 June 2000 p 446

Form 10 Version 1—Application for reward or sanction pubd gaz 9 June 2000 p 446

Form 11 Version 1—Warrant of commitment for sanction of imprisonmentpubd gaz 9 June 2000 p 446

Form 12 Version 1—Application to amend intensive drug rehabilitation orderpubd gaz 9 June 2000 p 446

Form 13 Version 1—Application to terminate an intensive drug rehabilitation programpubd gaz 9 June 2000 p 446

Form 14 Version 1—Notice of application to amend or terminate intensive drug rehabilitation orderpubd gaz 9 June 2000 p 446

Form 15 Version 1—Bench warrant to arrest and detain a participant in a rehabilitation programpubd gaz 9 June 2000 p 446

DRUGS MISUSE ACT 1986

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

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

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

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

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

1044 Forms notified or published in the Government gazette—Issue 29 (2006)

DUTIES ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1045

EDUCATION (GENERAL PROVISIONS) ACT 1989

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 3—Property Transfer Information

pubd gaz 16 January 2004 p 133

EDUCATION (GENERAL PROVISIONS) ACT 1989

Form 51 Version 2—Home Schooling Dispensation Formpubd gaz 24 December 2004 p 1349

Form 52 Version 1—Accident Reportpubd gaz 28 June 1996 p 1161

Form 53 Version 1—Overseas Student Applicationpubd gaz 28 June 1996 p 1161

Form 54 Version 1—Compulsory Attendancepubd gaz 28 June 1996 p 1161

Form 55 Version 1—Transfer of Studentpubd gaz 28 June 1996 p 1161

1046 Forms notified or published in the Government gazette—Issue 29 (2006)

EDUCATION (QUEENSLAND COLLEGE OF TEACHERS) ACT 2005

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 56 Version 1—Textbook and Resource Allowance (Non State Secondary Schools)pubd gaz 28 June 1996 p 1161

Form 57 Version 1—Textbook and Resource Allowance (State Secondary Schools/SecondaryDepartments)

pubd gaz 28 June 1996 p 1161Form 58 Version 1—Living Away From Home Allowance

pubd gaz 28 June 1996 p 1161Form FDC Version 1—Queensland Non-State Schools Financial Data Collection

pubd gaz 10 June 2005 p 497Form MAS-1 Version 1—Disclosure of Criminal History

pubd gaz 18 February 2005 p 592Form MAS-2 Version 1—Mature Age Student Notice Application

pubd gaz 18 February 2005 p 592

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

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

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

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

pubd 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 138

Forms notified or published in the gazette—Issue 29 (2006) 1047

ELECTRICAL SAFETY ACT 2002

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

Form ECQ 6 Version July 2003—Nomination for the Legislative Assembly – For Candidates NOTEndorsed by a Registered Political Party

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

pubd gaz 16 January 2004 p 138Form QFD 01 Version July 2004—Annual Return by the Agent of a Registered Political Party

pubd gaz 30 July 2004 p 1005Form QFD 02 Version June 2005—Annual Return by an Associated Entity

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

pubd gaz 8 July 2005 p 833Form QFD 07 Version June 2002—Disclosure Returns to be Given by a Third Party Following an

Electionpubd gaz 16 January 2004 p 138

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

Form QFD 09 Version April 2002—Disclosure Returns to be Given on Behalf of a CandidateFollowing an Election

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

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

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

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

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

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

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

pubd gaz 16 January 2004 p 138

ELECTRICAL SAFETY ACT 2002

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

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

1048 Forms notified or published in the Government gazette—Issue 29 (2006)

ELECTRICAL SAFETY ACT 2002

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 6 Version 5—Application for approval of electrical equipmentpubd gaz 5 May 2006 p 67

Form 7 Version 5—Application for approval of modification/s to approved electrical equipmentpubd gaz 5 May 2006 p 67

Form 7A Version 1—Supplementary form to modification applicationpubd gaz 5 May 2006 p 67

Form 8 Version 3—Application for transfer of registration of electrical equipmentpubd gaz 23 June 2006 p 877

Form 9 Version 4—Application to register a registrable cathodic protection systempubd gaz 23 June 2006 p 877

Form 10 Version 4—Application for electrical work licence (apprentice)pubd gaz 23 June 2006 p 877

Form 11Version 4—Application for electrical work licence/permit (other than apprentice)pubd gaz 23 June 2006 p 877

Form 12 Version 5—Application for renewal, reinstatement or recognition of an expired Queenslandelectrical work licence

pubd gaz 23 June 2006 p 877Form 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 5—Application for a Queensland electrical contractor licencepubd gaz 23 June 2006 p 877

Form 19 Version 5—Application for renewal or reinstatement of an electrical contractor licencepubd gaz 23 June 2006 p 877

Form 20 Version 4—Application for additional/change of qualified person on a contractor licencepubd gaz 23 June 2006 p 877

Form 21 Version 2—Application for a restricted electrical work licence/additional card formpubd gaz 23 June 2006 p 877

Form 22 Version 2—Change of details/replacement licence/additional card formpubd gaz 23 June 2006 p 877

Form 24 Version 1 September 2002—Infringement Noticepubd gaz 27 September 2002 p 329

Form 28 Version 1 August 2004—Safety Management System Certificatepubd gaz 20 August 2004 p 1232

Form 29 Version 1 January 2004—Application for review of a licensing decisionpubd gaz 10 September 2004 p 172

Form 31 Version 2—Application for electrical work licence (permit holders)pubd gaz 23 June 2006 p 877

Form 33 Version 2—Application for renewal of approval of electrical equipmentpubd gaz 5 May 2006 p 67

Form 33A Version 1—Supplementary form to renewal applicationpubd gaz 5 May 2006 p 67

Form 35 Version 2—Application for extension of approval of electrical equipmentpubd gaz 5 May 2006 p 67

Forms notified or published in the gazette—Issue 29 (2006) 1049

ELECTRICITY ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 24 Version 3—Property Transfer Informationpubd gaz 22 August 2003 pp 1327–8

EVIDENCE ACT 1977

Form 1 Version 1—Proof of identity of a person convictedpubd gaz 10 May 1996 p 528

Form 2 Version 1—Witness Anonymity Certificatepubd gaz 5 January 2001 p 48

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

1050 Forms notified or published in the Government gazette—Issue 29 (2006)

EXPLOSIVES ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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 542

Forms notified or published in the gazette—Issue 29 (2006) 1051

FIRST HOME OWNER GRANT ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 7—Notification of Assignment of a Chargepubd gaz 11 October 1996 p 542

Form 8—Memorandum of Discharge or Release of Property from a Chargepubd gaz 11 October 1996 p 542

Form 9—General Application Formpubd gaz 11 October 1996 p 542

Form 10—Application for Registration of a Merger or a Transfer of Engagementspubd gaz 11 October 1996 p 542

Form 11—Report of Director’s Declaration of Interestpubd gaz 11 October 1996 p 542

Form 12—Return as to Director’s Declaration of Interestpubd gaz 11 October 1996 p 542

Form 13—Notice of Appointment or Ceasing to Actpubd gaz 11 October 1996 p 542

Form 14—Notice of Address or Change of Addresspubd gaz 11 October 1996 p 542

Form 15—Notice of Proposed Change of Registered Officepubd gaz 11 October 1996 p 542

Form 16—General Lodgement Formpubd gaz 11 October 1996 p 542

Form 17 Version 2—Monthly Loan Arrears Reportpubd gaz 16 January 1998 p 128

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

pubd gaz 16 January 2004 p 134

FISHERIES ACT 1994

Form 1 Version RenRemit 11—Application for Renewal of Authoritiespubd gaz 1 April 2005 p 1064

Form 2 Version 1—Notice and Manual Reporting Guidelinespubd gaz 19 May 2006 p 248

Form 2 Version 10/04—Application to Register Transfer of Carrier Boat Licencepubd gaz 1 April 2005 p 1064

Form 4 Version 10/04— Application to Register Transfer of Commercial Fishing Boat Licencepubd gaz 1 April 2005 p 1064

Form 5 Version 10/04— Application for Buyer Licencepubd gaz 1 April 2005 p 1064

Form 6 Version 10/04— Application to Register Transfer of Buyer Licencepubd gaz 1 April 2005 p 1064

1052 Forms notified or published in the Government gazette—Issue 29 (2006)

FISHERIES ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 7 Version 10/04— Application for Crew Licencepubd gaz 1 April 2005 p 1064

Form 9 Version 10/04— Application to Register Temporary Transfer of Quotapubd gaz 1 April 2005 p 1064

Form 10 Version 10/04— Application for Storage Licencepubd gaz 1 April 2005 p 1064

Form 11 Version 10/04— Application to Register Transfer of Storage Licencepubd gaz 1 April 2005 p 1064

Form 12 Version 10/04— Application for General Fisheries Permitpubd gaz 1 April 2005 p 1064

Form 13 Version 10/04— Application for Commercial Fishing Tour Permitpubd gaz 1 April 2005 p 1064

Form 16 Version 10/04— Application for Authority to take Fish for Trade or Commercepubd gaz 1 April 2005 p 1064

Form 17 Version 10/04— Application to Register Transfer of Authority to take Fish for Trade orCommerce

pubd gaz 1 April 2005 p 1064Form 18 Version 10/04— Surrender of Authority

pubd gaz 1 April 2005 p 1064Form 19 Version 10/04— Application to Register Transfer of Quota

pubd gaz 1 April 2005 p 1064Form 20 Version 10/04— Application for Boat Licence

pubd gaz 1 April 2005 p 1064Form 21 Version 10/04— Application for Fisher Licence

pubd gaz 1 April 2005 p 1064Form 23.2 Version 3 November 2003—Stocked Impoundment Permit

pubd gaz 21 November 2003 p 958Form 25 Version 10/04— Application to Register Transfer of Effort Units

pubd gaz 1 April 2005 p 1064Form 26 Version 10/04— Application to Register Temporary Transfer of Commercial Fishing Boat

Licencepubd gaz 1 April 2005 p 1064

Form 27 Version 10/04— Application to Register Temporary Transfer of Authority to take Fish forTrade or Commerce

pubd gaz 1 April 2005 p 1064Form 28 Version 10/04— Application to Register Temporary Transfer of Buyer Licence

pubd gaz 1 April 2005 p 1064Form 30 Version 10/04— Application for Inspect Register of Authorities

pubd gaz 1 April 2005 p 1064Form CDR01 Version 1—Catch Disposal Record

pubd gaz 24 September 2004 p 319Form FB02 Version 1—Queensland Seafood Buyer’s Reporting Sheet

pubd gaz 14 October 2005 p 590Form FDU 1089 Version 03/05—Fisheries Infringement Notice

pubd gaz 18 November 2005 p 1047Form 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 590

Forms notified or published in the gazette—Issue 29 (2006) 1053

FLUORIDATION OF PUBLIC WATER SUPPLIES ACT 1963

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form RQ/SM1—Monthly Stocktakepubd gaz 2 July 2004 p 696

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

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

Form RQ/SM4—Records to be kept about commercial carriage of coral reef fin fish and Spanishmackerel

pubd gaz 2 July 2004 p 696Form RQ/SM5—Records to be kept about commercial storage of coral reef fin fish and Spanish

mackerelpubd gaz 2 July 2004 p 696

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 1062

1054 Forms notified or published in the Government gazette—Issue 29 (2006)

FOREIGN OWNERSHIP OF LAND REGISTER ACT 1988

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 11 Version 1—Application for Food Store Exemptionpubd gaz 17 April 1998 p 1608

FOREIGN OWNERSHIP OF LAND REGISTER ACT 1988

Form 25 Version 2—Foreign Ownership Informationpubd gaz 22 August 2003 p 1326

FOSSICKING ACT 1994

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

Form 2—Fossickers Licencepubd gaz 27 January 1995 p 291

Form 3—Notice of Refusal or Conditions of Fossickers Licencepubd gaz 27 January 1995 p 291

Form 4—Notice to Show Cause Suspension or Cancellation of Fossickers Licencepubd gaz 27 January 1995 p 291

Form 5—Notice of Suspension or Cancellation of Fossickers Licencepubd gaz 27 January 1995 p 291

Form 6—Fossickers Camping Permitpubd gaz 27 January 1995 p 291

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

Forms notified or published in the gazette—Issue 29 (2006) 1055

FUNERAL BENEFIT BUSINESS ACT 1982

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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 811–12

1056 Forms notified or published in the Government gazette—Issue 29 (2006)

HEALTH ACT 1937

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 8 Version 1—Application for a strychnine permitpubd gaz 28 February 1997 pp 823–4

Form 9 Version 1—Application for a cyanide permitpubd gaz 28 February 1997 pp 825–6

Form 10 Version March 97—Application for a licence to sell poisons for purposes other than humantherapeutic use

pubd gaz 21 March 1997 p 1230Form CDM—Application for a licence to manufacture controlled drugs

pubd gaz 7 May 1999 p 87Form CDW—Application for a licence to sell controlled drugs by wholesale

pubd gaz 7 May 1999 p 87Form CG1 Version 1—Application for approval to use land as a camping ground

pubd gaz 6 September 1996 pp 77–8Form CG2 Version 1—Approval to use land as a camping ground

pubd gaz 6 September 1996 pp 77–8Form CG3 Version 1—Application for approval to make alterations or additions to a camping

groundpubd gaz 6 September 1996 pp 77–8

Form CG4 Version 1—Approval to make alterations or additions to a camping groundpubd gaz 6 September 1996 pp 77–8

Form CG5 Version 1—Application for approval to transfer an approval granted to use land as acamping ground

pubd gaz 6 September 1996 pp 77–8Form CG6 Version 1—Approval to transfer an approval to use land as a camping ground

pubd gaz 6 September 1996 pp 77–8Form GP—Application for a general licence to sell poisons

pubd gaz 7 May 1999 p 87Form H1 Version 1—Application for a hairdresser’s shop licence

pubd gaz 6 September 1996 pp 77–8Form H2 Version 1—Application for renewal of a hairdresser’s shop licence

pubd gaz 6 September 1996 pp 77–8Form H3 Version 1—Hairdresser’s shop licence/licence renewal

pubd gaz 6 September 1996 pp 77–8Form H4 Version 1—Application for transfer of a hairdresser’s shop licence

pubd gaz 6 September 1996 pp 77–8Form H5 Version 1—Application for a mobile hairdressing service licence

pubd gaz 6 September 1996 pp 77–8Form H6 Version 1—Application for renewal of a mobile hairdressing service licence

pubd gaz 6 September 1996 pp 77–8Form H7 Version 1—Mobile hairdressing service licence/licence renewal

pubd gaz 6 September 1996 pp 77–8Form H8 Version 1—Application for transfer of a mobile hairdressing service licence

pubd gaz 6 September 1996 pp 77–8Form HDPR Version 2 November 1998—Application for a strychnine permit

pubd gaz 7 May 1999 p 87Form HDPR Version 2 November 1998—Strychnine permit

pubd gaz 7 May 1999 p 87Form HDPR Version 2 November 1998—Application for a cyanide permit

pubd gaz 7 May 1999 p 87Form HDPR Version 2 November 1998—Cyanide permit

pubd gaz 7 May 1999 p 87

Forms notified or published in the gazette—Issue 29 (2006) 1057

HEALTH ACT 1937

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form HDPR18(3) Version January 2003—Reasons relating to the inclusion of conditions on anendorsement

pubd gaz 31 January 2003 p 315Form HDPR18(7) Version January 2003—Refusal to grant endorsement/renew licence/ treatment

approvalpubd gaz 31 January 2003 p 315

Form HDPR24(1) Version January 2003—Proposal to suspend/cancel endorsementpubd gaz 31 January 2003 p 315

Form HDPR24(5) Version January 2003—Suspension/cancellation of endorsementpubd gaz 31 January 2003 p 315

Form HDPR27(1) Version January 2003—Refusal to replace endorsementpubd gaz 31 January 2003 p 315

Form HDPR28(4) Version January 2003—Refusal to amend endorsementpubd gaz 31 January 2003 p 315

Form HDPR29(2) Version January 2003—Amendment of endorsement without applicationpubd gaz 31 January 2003 p 315

Form HDPR29(3) Version January 2003—Amendment of endorsement without applicationpubd gaz 31 January 2003 p 315

Form HDPR30(2) Version January 2003—Minor amendment of endorsementpubd gaz 31 January 2003 p 315

Form HDPR32(1) Version January 2003—Surrender of endorsementpubd gaz 31 January 2003 p 315

Form HDPR96.01 Version July 2004—Application for a General Licence to Sell Poisonspubd gaz 12 November 2004 p 879

Form HDPR96.02A Version July 2004—Application for a Licence to Manufacture Poisonspubd gaz 12 November 2004 p 879

Form HDPR96.02B Version July 2004—Application for a Licence to Sell Poisons by Wholesalepubd gaz 12 November 2004 p 879

Form HDPR96.03 Version July 2004—Application for a Licence to Sell Poisons for Purposes otherthan Human Therapeutic Use

pubd gaz 12 November 2004 p 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

1058 Forms notified or published in the Government gazette—Issue 29 (2006)

HEALTH PRACTITIONERS (PROFESSIONAL STANDARDS) ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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 439–441

Forms notified or published in the gazette—Issue 29 (2006) 1059

HOUSING ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form SP HPPS385A Version February 2002—Notice of Conviction (Speech Pathologists)pubd gaz 8 February 2002 pp 439–441

Form SP HPPS385B Version February 2002—Notice of Certain Judgements and Settlements(Speech Pathologists)

pubd gaz 8 February 2002 pp 439–441Form SP HPPS385C Version February 2002—Notice of Certain Events Concerning Speech

Pathologist Registration in Other Jurisdictionspubd gaz 8 February 2002 pp 439–441

HOUSING ACT 2003

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

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

Form 3 Version 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

INDUSTRIAL RELATIONS ACT 1999

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

1060 Forms notified or published in the Government gazette—Issue 29 (2006)

INDUSTRIAL RELATIONS ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

Forms notified or published in the gazette—Issue 29 (2006) 1061

INDUSTRIAL RELATIONS ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

1062 Forms notified or published in the Government gazette—Issue 29 (2006)

INTEGRATED PLANNING ACT 1997

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

INTEGRATED PLANNING ACT 1997

Form 1 Version 15—Development Application—IDAS Assessment Checklistpub gaz 18 November 2005 p 1061

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 4—Development Application—Part J Clearing native vegetationpubd gaz 8 April 2005 p 1130

Form 1 Version 3.1—Development Application—Part K1 Taking artesian or sub-artesian waterpubd gaz 26 May 2006 p 270

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1063

INTEGRATED PLANNING ACT 1997

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

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 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 2—Development Application—Strategic Port Land

pubd gaz 19 January 2001 p 190Form 2 Version 3.3—Development Application—Request to change an existing approval

pubd gaz 26 May 2006 p 270Form 7 Version 1—Public Notification

pubd gaz 27 March 1998 p 1305Form 8 Version 1—Notification of engagement of a private certifier to owner

pubd gaz 7 November 2003 p 754Form 10 Version 3—Building and Development Tribunals Appeal Notice

pubd gaz 14 November 2003 p 868Form 17 Version 1—Statutory Declaration

pubd gaz 3 July 1998 p 1183Form 18 Version 1.1—Notification of engagement of a private certifier to owner

pubd gaz 21 November 2003 p 957Form 20 Version 1—Lodgement of building work documentation

pubd gaz 7 November 2003 p 754Form PEC–1 Version 2—Heading to documents

pubd gaz 19 May 2000 p 214Form PEC–2 Version 04/2005—Notice of Appeal

pubd gaz 8 April 2005 p 1130Form PEC–3 Version 2—Originating application

pubd gaz 19 May 2000 p 214

1064 Forms notified or published in the Government gazette—Issue 29 (2006)

INTRODUCTION AGENTS ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 1 2003—Application for an Introduction Agents Licencepubd gaz 7 March 2003 p 837

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

pubd gaz 22 November 2002 p 1015Form 4 Version 2—Complaint—General Purposes—Made, and Summons

pubd gaz 31 January 1997 p 371Form 5 Version 2—Certificate of Indictment being found

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

pubd gaz 16 August 1996 pp 1810–12Form 7 Version 4—Bench Charge Sheet

pubd gaz 25 February 2005 p 670

Forms notified or published in the gazette—Issue 29 (2006) 1065

JUSTICES ACT 1886

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 3—Summons of a Witnesspubd gaz 31 January 1997 p 371

Form 11 Version 2—Warrant to Apprehend Defendant where Summons is Disobeyedpubd gaz 9 June 2006 p 678

Form 12 Version 2—Warrant where a Witness has not obeyed a Summons to Attendpubd gaz 16 August 1996 pp 1810–12

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

Form 18 Version 1—Warrant Remanding a Prisonerpubd gaz 16 August 1996 pp 1810–12

Form 19 Version 1—Warrant of Committal for Safe Custody during an Adjournment of the Hearingpubd gaz 16 August 1996 pp 1810–12

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

Form 21 Version 1—Notice of Time and Place of Adjourned Hearing of charge of Simple Offence orBreach of Duty where these have been determined subsequently to the Adjournment

pubd gaz 16 August 1996 pp 1810–12

1066 Forms notified or published in the Government gazette—Issue 29 (2006)

JUSTICES ACT 1886

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 22 Version 1—Notice to Defendant to enable appearance at Adjourned Hearing for thepurpose of making submissions on question of Disqualification, Cancellation or Suspension orPenalty

pubd gaz 16 August 1996 pp 1810–12Form 23 Version 1—Certificate of Service of Notice to Defendant

pubd gaz 16 August 1996 pp 1810–12Form 24 Version 1—Notice of Re-hearing when case has been heard and determined ex parte in the

absence of the Defendantpubd gaz 16 August 1996 pp 1810–12

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 or Order

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

pubd gaz 16 August 1996 pp 1810–12Form 33 Version 2—Order of Dismissal of Complaint

pubd gaz 16 August 1996 pp 1810–12Form 34 Version 2—Certificate of Dismissal

pubd gaz 16 August 1996 pp 1810–12Form 35 Version 2—Warrant of Execution

pubd gaz 16 August 1996 pp 1810–12Form 36 Version 2—Warrant of Commitment for Trial or for Sentence

pubd gaz 16 August 1996 pp 1810–12Form 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

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 2—Warrant of Commitment of a Witness for Refusing to be Sworn or to Give

Evidencepubd gaz 16 August 1996 pp 1810–12

Forms notified or published in the gazette—Issue 29 (2006) 1067

JUSTICES ACT 1886

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 257Form 63 Version 1—Warrant of commitment for want of execution for costs on dismissal of a

complaintpubd gaz 16 September 1994 p 257

Form 64 Version 1—Warrant of commitment for want of execution for costs where offence ispunishable by imprisonment, or upon an order where disobeying the order is punishable withimprisonment

pubd gaz 16 September 1994 p 257

1068 Forms notified or published in the Government gazette—Issue 29 (2006)

JUSTICES OF THE PEACE AND COMMISSIONERS FOR DECLARATIONS ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 65 Version 1—Warrant of commitment for want of execution for costs of appeal againstconviction or order

pubd gaz 16 September 1994 p 257Form 66 Version 1—Gaoler’s receipt for the prisoner

pubd gaz 16 September 1994 p 257Form 70 Version 1—Transfer of fine certificate

pubd gaz 16 September 1994 p 257Form 71 Version 1—Memorandum of receipt of transfer of fine certificate

pubd gaz 16 September 1994 p 257Form 72 Version 1—Notice of transfer of fine certificate

pubd gaz 16 September 1994 p 257Form 73 Version 1—Bench record book

pubd gaz 16 September 1994 p 257Form 74 Version 1—Notice of alibi

pubd gaz 16 September 1994 p 257Form 75 Version 2—Reminder Notice

pubd gaz 22 December 1995 p 1661Form 76 Version 2—Enforcement Notice

pubd gaz 22 December 1995 p 1661Form 77 Version 2—Notice of Enforcement Order

pubd gaz 22 December 1995 p 1661Form 78 Version 2—Application for Extension of Time to pay SETONS Fine

pubd gaz 22 December 1995 p 1661Form 79 Version 1—Notice of Election for Court Hearing

pubd gaz 9 December 1994 p 1560Form 80 Version 2—Notice of withdrawal of Infringement Notice

pubd gaz 22 December 1995 p 1661Form 81 Version 1—Order for Detention of Offender Where Punishment is by Imprisonment

pubd gaz 13 April 2006 p 1459Form 82 Version 1—Order of Imprisonment for Re-Offending During Suspended Imprisonment

pubd gaz 13 April 2006 p 1459Form 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

Form 1 Version 1—Application for appointment as a Commissioner for Declarationspubd gaz 22 April 2005 p 1301

Form 2 Version 1—Application for appointment as a Justice of the Peacepubd gaz 22 April 2005 p 1301

Form 4 Version 1—Application for transfer to be registered as a Commissioner for Declarationspubd gaz 22 April 2005 p 1301

Form 5 Version 1—Application for transfer to be registered as a Justice of the Peace (Qualified)pubd gaz 22 April 2005 p 1301

Form 5a Version 1—Application for transfer to be registered as a Justice of the Peace (Qualified)pubd gaz 22 April 2005 p 1301

Forms notified or published in the gazette—Issue 29 (2006) 1069

JUVENILE JUSTICE ACT 1992

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 962–4Form 17 Version 3—Application by Parent for Rehearing

pubd gaz 27 June 2003 pp 721–28Form 18 Version 3—Court Decision on Application by Parent for Rehearing and Notice of

Rehearing pubd gaz 27 June 2003 pp 721–28

Form 19 Version 4—Warrant Of Commitment For Trial Or For Sentencepubd gaz 12 March 2004 p 962–4

Form 20 Version 3—Application to Set Aside Finding or Order Because of Lack of Jurisdictionpubd gaz 27 June 2003 pp 721–28

Form 21 Version 4—Report on the Completion/Non Completion of a Youth Justice ConferenceAgreement

pubd gaz 12 March 2004 p 962–4Form 22 Version 4—Notice That The Proceeding For An Offence Is To Be Heard By The Court Or

Referred For A Further Youth Justice Conferencepubd gaz 12 March 2004 p 962–4

1070 Forms notified or published in the Government gazette—Issue 29 (2006)

JUVENILE JUSTICE ACT 1992

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 23 Version 2—Reprimand Orderpubd gaz 27 June 2003 pp 721–28

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

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

Form 26 Version 3—Probation Orderpubd gaz 12 March 2004 p 962–4

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

Form 28 Version 2—Notice of Detention Orderpubd gaz 27 June 2003 pp 721–28

Form 28A Version 1—Order to Allow Publication of Identifying Informationpubd gaz 7 February 2003 p 383

Form 29 Version 3—Application By Proper Officer For Breach Of A Fine Orderpubd gaz 12 March 2004 p 962–4

Form 30 Version 2—Order to Allow Publication of Identifying Information pubd gaz 27 June 2003 pp 721–28

Form 31 Version 3 27 November 2003—Court Decision–Breach of Probation Order onApplication–Breach of Probation Order Child Found Guilty of Indictable Offence(s)

pubd gaz 19 December 2003 p 1295Form 32 Version 3—Application For Variation, Discharge, Resentence, Of Probation Order Or

Community 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 962–4Form 37 Version 3—Application For Variation Of Detention Order In The Interests Of Justice

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

pubd gaz 12 March 2004 p 962–4Form 39 Version 2—Warrant To Arrest A Child On Complaint Of Breach Of Community Based

Order Or Supervised Release Orderpubd gaz 12 March 2004 p 962–4

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

Form 40 Version 3 27 November 2003—Court Decision–Breach of Intensive Supervision Order onApplication–Breach of Intensive Supervision Order Child found Guilty of An Indictable Offence

pubd gaz 19 December 2003 p 1295Form 41 Version 3 27 November 2003—Court Decision on Application For Breach of Conditional

Release Orderpubd gaz 19 December 2003 p 1295

Forms notified or published in the gazette—Issue 29 (2006) 1071

LAND ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 42 Version 2—Notice to Parent of Child Offender pubd gaz 27 June 2003 pp 721–28

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

Form 44 Version 4—Authority For Admission To Detention Centrepubd gaz 12 March 2004 p 962–4

Form 45 Version 2—Leave of Absence (LOA) From Youth Detention Centre *Escorted/Unescortedpubd gaz 27 June 2003 pp 721–28

Form 46 Version 3—Application For Transfer To Prisonpubd gaz 12 March 2004 p 962–4

Form 47 Version 2—Order on Application for Transfer to Prisonpubd gaz 27 June 2003 pp 721–28

Form 48 Version 3—Request By Court For A Presentence Reportpubd gaz 12 March 2004 p 962–4

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

Form 50 Version 2—Application for Extension of Time for Payment of Amountspubd gaz 27 June 2003 pp 721–28

Form 51 Version 1—Court Decision on Application for Variation of Detention Order in the Interestsof Justice

pubd gaz 27 June 2003 pp 721–28Form 52 Version 2—Intensive Supervision Order

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

pubd gaz 12 March 2004 p 962–4Form 54 Version 1—Court Decision on Application for Sentence Review

pubd gaz 27 June 2003 pp 721–28Form 55 Version 2—Instrument Ordering Chief Executive, Department Of Communities To Produce

Childpubd gaz 12 March 2004 p 962–4

Form 56 Version 2—Instrument Ordering Chief Executive, Department of Communities Not ToProduce Child

pubd gaz 12 March 2004 p 962–4Form 57 Version 1—Application for Bail at the Childrens Court of Queensland at Brisbane

pubd gaz 27 June 2003 pp 721–28Form 58 Version 2—Application To Re-Open Criminal Proceedings

pubd gaz 12 March 2004 p 962–4

LAND ACT 1994

Form 1 Version 4—Transferpubd gaz 22 August 2003 p 1327

Form 2 Version 3—Mortgagepubd gaz 22 August 2003 p 1327

Form 3 Version 3—Release of Mortgagepubd gaz 22 August 2003 p 1327

Form 4 Version 4—Request to Death Recordpubd gaz 22 August 2003 p 1327

1072 Forms notified or published in the Government gazette—Issue 29 (2006)

LAND AND RESOURCES TRIBUNAL ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 5 Version 4—Transmission Application by Personal Representative (Grant in Queensland)pubd gaz 22 August 2003 p 1327

Form 5A Version 3—Transmission Application by Personal Representative (No Grant inQueensland)

pubd gaz 22 August 2003 p 1327Form 6 Version 4—Transmission Application for Registration as Devisee/Legatee

pubd gaz 22 August 2003 p 1327Form 7 Version 5—Lease/Sublease

pubd gaz 22 August 2003 p 1327Form 8 Version 3—Surrender of Freehold Lease or Sublease

pubd gaz 22 August 2003 p 1327Form 9 Version 3—Easement

pubd gaz 22 August 2003 p 1327Form 10 Version 3—Surrender of Easement

pubd gaz 22 August 2003 p 1327Form 12 Version 3—Request to Register Writ/Warrant of Execution

pubd gaz 22 August 2003 p 1327Form 13 Version 5—Amendment

pubd gaz 22 August 2003 p 1327Form 14 Version 3—General Request

pubd gaz 22 August 2003 p 1327Form 16 Version 3—Request to Register Power of Attorney/Revocation of Power of Attorney

pubd gaz 22 August 2003 p 1327Form 17 Version 3—Request for Substitute Instrument/To Dispense with Production of Instrument

pubd gaz 22 August 2003 p 1327Form 18 Version 4—General Consent

pubd gaz 22 August 2003 p 1327Form 20 Version 2—Schedule/Enlarged Panel/Declaration

pubd gaz 22 August 2003 p 1327Form 29 Version 2—Profit A Prendre

pubd gaz 22 August 2003 p 1327Form 30 Version 2—Mortgage Priority

pubd gaz 22 August 2003 p 1327Form 31 Version 2—Covenant

pubd gaz 22 August 2003 p 1327Form 33 Version 2—Release of Covenant/Profit A Prendre

pubd gaz 22 August 2003 p 1327

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

Forms notified or published in the gazette—Issue 29 (2006) 1073

LAND SALES ACT 1984

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 24 Version 3—Property Transfer Informationpubd gaz 22 August 2003 pp 1327–8

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

Form 1 Version 4—Transferpubd gaz 22 August 2003 p 1327

Form 2 Version 3—Mortgagepubd gaz 22 August 2003 p 1327

Form 3 Version 3—Release of Mortgagepubd gaz 22 August 2003 p 1327

Form 4 Version 4—Request to Death Recordpubd gaz 22 August 2003 p 1327

Form 5 Version 4—Transmission Application by Personal Representative (Grant in Queensland)pubd gaz 22 August 2003 p 1327

1074 Forms notified or published in the Government gazette—Issue 29 (2006)

LAND TITLE ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 5A Version 3—Transmission Application by Personal Representative (No Grant inQueensland)

pubd gaz 22 August 2003 p 1327Form 6 Version 4—Transmission Application for Registration as Devisee/Legatee

pubd gaz 22 August 2003 p 1327Form 7 Version 5—Lease/Sublease

pubd gaz 22 August 2003 p 1327Form 8 Version 3—Surrender of Freehold Lease or Sublease

pubd gaz 22 August 2003 p 1327Form 9 Version 3—Easement

pubd gaz 22 August 2003 p 1327Form 10 Version 3—Surrender of Easement

pubd gaz 22 August 2003 p 1327Form 11 Version 3—Caveat

pubd gaz 22 August 2003 p 1327Form 12 Version 3—Request to Register Writ/Warrant of Execution

pubd gaz 22 August 2003 p 1327Form 13 Version 5—Amendment

pubd gaz 22 August 2003 p 1327Form 14 Version 3—General Request

pubd gaz 22 August 2003 p 1327Form 15 Version 3—Request to Amalgamate

pubd gaz 22 August 2003 p 1327Form 16 Version 3—Request to Register Power of Attorney/Revocation of Power of Attorney

pubd gaz 22 August 2003 p 1327Form 17 Version 3—Request for Substitute Instrument/To Dispense with Production of Instrument

pubd gaz 22 August 2003 p 1327Form 18 Version 4—General Consent

pubd gaz 22 August 2003 p 1327Form 19 Version 3—Application for Certificate of Title

pubd gaz 22 August 2003 p 1326Form 20 Version 2—Schedule/Enlarged Panel/Declaration

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

pubd gaz 15 April 1994 p 1441Form 23 Version 3—Settlement Notice

pubd gaz 22 August 2003 p 1327Form 29 Version 2—Profit A Prendre

pubd gaz 22 August 2003 p 1327Form 30 Version 2—Mortgage Priority

pubd gaz 22 August 2003 p 1327Form 31 Version 2—Covenant

pubd gaz 22 August 2003 p 1327Form 32 Version 2—Building Management Statement

pubd gaz 22 August 2003 p 1326Form 33 Version 2—Release of Covenant/Profit A Prendre

pubd gaz 22 August 2003 p 1327

Forms notified or published in the gazette—Issue 29 (2006) 1075

LEGAL PROFESSION ACT 2004

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 34 Version 2—Extinguishment of Building Management Statementpubd gaz 22 August 2003 p 1327

LEGAL PROFESSION ACT 2004

Form 1 Version 1—Application for Grant of a Practising Certificatepubd gaz 29 April 2005 p 1389

Form 1 Version 1—Complaint against a solicitor, barrister or law practice employeepubd gaz 25 August 2004 p 1324

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

Form 1A Version 1—Application for Associate Membership of the Queensland Law Societypubd gaz 17 June 2005 p 565

Form 1B Version 1—Application for Associate (Law Student) Membership of the Queensland LawSociety

pubd gaz 17 June 2005 p 565Form 1 QLS Version 1—Notification by Interstate Legal Practitioner of Authority to Withdraw

Money from Local Trust Accountpubd gaz 30 July 2004 p 1007

Form 2 QLS Version 1—Notification by Interstate Legal Practitioner of Termination ofAuthorisation or Variation of Circumstances Relating to Authority to Withdraw Money fromLocal Trust Account

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

pubd gaz 5 May 2006 p 68Form 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 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 1—Notice of Appointment of QLS Officer as Supervisorpubd gaz 2 July 2004 p 697

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

1076 Forms notified or published in the Government gazette—Issue 29 (2006)

LIQUOR ACT 1992

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 2 July 2004 p 697Form 22 QLS Version 1—Authority to a Legal Practitioner to Carry on Legal Practice on Behalf of a

Receiver Who is Not a Legal Practitionerpubd gaz 2 July 2004 p 697

Form LPT 1 Version 1—Discipline Applicationpubd gaz 22 October 2004 p 651

LIQUOR ACT 1992

Form 1 Version 1—Application for a Liquor Licencepubd gaz 20 January 2006 p 202

Form 3 Version 1—Application for transfer of a Liquor Licencepubd gaz 20 January 2006 p 202

Form 4 Version 1—Application for acceptance of new nomineepubd gaz 20 January 2006 p 202

Form 5 Version 1—Personal details schedulepubd gaz 20 January 2006 p 202

Form 6 Version 1—Application for registration of financial interestpubd gaz 20 January 2006 p 202

Form 7 Version 1—Application for a general purpose permitpubd gaz 20 January 2006 p 202

Form 8 Version 1—Application for a new Restricted Club Permitpubd gaz 20 January 2006 p 202

Form 9 Version 1—Application for extended hours permit (on a regular or permanent basis)pubd gaz 20 January 2006 p 202

Form 10 Version 1—Application for one-off Extended Hours Permitpubd gaz 20 January 2006 p 202

Form 11 Version 1—Application for extended hours for Restricted Club Permitpubd gaz 20 January 2006 p 202

Form 12 Version 1—Application for renewal of Extended Hours Permit to trade beyond 3.00ampubd gaz 20 January 2006 p 202

Form 13 Version 1—Application for Catering Away Permit (one off public event)pubd gaz 20 January 2006 p 202

Form 14 Version 1—Application for Catering Away Permit (on a regular basis)pubd gaz 20 January 2006 p 202

Form 15 Version 1—Application for renewal of a Restricted Club Permitpubd gaz 20 January 2006 p 202

Form 16 Version 1— Application for temporary change in a licensed areapubd gaz 20 January 2006 p 202

Forms notified or published in the gazette—Issue 29 (2006) 1077

LOCAL GOVERNMENT ACT 1993

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 17 Version 1—Application for temporary variation of licencepubd gaz 20 January 2006 p 202

Form 18 Version 1—Application for functions/catering endorsement on licencepubd gaz 20 January 2006 p 202

Form 19 Version 1—Application for variation of licence (on a permanent basis)pubd gaz 20 January 2006 p 202

Form 20 Version 1—Application for a detached bottle shoppubd gaz 20 January 2006 p 202

Form 21 Version 1—Application to relocate a detached bottle shoppubd gaz 20 January 2006 p 202

Form 22 Version 1—Application to transfer a detached bottle shoppubd gaz 20 January 2006 p 202

Form 23 Version 1—Application to alter, rebuild or change the premisespubd gaz 20 January 2006 p 202

Form 24 Version 1—Application to change the licensed areapubd gaz 20 January 2006 p 202

Form 25 Version 1—Notification of House Policypubd gaz 3 February 2006 p 409

Form 26 Version 1—Statement of completed workspubd gaz 20 January 2006 p 202

Form 27 Version 1—Notification of absence from licensed premisespubd gaz 20 January 2006 p 202

Form 28 Version 1—Application for temporary authoritypubd gaz 20 January 2006 p 202

Form 31 Version 1—Site assessmentpubd gaz 20 January 2006 p 202

Form 32 Version 1—Application for Adult Entertainment Permitpubd gaz 20 January 2006 p 202

Form 33 Version 1—Personal details schedule (for applicants, nominees and controllers applying foran Adult Entertainment Permit)

pubd gaz 20 January 2006 p 202Form 34 Version 1—Character reference (for applicants and nominees applying for an Adult

Entertainment Permit)pubd gaz 20 January 2006 p 202

Form 35 Version 1—Application for change of controllers for Adult Entertainment Permitpubd gaz 20 January 2006 p 202

Form 36 Version 1—Responsible Service of Alcohol Statement of Attainment certificatepubd gaz 2 June 2006 p 454

LOCAL GOVERNMENT ACT 1993

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

1078 Forms notified or published in the Government gazette—Issue 29 (2006)

LOCAL GOVERNMENT ACT 1993

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

Form 24 Version 3—Property Transfer Informationpubd gaz 22 August 2003 pp 1327–8

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

Forms notified or published in the gazette—Issue 29 (2006) 1079

LOCAL GOVERNMENT ACT 1993

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 156–7Form LGPF27 Version 1—Declaration of Poll

pubd gaz 12 May 2006 pp 156–7Form LGPF28 Version 1—Notice of Final Result of Poll

pubd gaz 12 May 2006 pp 156–7Form LGPF29 Version 1—Certification of List of Electors Who Appear to have Failed to Vote

pubd gaz 12 May 2006 pp 156–7Form LGPF30 Version 1—Notice to Elector of Failure to Vote

pubd gaz 12 May 2006 pp 156–7Form LGPF31 Version 1—Notice to Declaration Voter of Ballot Paper Not Counted

pubd 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 808

1080 Forms notified or published in the Government gazette—Issue 29 (2006)

MANUFACTURED HOMES (RESIDENTIAL PARKS) ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 2—Statement of Interests of a Councillor’s Related Personpubd gaz 3 March 2000 p 808

Form 3—Notice of Correct Particulars for a Statement of Interests of a Councillor or a Councillor’sRelated Person

pubd gaz 3 March 2000 p 808Form 4—Statement of Interests of a Relevant Employee

pubd gaz 3 March 2000 p 808Form 5—Statement of Interests of a Relevant Employee’s Related Person

pubd gaz 3 March 2000 p 808Form 6—Notice of Correct Particulars for a Statement of Interests of a Relevant Employee or a

Relevant Employee’s Related Personpubd gaz 3 March 2000 p 808

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

pubd gaz 29 July 2005 p 1144Form M3 Version July 2002—Renewal of Registration as a Medical Practitioner (General and

Specialist)pubd gaz 2 August 2002 p 1289

Form M4 Version July 2003—Notice of Expiry of Registration—Application for Restoration ofGeneral Registration as a Medical Practitioner (General and Specialist)

pubd gaz 18 July 2003 p 1008Form M5 Version March 2002—Renewal of Special Purpose Registration as a Medical Practitioner

pubd gaz 8 March 2002 p 932Form M8 Version March 2002—Application for Review of Conditions on Registration

pubd gaz 8 March 2002 p 932Form M9 Version March 2002—Notification of Completion of Internship as a Medical Practitioner

pubd gaz 8 March 2002 p 932Form M10 Version July 2002—Notification of Completion of Supervised Practice Program as a

Medical Practitionerpubd gaz 2 August 2002 p 1289

Form M11 Version March 2002—Internship Reportpubd gaz 8 March 2002 p 932

Form M12 Version March 2002—Supervised Practice Reportpubd gaz 8 March 2002 p 932

Form M13 Version July 2003—Application for Non-Practising Registration as a MedicalPractitioner in Queensland

pubd gaz 18 July 2003 p 1008

Forms notified or published in the gazette—Issue 29 (2006) 1081

MEDICAL RADIATION TECHNOLOGISTS REGISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 4 February 2005 p 333Form M135 Version October 2004—Application for Renewal of Special Purpose Registration –

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

pubd gaz 4 February 2005 p 333Form M136 Version October 2004—Application for Renewal of Special Purpose Registration –

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

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 334–5

1082 Forms notified or published in the Government gazette—Issue 29 (2006)

MEDICAL RADIATION TECHNOLOGISTS REGISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form MRT 301B Version April 2004—Application for Special Purpose Registration as a NuclearMedicine Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT 301C Version April 2004—Application for Special Purpose Registration as a Radiation

Therapist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT 1401A Version February 2002—Notice of Expiry of Registration and Application forRestoration of General Registration as a Medical Imaging Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT 1401B Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Nuclear Medicine Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT 1401C Version February 2002—Notice of Expiry of Registration and Application forRestoration of General Registration as a Radiation Therapist in Queensland

pubd gaz 4 February 2005 pp 334–5Form MRT 201 Version October 2003—Application to Register for Supervised Practice Program for

Medical Radiation Technology Graduates in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT111 Version August 2002—Application for Registration under Mutual Recognition as aMedical Radiation Technologist in Queensland

pubd gaz 4 February 2005 pp 334–5Form TTMR MRT 311 Version October 2002—Application for Registration under Trans-Tasman

Mutual Recognition as a Medical Radiation Technologist in Queenslandpubd gaz 4 February 2005 pp 334–5

Form MRT 501A Version October 2004—Supervised Practice Program – Supervisor andProfessional Practice Setting Notification Form

pubd gaz 4 February 2005 pp 334–5Form MRT 502 Version December 2004—Supervision Program - Supervisor and Professional

Practice Setting Notification Formpubd gaz 4 February 2005 pp 334–5

Form MRT 601A Version December 2004—Supervised Practice Program - Progress Report(Medical Imaging Technology)

pubd gaz 4 February 2005 pp 334–5Form MRT 601B Version December 2004—Supervised Practice Program - Progress Report

(Nuclear Medicine Technology)pubd gaz 4 February 2005 pp 334–5

Form MRT 601C Version December 2004—Supervised Practice Program - Progress Report(Radiation Therapy)

pubd gaz 4 February 2005 pp 334–5Form MRT 701A Version December 2004—Supervised Practice Program – Final Report – (Medical

Imaging Technology)pubd gaz 4 February 2005 pp 334–5

Form MRT 701B Version December 2004—Supervised Practice Program – Final Report – (NuclearMedicine Technology)

pubd gaz 4 February 2005 pp 334–5Form MRT 701C Version December 2004—Supervised Practice Program – Final Report –

(Radiation Therapy)pubd gaz 4 February 2005 pp 334–5

Form MRT 801A Version December 2004—Supervised Practice Program – Professional PracticeSetting Application Form - Medical Imaging Technology

pubd gaz 4 February 2005 pp 334–5

Forms notified or published in the gazette—Issue 29 (2006) 1083

MENTAL HEALTH ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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)—Recommendation for assessmentpubd gaz 28 May 2004 p 274

Form dmh 27—Application for justices examination orderpubd gaz 28 May 2004 p 274

Form dmh 28—Justices examination orderpubd gaz 28 May 2004 p 274

Form dmh 32(1) Version 1—Justices examination orderpubd gaz 8 March 2002 p 929

Form dmh 32(2) Version 1—Justices examination orderpubd gaz 8 March 2002 p 929

Form dmh 35—Emergency examination order (police or ambulance officer)pubd gaz 28 May 2004 p 274

Form dmh 38 Version 1—Emergency examination order (psychiatrist)pubd gaz 8 March 2002 p 929

Form dmh 41 Version 1a—Emergency examination order (police or ambulance officer)pubd gaz 8 March 2002 p 929

Form dmh 41 Version 1—Emergency examination order (psychiatrist)pubd gaz 8 March 2002 p 929

Form dmh 49(a) Version 1—Recommendation for assessmentpubd gaz 8 March 2002 p 929

Form dmh 65(1)—Custodian’s assessment authoritypubd gaz 28 May 2004 p 274

Form dmh 70 Version 1—Custodian’s assessment authoritypubd gaz 8 March 2002 p 929

Form dmh 108 Version 1—Involuntary treatment orderpubd gaz 8 March 2002 p 929

Form dmh 112 Version 1—Involuntary treatment orderpubd gaz 8 March 2002 p 929

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 933

1084 Forms notified or published in the Government gazette—Issue 29 (2006)

MINERAL RESOURCES ACT 1989

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form Mhc 1 Version 2—Reference of person’s mental condition to the Mental Health Court byRegistrar of the Supreme or District Court

pubd gaz 19 July 2002 p 1135Form Mhc 2 Version 2—Reference of person’s mental condition to Mental Health Court

pubd gaz 19 July 2002 p 1135Form Mhc 3 Version 1—Forensic order 1

pubd gaz 8 March 2002 p 928Form Mhc 4 Version 1—Notice of appeal against decision of Mental Health Review Tribunal

pubd gaz 8 March 2002 p 928Form Mhc 5 Version 1—Court examination order 1

pubd gaz 8 March 2002 p 928Form Mhc 6 Version 1—Application to inquire into a patient’s detention

pubd gaz 8 March 2002 p 928Form mhrt-140 Version 2—Treatment application (electroconvulsive therapy)

pubd gaz 20 June 2003 p 628Form mhrt-221—Application for notification order

pubd gaz 22 February 2002 p 748Form mhrt-229 Version 2—Treatment application (electroconvulsive therapy)

pubd gaz 20 June 2003 p 628Form mhrt-230—Treatment application (psychosurgery)

pubd gaz 22 February 2002 p 748Form mhrt-232—Notice of hearing of review or treatment application

pubd gaz 22 February 2002 p 748Form mhrt-376—Appeal on refusal to allow a person to visit a patient

pubd gaz 22 February 2002 p 748

MINERAL RESOURCES ACT 1989

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 14.4 Version 1—Advice to mining registrar

pubd gaz 22 September 2000 pp 306–8

Forms notified or published in the gazette—Issue 29 (2006) 1085

MINERAL RESOURCES ACT 1989

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 14.5 Version 1—Negotiated agreement reachedpubd gaz 22 September 2000 pp 306–8

Form 14.6 Version 1—Form of objection Registered native title rights and interestspubd gaz 22 September 2000 pp 306–8

Form 14.7 Version 1—Referral to Tribunalpubd gaz 22 September 2000 pp 306–8

Form 14.8 Version 1—Notice of grantpubd gaz 22 September 2000 pp 306–8

Form 14.9 Version 1—Role of State of Queenslandpubd gaz 22 September 2000 pp 306–8

Form 14.10 Version 1—Notice of non-objection Registered native title rights and interestspubd gaz 22 September 2000 pp 306–8

Form 15.1 Version 1—Notice of intention to lodge or lodgement of application for a low impactexploration permit (application notice)

pubd gaz 22 September 2000 pp 306–8Form 15.2 Version 1—Notice of compliance low impact exploration permit

pubd gaz 22 September 2000 pp 306–8Form 15.3 Version 1—Notice of consultation period low impact exploration permit

pubd gaz 22 September 2000 pp 306–8Form 15.4 Version 1—Notice about proposed high impact exploration permit (application notice)

pubd gaz 22 September 2000 pp 306–8Form 15.5 Version 1—Notice of compliance high impact exploration permit

pubd gaz 22 September 2000 pp 306–8Form 15.6 Version 1—Advice to mining registrar

pubd gaz 22 September 2000 pp 306–8Form 15.7 Version 1—Advice to mining registrar

pubd gaz 22 September 2000 pp 306–8Form 15.8 Version 1—Role of State of Queensland

pubd gaz 22 September 2000 pp 306–8Form 15.9 Version 1—Negotiated agreement reached

pubd gaz 22 September 2000 pp 306–8Form 15.10 Version 1—Form of objection Registered native title rights and interests

pubd gaz 22 September 2000 pp 306–8Form 15.11 Version 1—Referral to Tribunal

pubd gaz 22 September 2000 pp 306–8Form 16.1 Version 1—Notice of intention to lodge or lodgement of application for a low impact

mineral development licence (application notice)pubd gaz 22 September 2000 pp 306–8

Form 16.2 Version 1—Notice of compliance low impact mineral development licencepubd gaz 22 September 2000 pp 306–8

Form 16.3 Version 1—Notice of consultation start day low impact mineral development licencepubd gaz 22 September 2000 pp 306–8

Form 16.4 Version 1—Notice about proposed high impact mineral development licence (applicationnotice)

pubd gaz 22 September 2000 pp 306–8Form 16.5 Version 1—Notice of compliance high impact mineral development notice

pubd gaz 22 September 2000 pp 306–8Form 16.6 Version 1—Advice to mining registrar

pubd gaz 22 September 2000 pp 306–8Form 16.7 Version 1—Advice to mining registrar

pubd gaz 22 September 2000 pp 306–8

1086 Forms notified or published in the Government gazette—Issue 29 (2006)

MINERAL RESOURCES ACT 1989

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(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 16.11 Version 1—Referral to Tribunal

pubd gaz 22 September 2000 pp 306–8Form 16.12 Version 1–Notice of grant high impact mineral development licence

pubd gaz 22 September 2000 pp 306–8Form 17.1 Version 1—Notice about proposed mining lease (application notice)

pubd gaz 22 September 2000 pp 306–8Form 17.2 Version 1—Notice of compliance

pubd gaz 22 September 2000 pp 306–8Form 17.3 Version 1—Advice to mining registrar

pubd gaz 22 September 2000 pp 306–8Form 17.4 Version 1—Advice to mining registrar

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 17.9 Version 1—Referral to Tribunal

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

pubd gaz 30 June 2006 p 917Form FDU 1268 Version 6—Royalty Return

pubd gaz 30 June 2006 p 917Form M1 Version 2—Form of Objection

pubd gaz 27 October 1995 pp 849–50Form M2—Surrender of mining claim, mineral development licence or mining lease

pubd gaz 5 January 2001 pp 49–51Form M8B Version 2—Notice to Show Cause—Mining Claim

pubd gaz 27 October 1995 pp 849–50Form M9 Version 3—Notice of Intention of Initial Entry on Occupied Land

pubd gaz 14 June 1996 pp 986Form M10 Version 3—Notice of Renewing Entry on Occupied Land

pubd gaz 14 June 1996 pp 986Form M14A Version 2—Notice to Show Cause on Application for Renewal

pubd gaz 27 October 1995 pp 849–50Form M14B Version 2—Notice to Show Cause on Application for Renewal—Mining Claim

pubd gaz 27 October 1995 pp 849–50Form M15 Version 1—Notice of Availability of Draft Guidelines for the Preparation of Environment

Impact Statement for Exploration Permits or Mineral Development Licencespubd gaz 27 October 1995 pp 849–50

Forms notified or published in the gazette—Issue 29 (2006) 1087

MINERAL RESOURCES ACT 1989

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form MRA-01 Version 1—Application for Parcel Prospecting Permitpubd gaz 4 November 2005 p 798

Form MRA-02 Version 1—Application for District Prospecting Permitpubd gaz 4 November 2005 p 798

Form MRA-03 Version 1—Application for Mining Claimpubd gaz 4 November 2005 p 798

Form MRA-04 Version 1—Application for Renewal of Mining Claimpubd gaz 4 November 2005 p 798

Form MRA-05 Version 1—Application for Exploration Permitpubd gaz 4 November 2005 p 798

Form MRA-06 Version 1—Application for Renewal of Exploration Permitpubd gaz 4 November 2005 p 798

Form MRA-07 Version 1—Assignment of Exploration Permit or Mineral Development Licencepubd gaz 4 November 2005 p 798

Form MRA-08 Version 1—Application for Mineral Development Licencepubd gaz 4 November 2005 p 798

Form MRA-10 Version 1—Application for Renewal of Mineral Development Licencepubd gaz 4 November 2005 p 798

Form MRA-11 Version 1—Notice to Landowner of Grant of Mineral Development Licencepubd gaz 4 November 2005 p 798

Form MRA-14 Version 1—Application to Record Agreements, Arrangements, Dealings or Interestspubd gaz 4 November 2005 p 798

Form MRA-15 Version 1—Application for Mining Leasepubd gaz 4 November 2005 p 798

Form MRA-16 Version 1—Additional Information for Coal Mining Lease Applicationpubd gaz 4 November 2005 p 798

Form MRA-17 Version 1—Application for Renewal of Mining Leasepubd gaz 4 November 2005 p 798

Form MRA-19 Version 1—Application to Conduct Drilling and Other Activities Not Included inSurface Area

pubd gaz 4 November 2005 p 798Form MRA-22 Version 1—Caveat

pubd gaz 4 November 2005 p 798Form MRA-23 Version 1—Consent of Caveator

pubd gaz 4 November 2005 p 798Form MRA-24 Version 1—Assignment of Mining Claim or Mining Lease

pubd gaz 4 November 2005 p 798Form MRA-25 Version 1—Mortgage

pubd gaz 4 November 2005 p 798Form MRA-26 Version 1—Application for Variation of Access

pubd gaz 4 November 2005 p 798Form MRA-27 Version 1—Request for Registration of Execution

pubd gaz 4 November 2005 p 798Form MRA-28 Version 1—Request to Record Transmission by Death – No Grant of Probate or

Letters of Administration pubd gaz 4 November 2005 p 798

Form MRA-29 Version 1—Request to Record Transmission by Death – Grant of Probate or Lettersof Administration

pubd gaz 4 November 2005 p 798Form MRA-30 Version 1—Request to Record Transmission in Bankruptcy

pubd gaz 4 November 2005 p 798

1088 Forms notified or published in the Government gazette—Issue 29 (2006)

MINERAL RESOURCES ACT 1989

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form MRA-31 Version 1—Request to Record Death of Joint Holderpubd gaz 4 November 2005 p 798

Form MRA-32 Version 1—Request to Record Change or Correction of Namepubd gaz 4 November 2005 p 798

Form MRA-33 Version 1—Request to Record Change of Nominated Holder or Address for Serviceof Correspondence

pubd gaz 4 November 2005 p 798Form MRA-34 Version 1—Application for Assignment of Mining Tenement under Exercise of

Power of Sale by Mortgageepubd gaz 4 November 2005 p 798

Form MRA-36 Version 1—Notice to Show Causepubd gaz 4 November 2005 p 799

Part 3—Form 3 Version 1—Parcel Prospecting Permitpubd gaz 13 April 1995 p 1624

Part 3—Form 4 Version 1—District Prospecting Permitpubd gaz 13 April 1995 p 1624

Part 3—Form 5 Version 2—Notice of Cancellation of Prospecting Permitpubd gaz 13 April 1995 p 1624

Part 4—Form 3—Version 2—Certificate of Grant of Mining Claimpubd gaz 27 October 1995 pp 849–50

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—Mining Leasepubd gaz 31 January 1997 p 375

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

Forms notified or published in the gazette—Issue 29 (2006) 1089

MIXED USE DEVELOPMENT ACT 1993

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

1090 Forms notified or published in the Government gazette—Issue 29 (2006)

MUTUAL RECOGNITION (QUEENSLAND) ACT 1992

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 4—Security Interest Certificate Request Form

pubd gaz 13 January 2006 p 118Form 11 Version 4 2004—Security Interest Fax Request Form for Motor Vehicle Searches

pub gaz 29 January 2004 p 346Form 12 Version 1 2004—Security Interest Fax Request Form for Boat and/or Outboard Motor

Searchespub gaz 29 January 2004 p 346

MUTUAL RECOGNITION (QUEENSLAND) ACT 1992

Form MR OT111 Version February 2002—Application for Registration under Mutual Recognitionas an Occupational Therapist in Queensland

pubd gaz 8 February 2002 pp 439–41Form MR Opt111 Version February 2002—Application for Registration under Mutual Recognition

as an Optometrist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form MR P111 Version February 2002—Application for Registration under Mutual Recognition asa Pharmacist in Queensland

pubd gaz 8 February 2002 pp 439–41Form MR Phy111 Version February 2002—Application for Registration under Mutual Recognition

as a Physiotherapist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form MR DS111 Version February 2002—Application for Registration under Mutual Recognitionas a Dental Specialist in Queensland

pubd gaz 8 February 2002 pp 439–41Form MR D111 Version February 2002—Application for Registration under Mutual Recognition as

a Dentist in Queenslandpubd gaz 8 February 2002 pp 439–41

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 1307

Forms notified or published in the gazette—Issue 29 (2006) 1091

NURSING ACT 1992

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form FM535 Version November 1994—Permit application for activities on Protected Areaspubd gaz 24 March 1995 p 1307

Form FM536 Version November 1994—Commercial activity permit applicationpubd gaz 24 March 1995 p 1307

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

pubd gaz 1 October 2004 p 390

OCCUPATIONAL THERAPISTS REGISTRATION ACT 2001

Form OT101 Version February 2002—Application for General Registration as an OccupationalTherapist in Queensland

pubd gaz 8 February 2002 pp 439–41Form OT301 Version February 2002—Application for Special Purpose Registration as an

Occupational Therapist in Queensland pubd gaz 8 February 2002 pp 439–41

Form OT401 Version April 2002—Application for Renewal of General Registration as anOccupational Therapist in Queensland

pubd gaz 4 February 2005 p 336Form OT1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as an Occupational Therapist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form OT1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 8 February 2002 pp 439–41

Form OTN158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 8 February 2002 pp 439–41

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

1092 Forms notified or published in the Government gazette—Issue 29 (2006)

OSTEOPATHS REGISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1093

PAY–ROLL TAX ACT 1971

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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 7 Version 2—Warrant imprisoning an offender until a recognisance is entered intopubd gaz 8 August 1997 p 1737

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 33Version 3—Probation Order

pubd gaz 7 May 2004 p 45Form 61 Version 4—Warrant of Arrest and Imprisonment

pubd gaz 1 December 2000 p 1285Form 64 Version 1—Part 3A—Non-Contact Order

pubd gaz 21 June 2002 p 775Form 65 Version 1—Part 3A—Application to Amend/Revoke a Non-Contact Order

pubd gaz 21 June 2002 p 775Form 66 Version 1—Part 3A—Amendment/Revocation of Non-Contact Order

pubd gaz 21 June 2002 p 775Form 67 Version 1—Presentence Custody Certificate

pubd gaz 4 November 2005 p 851

PERSONAL INJURIES PROCEEDINGS ACT 2002

Form 1 Version 3—Notice of Claim (Non Health Care Claims)pubd gaz 11 April 2003 p 1312

1094 Forms notified or published in the Government gazette—Issue 29 (2006)

PEST MANAGEMENT ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 PMA03.07 Version July 2004—Application - Renewalpubd gaz 12 November 2004 p 880

Form PMA03.10 Version July 2004—Application - Variationpubd gaz 12 November 2004 p 880

pubd gaz 14 October 2005 p 584Form PMA03.10 Version September 2005—Application to Chief Executive: Variation of Licence as

a Pest Management Technicianpubd gaz 14 October 2005 p 584

Form PMA03.20 Version July 2004—Licence as a Pest Management Technicianpubd gaz 12 November 2004 p 880

Form PMA03.21 Version January 2006—Notice to Chief Executive—Licence as a PestManagement Technician in Queensland (Trans-Tasman New Zealand Mutual Recognition)

pubd gaz 17 February 2006 p 698

PETROLEUM ACT 1923

Form ATP-02A Version 1—Application for Renewal of Authority to Prospectpubd gaz 17 December 2004 p 1215

Form PA-01A Version 1—Application for Surrender of Petroleum Authorities (Whole or Part)pubd gaz 17 December 2004 p 1215

Form PA-05A Version 2—Application for Approval to Transfer a Petroleum Authority or Tenurepubd gaz 9 September 2005 p 94

Form PA-05AA Version 1—Application for Approval to Mortgage a Petroleum Authority or Tenure,or to Release, Transfer or Surrender a Mortgage

pubd gaz 9 September 2005 p 94Form PA-05AB Version 1—Application for Approval to Sublease, or Transfer a Sublease, for a

Petroleum Leasepubd gaz 9 September 2005 p 94

Form PA-10A Version 2—Application to Amend Licencepubd gaz 9 September 2005 p 94

Form PA-11A Version 1—Administrative Notificationspubd gaz 17 December 2004 p 1215

Form PA-18A Version 1—Lodging a Prescribed Agreementpubd gaz 17 December 2004 p 1215

Form PA-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

Forms notified or published in the gazette—Issue 29 (2006) 1095

PETROLEUM AND GAS (PRODUCTION AND SAFETY) ACT 2004

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form PA-22A Version 3—Notice of Completion of Seismic Survey or Scientific or TechnicalSurvey

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

PETROLEUM AND GAS (PRODUCTION AND SAFETY) ACT 2004

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

1096 Forms notified or published in the Government gazette—Issue 29 (2006)

PETROLEUM AND GAS (PRODUCTION AND SAFETY) ACT 2004

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form PA-22A Version 3—Notice of Completion of Seismic Survey or Scientific or TechnicalSurvey

pubd gaz 14 October 2005 p 528Form PA-23A Version 1—Entry Notice

pubd gaz 17 December 2004 p 1215–6Form PA-23AAA Version 1—The Rights and Obligations of Holders, Owners and Occupiers

Relating to the Entry of Land under a Petroleum Authoritypubd gaz 11 February 2005 p 455

Form PFL-01A Version 1—Application for Petroleum Facility Licencepubd gaz 17 December 2004 p 1215–6

Form PFL-02A Version 1—Application for Renewal of Petroleum Facility Licencepubd gaz 17 December 2004 p 1215–6

Form PFL-03A Version 1—Petroleum Facility Licence - Licencepubd gaz 17 December 2004 p 1215–6

Form PGA389 Version 1—Application for Exemption From Additional SMP Content Requirementspubd gaz 24 March 2005 p 951

Form PGA622 Version 1—Application for gas quality approvalpubd gaz 1 April 2005 p 1016

Form PGA658 Version 1—Application to install and use pre-payment gas meterspubd gaz 1 April 2005 p 1016

Form 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 1215–6

Forms notified or published in the gazette—Issue 29 (2006) 1097

PETROLEUM (SUBMERGED LANDS) ACT 1982

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form PPL-02A Version 1—Application for Renewal of Pipeline Licencepubd gaz 17 December 2004 p 1215–6

Form PPL-03A Version 1—Application for Permission to Enter Land for the Purpose of ExercisingRights Under a Pipeline Licence or Petroleum Facility Licence (A “Part 5 Permission”)

pubd gaz 17 December 2004 p 1215–6Form PPL-05A Version 1—Pipeline licence - Licence

pubd gaz 17 December 2004 p 1215–6Form PSL-01A Version 1—Application for Survey Licence

pubd gaz 17 December 2004 p 1215–6Form PSL-02A Version 1—Survey licence - Licence

pubd gaz 17 December 2004 p 1215–6Form WRA-01A Version 1—Application for Water Monitoring Authority

pubd gaz 17 December 2004 p 1215–6Form WRA-02A Version 1—Notification of Transfer of Water Supply Bore or Water Observation

Bore to Landownerpubd gaz 17 December 2004 p 1215–6

Form WRA-03A Version 1—Notification of Transfer of Petroleum Well to Holder of GeothermalExploration Permit or Mining Tenement

pubd gaz 17 December 2004 p 1215–6Form WRA-04A Version 1—Notification of Transfer of Water Observation Bore to Holder of

Petroleum Tenure or Water Monitoring Authoritypubd gaz 17 December 2004 p 1215–6

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

1098 Forms notified or published in the Government gazette—Issue 29 (2006)

PHYSIOTHERAPISTS REGISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 8 February 2002 pp 439–41

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

pubd gaz 4 February 2005 p 338Form Phy1401 Version February 2002—Notice of Expiry of Registration and Application for

Restoration of General Registration as a Physiotherapist in Queenslandpubd gaz 8 February 2002 pp 439–41

Form Phy1601 Version February 2002—Application for Review of Conditions on Registrationpubd gaz 8 February 2002 pp 439–41

Form PhyN158 Version February 2002—Notice to Produce or Safeguard Evidencepubd gaz 8 February 2002 pp 439–41

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

PLUMBING AND DRAINAGE ACT 2002

Form 1 Version 2—Application for Compliance Assessmentpubd gaz 24 February 2006 p 796

Forms notified or published in the gazette—Issue 29 (2006) 1099

PODIATRISTS REGISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 24 February 2006 p 796Form 10 Version 1—Application for Chief Executive Approval

pubd gaz 24 February 2006 p 796Form 21 Version 2—Application for a License

pubd gaz 8 October 2004 p 473Form 22 Version 2—Application for Renewal or Restoration of a License

pubd gaz 8 October 2004 p 473Form 23 Version 1—Application for a Review of Licence Conditions

pubd gaz 31 October 2003 p 689Form 24 Version 1—Application for Replacement of a Licence

pubd 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 339

1100 Forms notified or published in the Government gazette—Issue 29 (2006)

POLICE POWERS AND RESPONSIBILITIES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form TTMR POD311 Version May 2002—Application for Registration under Trans-TasmanMutual Recognition as a Podiatrist in Queensland

pubd gaz 4 February 2005 p 339

POLICE POWERS AND RESPONSIBILITIES ACT 2000

Form 1 Version 3—01/07/2003—Notice to Appearpubd gaz 15 April 2005 pp 1208–9

Form 1a Version 3—01/07/2003—Notice to Appearpubd gaz 15 April 2005 pp 1208–9

Form 2 Version 1 1 July 2000—Application for Crime Scene Warrant (Issued by a Supreme CourtJudge/Magistrate)

pubd gaz 25 August 2000 pp 1469–70Form 2a Version 1 1 July 2000—Application for Extension of Crime Scene Warrant (Issued by a

Supreme Court Judge/Magistrate)pubd gaz 25 August 2000 pp 1469–70

Form 3 Version 1 1 July 2000—Notice to Occupier of the Making of an Application for the Issue ofa Crime Scene Warrant by a Supreme Court Judge/Magistrate

pubd gaz 25 August 2000 pp 1469–70Form 4 Version 1 1 July 2000—Crime Scene Warrant

pubd gaz 25 August 2000 pp 1469–70Form 5 Version 1 1 July 2000—Notice to Occupier of the Making of an Application to Extend

Crime Scene Warrant before a Supreme Court Judge/Magistratepubd gaz 25 August 2000 pp 1469–70

Form 6 Version 1—01/07/2000—Application for Declaration of Notified Areapubd gaz 15 April 2005 p 1207

Form 7 Version 1 1 July 2000—Notice to Owner regarding Order for Forfeiture of Relevant ThingsConnected with Offences

pubd gaz 25 August 2000 pp 1469–70Form 8 Version 1 1 July 2000—Statement to Occupier (Summary of the Occupier’s Rights and

Obligations Under a Crime Scene Warrant)pubd gaz 25 August 2000 pp 1469–70

Form 9 Version 1 1 July 2000—Application for Search Warrantpubd gaz 25 August 2000 pp 1469–70

Form 10 Version 2—01/12/2002—Search Warrantpubd gaz 15 April 2005 pp 1208–9

Form 11 Version 1 1 July 2000—Statement to Occupier (Summary of Occupier’s Rights andObligations Under a Search Warrant)

pubd gaz 25 August 2000 pp 1469–70Form 12 Version 1 1 July 2000—Application for Post-Search Approval Order

pubd gaz 25 August 2000 pp 1469–70Form 13 Version 1 1 July 2000—Post-Search Approval Order

pubd gaz 25 August 2000 pp 1469–70Form 14 Version 1 1 July 2000—Application for Production Notice

pubd gaz 25 August 2000 pp 1469–70Form 15 Version 1 1 July 2000—Production Notice

pubd gaz 25 August 2000 pp 1469–70Form 16 Version 1 1 July 2000—Application for Access Order

pubd gaz 25 August 2000 pp 1469–70Form 17 Version 1 1 July 2000—Access Order

pubd gaz 25 August 2000 pp 1469–70

Forms notified or published in the gazette—Issue 29 (2006) 1101

POLICE POWERS AND RESPONSIBILITIES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 18 Version 1 1 July 2000—Application for Removal Orderpubd gaz 25 August 2000 pp 1469–70

Form 19 Version 1 1 July 2000—Removal Orderpubd gaz 25 August 2000 pp 1469–70

Form 20 Version 4—28/06/2004—Application for Extension of Detention Periodpubd gaz 15 April 2005 pp 1208–9

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 24 Version 1 1 July 2000—Application for Order in Relation to Thing Seized (No OwnershipDispute)

pubd gaz 25 August 2000 pp 1469–70Form 25 Version 1 1 July 2000—Order in Relation to Thing Seized

pubd gaz 25 August 2000 pp 1469–70Form 26 Version 1 1 July 2000—Undertaking to Produce a Thing Before a Court

pubd gaz 25 August 2000 pp 1469–70Form 29 Version 2—02/02/2004—Identifying Particulars Notice

pubd gaz 15 April 2005 pp 1208–9Form 34 Version 2—01/07/2003—Warrant to Apprehend Defendant for Failure to Appear

pubd gaz 15 April 2005 pp 1208–9Form 35 Version 1 1 July 2000—Notice to Owner regarding Seizure of Vehicle or Animal

pubd gaz 25 August 2000 pp 1469–70Form 37 Version 2—02/02/2004—DNA Sample Notice

pubd gaz 15 April 2005 pp 1208–9Form 40 Version 1 1 July 2000—Arrest Warrant Application

pubd gaz 25 August 2000 pp 1469–70Form 41 Version 1 1 July 2000—Arrest Warrant

pubd gaz 25 August 2000 pp 1469–70Form 42A Version 1 1 April 2001—Minor Drugs Offence Diversion (Agreement to Attend and

Requirement to Comply or Non-acceptance)pubd gaz 8 June 2001 p 483

Form 43 Version 1 1 July 2000—Notice to Owner regarding Order for Forfeiture of ParticularRelevant Things

pubd gaz 25 August 2000 pp 1469–70Form 44 Version 1—02/02/2004—Place of Safety Undertaking

pubd gaz 15 April 2005 pp 1208–9Form 45 Version 1—01/07/2000—Application for Order regarding Ownership Dispute

pubd gaz 15 April 2005 p 1207Form 46 Version 1 1 July 2000—Notice to Exercise of Power Under section 200

pubd gaz 25 August 2000 pp 1469–70Form 47 Version 1—01/07/2000—Application for Disease Test Order

pubd gaz 15 April 2005 p 1207Form 48 Version 1—01/07/2000—Disease Test Order

pubd gaz 15 April 2005 p 1207Form 49 Version 1 1 July 2000—Destruction Notice

pubd gaz 25 August 2000 pp 1469–70

1102 Forms notified or published in the Government gazette—Issue 29 (2006)

POLICE POWERS AND RESPONSIBILITIES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 50 Version 1 1 July 2000—Notice of Damagepubd gaz 25 August 2000 pp 1469–70

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 54 Version 1 1 January 2001—Request for a Search Warrant in a Reciprocating

State—Affidavitpubd gaz 8 June 2001 p 483

Form 55 Version 1 1 January 2001—Grounds in Support of a Request for a Search Warrant in aReciprocating State—Affidavit

pubd gaz 8 June 2001 p 483Form 56 Version 1 1 January 2001—Authority to Request Issue of a Search Warrant in Another

Jurisdictionpubd gaz 8 June 2001 p 483

Form 57 Version 1 1 January 2001—Authority to Receive Property Seized in a Reciprocating Statepubd gaz 8 June 2001 p 483

Form 58 Version 1—02/02/2004—Application for Court Order to Take a DNA Sample from anAdult (Before Court)

pubd gaz 15 April 2005 pp 1208–9Form 59 Version 1—02/02/2004—Court Order to Take a DNA Sample from an Adult Before Court

(Detain)pubd gaz 15 April 2005 pp 1208–9

Form 60 Version 1—02/02/2004—Court Order to Take a DNA Sample from an Adult Before Court(Report)

pubd gaz 15 April 2005 pp 1208–9Form 61 Version 1—02/02/2004—Application for an Order to take a DNA Sample from an Adult

After Finding of Guiltpubd gaz 15 April 2005 pp 1208–9

Form 62 Version 1—02/02/2004—Court Order to Take a DNA Sample from an Adult After Findingof Guilt (Detain)

pubd gaz 15 April 2005 pp 1208–9Form 63 Version 1—02/02/2004—Court Order to Take a DNA Sample from an Adult After Finding

of Guilt (Report)pubd gaz 15 April 2005 pp 1208–9

Form 64 Version 1—02/02/2004—Application for an Order Authorising a DNA Sampler to take aDNA Sample From a Child for DNA Analysis

pubd gaz 15 April 2005 pp 1208–9Form 64A Version 1—02/02/2004—Notice of Application for an Order Authorising the taking of a

DNA Sample From a Child for DNA Analysispubd gaz 15 April 2005 pp 1208–9

Form 65 Version 1—02/02/2004—Order to Take a DNA Sample from a Child (Child will not be incustody when the DNA sample is proposed to be taken)

pubd gaz 15 April 2005 pp 1208–9Form 66 Version 1—02/02/2004—Order to Take a DNA Sample from a Child (In Custody)

pubd gaz 15 April 2005 pp 1208–9

Forms notified or published in the gazette—Issue 29 (2006) 1103

POLICE POWERS AND RESPONSIBILITIES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 67 Version 1—19/09/2003—Order for Extension of Detention Periodpubd gaz 15 April 2005 pp 1208–9

Form 68 Version 1—01/12/2003—Coroner’s Search Warrantpubd gaz 15 April 2005 pp 1208–9

Form 69 Version 1—01/12/2003—Statement to Occupier (Summary of the Occupier’s Rights andObligations under a Coroner’s Search Warrant)

pubd gaz 15 April 2005 pp 1208–9Form 70 Version 1—02/02/2004—Non-medical Examination Notice

pubd gaz 15 April 2005 pp 1208–9Form 71 Version 1—02/02/2004—DNA Sample Notice – Prisoner – Subject to Post-Prison

Community Based Release Orderpubd gaz 15 April 2005 pp 1208–9

Form 74 Version 1—02/02/2004—Notice of Application for Forensic Procedure Orderpubd gaz 15 April 2005 pp 1208–9

Form 75 Version 1—02/02/2004—Application for Forensic Procedure Orderpubd gaz 15 April 2005 pp 1208–9

Form 76 Version 1—02/02/2004—Forensic Procedure Orderpubd gaz 15 April 2005 pp 1208–9

Form 77 Version 1—02/02/2004—Application for Order to Detain to Perform A Forensic Procedure(Fail to Comply with Reporting Notice)

pubd gaz 15 April 2005 pp 1208–9Form 78 Version 1—02/02/2004—Order to Detain to Perform a Forensic Procedure

pubd gaz 15 April 2005 pp 1208–9Form 79 Version 1—02/02/2004—Notice of Intent to Challenge An Evidentiary Certificate

pubd gaz 15 April 2005 pp 1208–9Form 80A Version 1—02/02/2004—Statement of Explanation for Forensic Procedure Consent to an

Adult Suspected of Committing an Offencepubd gaz 15 April 2005 pp 1208–9

Form 80B Version 1—02/02/2004—Forensic Procedure Consent (Written) Signed by the AdultSuspected of Committing an Offence

pubd gaz 15 April 2005 pp 1208–9Form 81A Version 1—02/02/2004—Statement of Explanation for Forensic Procedure Consent to an

Adult for the Taking of a DNA Sample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 15 April 2005 pp 1208–9Form 81B Version 1—02/02/2004—Forensic Procedure Consent (Written) Signed by the Adult for

the Taking of a DNA Sample(To help decide whether or not the person may be a suspect in relation to an offence)(To help locate a missing person)(To help identify a deceased person)

pubd gaz 15 April 2005 pp 1208–9Form 82A Version 1—02/02/2004—Statement of Explanation for Forensic Procedure Consent to a

Parent of a Child Under 14 Suspected of Committing an Offencepubd gaz 15 April 2005 pp 1208–9

Form 82B Version 1—02/02/2004—Forensic Procedure Consent (Written) Signed by the Parent ofthe Child Under 14 Suspected of Committing an Offence

pubd gaz 15 April 2005 pp 1208–9Form 83A Version 1—02/02/2004—Statement of Explanation for Forensic Procedure Consent to a

Parent for the Taking of a DNA Sample from a child under 14(To help decide whether or not the person may be a suspect in relation to an offence)

1104 Forms notified or published in the Government gazette—Issue 29 (2006)

POLICE POWERS AND RESPONSIBILITIES ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

(To help locate a missing person)(To help identify a deceased person)

pubd gaz 15 April 2005 pp 1208–9Form 83B Version 1—02/02/2004—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 15 April 2005 pp 1208–9Form 84A Version 1—02/02/2004—Statement of Explanation for Forensic Procedure Consent to a

Child at least 14 Suspected of Committing an Offencepubd gaz 15 April 2005 pp 1208–9

Form 84B Version 1—02/02/2004—Forensic Procedure Consent (Written) Signed by the Child atleast 14 Suspected of Committing an Offence

pubd gaz 15 April 2005 pp 1208–9Form 85A Version 1—02/02/2004—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 15 April 2005 pp 1208–9Form 85B Version 1—02/02/2004—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 15 April 2005 pp 1208–9Form 86A Version 1—02/02/2004—Statement of Explanation for Forensic Procedure Consent to a

Person with Impaired Capacity or to a Parent of a Person with Impaired Capacity Suspected ofCommitting an Offence

pubd gaz 15 April 2005 pp 1208–9Form 86B Version 1—02/02/2004—Forensic Procedure Consent (Written) Signed by the Person

with Impaired Capacity or Signed by the Parent of the Person with Impaired Capacity Suspectedof Committing an Offence

pubd gaz 15 April 2005 pp 1208–9Form 87A Version 1—02/02/2004—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 Takingof 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 15 April 2005 pp 1208–9Form 87B Version 1—02/02/2004—Forensic Procedure Consent (Written) Signed by the Person

with Impaired Capacity or signed by the Parent of the Person with Impaired Capacity 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 15 April 2005 pp 1208–9Form 88 Version 1—02/02/2004—Notice to Prisoner and Forensic Procedure Consent

pubd gaz 15 April 2005 pp 1208–9

Forms notified or published in the gazette—Issue 29 (2006) 1105

POWERS OF ATTORNEY ACT 1998

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 90 Version 1—02/02/2004—Application for an Order to Take a DNA Sample from an Adultafter finding of Guilt (Prisoner)

pubd gaz 15 April 2005 pp 1208–9Form 92 Version 1—01/07/2004—Place of Safety — Carer Undertaking

pubd gaz 15 April 2005 pp 1208–9F2869 Version August 2002—Defect Notice

pubd gaz 15 April 2005 pp 1208–9F3162 Version July 97—Vehicle Movement Prohibition Notice

pubd gaz 15 April 2005 p 1207F3632 Version June 98—Driver Prohibition Notice

pubd 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)

pubd gaz 6 May 2005 p 71

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 1286

1106 Forms notified or published in the Government gazette—Issue 29 (2006)

PROFESSIONAL ENGINEERS ACT 2002

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 8937 Version 1—Application for Renewal of a Private Health Facility Licencepubd gaz 1 December 2000 p 1286

Form 8938 Version 1—Application for Approval for a Private Health Facilitypubd gaz 1 December 2000 p 1286

Form 89211 Version 1—Application for a Change to an Approvalpubd gaz 1 December 2000 p 1286

Form 89212 Version 1—Application for a Change to a Licence to Operatepubd gaz 1 December 2000 p 1286

PROFESSIONAL ENGINEERS ACT 2002

Form 2—Application for registrationpubd gaz 2 April 2004 p 1301

Form 3—Application for renewal of registrationpubd gaz 2 April 2004 p 1306

Form 4—Application for restoration of registrationpubd gaz 2 April 2004 p 1310

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 3—Application for Individual’s Licencepubd gaz 5 May 2006 p 66

Form 1-2 Version 3—Application for Corporation’s Licencepubd gaz 5 May 2006 p 66

Form 1-3 Version 3—Application for Resident Letting Licencepubd gaz 5 May 2006 p 66

Form 1-4 Version 3—Application for Pastoral House Licencepubd gaz 5 May 2006 p 66

Form 2 Version 2—Application for Renewal or Restoration of a Property Agents and Motor DealersLicence

pubd gaz 28 June 2002 p 873Form 3 Version 1—Application for a Property Agents and Motor Dealers Registration Certificate

pubd gaz 9 July 2004 p 783Form 4 Version 2—Application for Renewal or Restoration of a Property Agents and Motor Dealers

Registration Certificatepubd gaz 28 June 2002 p 873

Form 20a Version 1—Appointment of Agent—Letting and Property Managementpubd gaz 5 July 2002 p 960

Form 22a Version 1—Appointment of Real Estate Agent (Sales and Purchases)pubd gaz 5 July 2002 p 960

Form 24a Version 1—Appointment to Act as Auctioneerpubd gaz 5 July 2002 p 960

Form 27b Version 2—Selling Agent’s Disclosure to Buyerpubd gaz 7 June 2002 p 571

Form 30a Version 2—Warning Statementpubd gaz 7 June 2002 p 571

Forms notified or published in the gazette—Issue 29 (2006) 1107

PROPERTY AGENTS AND MOTOR DEALERS ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 30b Version 1—Warning Statementpubd gaz 5 July 2002 p 960

Form 31a—Declaration by Seller (Sale of Residential Property)pubd gaz 16 November 2001 p 976

Form 32a—Lawyer’s Certificationspubd gaz 16 November 2001 p 976

Form 20—Appointment to Act as Restricted Letting Agentpubd gaz 6 July 2001 pp 915–6

Form 20a Version 2—Appointment of Agent (Letting and Property Management)pubd gaz 5 August 2005 p 1214

Form 21—Sole or Exclusive Agency Notice for Sale of Property (Real Estate Agent)pubd gaz 6 July 2001 pp 915–6

Form 21a Version 2—Appointment of Real Estate Agent (Commercial and Industrial Sales, Leasingand Property Management)

pubd gaz 5 August 2005 p 1214Form 22—Appointment to Act as Real Estate Agent

pubd gaz 6 July 2001 pp 915–6Form 22a Version 2—Appointment of Real Estate Agent (Sales and Purchases)

pubd gaz 5 August 2005 p 1214Form 23 Version 3—Reappointment of Real Estate Agent, Pastoral House or Auctioneer

pubd gaz 16 April 2004 p 1475Form 24—Appointment to Act as Auctioneer

pubd gaz 6 July 2001 pp 915–6Form 24a Version 2—Appointment to Act as Auctioneer

pubd gaz 5 August 2005 p 1214Form 25 Version 1—Sole or Exclusive Agency Notice for Sale of Property (Pastoral House)

pubd gaz 6 July 2001 pp 915–6Form 26 Version 3—Appointment to Act as Pastoral House

pubd gaz 5 August 2005 p 1214Form 27—Disclosure to Buyer (By a Real Estate Agent, Real Estate Salesperson or Property

Developer) pubd gaz 6 July 2001 pp 915–6

Form 28 Version 3—Disclosure of Beneficial Interest to Seller (By a Real Estate Agent, Real EstateSalesperson, Auctioneer, Trainee Auctioneer, Pastoral House or Pastoral House Officer)

pubd gaz 5 August 2005 p 1214Form 29—Warning Statement (For Sale of Residential Property No Cooling-Off Period)

pubd gaz 6 July 2001 pp 915–6Form 30—Warning Statement (For Sale of Residential Property Cooling-Off Period)

pubd gaz 6 July 2001 pp 915–6Form 30c Version 3—Warning Statement

pubd gaz 5 August 2005 p 1214Form 31—Declaration by Seller Sale of Residential Property

pubd gaz 6 July 2001 pp 915–6Form 32—Lawyer’s Certificate Waiving Cooling-Off Period

pubd gaz 6 July 2001 pp 915–6Form 32a Version 4—Lawyer's Certifications

pubd gaz 5 August 2005 p 1214Form 33—Lawyer’s Certificate Shortening Cooling-Off Period

pubd gaz 6 July 2001 pp 915–6Form 34 Version 3—Appointment of Motor Dealer to Sell a Motor Vehicle on Consignment

pubd gaz 5 August 2005 p 1214

1108 Forms notified or published in the Government gazette—Issue 29 (2006)

PROPERTY LAW ACT 1974

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 3—Guarantee of Title to Buyer (By a Motor Dealer)

pubd gaz 5 August 2005 p 1214Form 37/38—The Important Pre-Purchase Information Cooling Off & Statutory Warranty

pubd gaz 14 May 2004 p 108Form 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 915–6Form 42 Version 2—Statutory Warranty by an Auctioneer

pubd gaz 6 July 2001 pp 915–6Form 50 Version 2—Claim Against the Claim Fund

pubd gaz 26 March 2004 p 1166Form 51 Version 1—Notice of Intention to Claim for a Marketeering Contravention

pubd gaz 26 March 2004 p 1166Form 52 Version 2—Application to Have Claim Determined

pubd gaz 26 March 2004 p 1166Form 53 Version 2—Claim Out of Time Notice

pubd gaz 26 March 2004 p 1166

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

pubd gaz 17 May 1996 p 621

Forms notified or published in the gazette—Issue 29 (2006) 1109

PROSTITUTION ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 A Version 1—Statement of Personal Details

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 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—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

pubd gaz 15 April 2005 p 1206

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

1110 Forms notified or published in the Government gazette—Issue 29 (2006)

QUEENSLAND BUILDING SERVICES AUTHORITY ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

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 1389

Forms notified or published in the gazette—Issue 29 (2006) 1111

RACING ACT 2002

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 4 Version 1—Voting Paperpubd gaz 29 April 2005 p 1389

Form 5 Version 1—Appointment of Proxy for Annual General Meetingpubd gaz 29 April 2005 p 1389

Form 6 Version 1—Appointment of Proxy for Special General Meetingpubd gaz 29 April 2005 p 1389

Form 8 Version 1—Application for assessment of account under a client agreementpubd gaz 3 July 1998 p 1184

Form 8 Version 1—Schedule to application for assessment of account under a client agreementpubd gaz 3 July 1998 p 1185

Form 9 Version 1—Appointment of cost assessorpubd gaz 3 July 1998 p 1186

Form 10 Version 1—Cost assessor’s written agreementpubd gaz 3 July 1998 p 1187

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

pubd gaz 6 May 2005 p 70Form 15 Version 2—Application for Accreditation as an Accredited Facility

pubd gaz 6 May 2005 p 70Form 16 Version 2—Application for a variation of accreditation

pubd gaz 6 May 2005 p 70

1112 Forms notified or published in the Government gazette—Issue 29 (2006)

RADIATION SAFETY ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

RADIATION SAFETY ACT 1999

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

pubd gaz 9 January 2004 p 63Form 18 Version 3—Application Form – Renewal of an Accreditation Certificate

pubd gaz 9 January 2004 p 63Form 19 Version 3—Application Form – Renewal of a Radiation Safety Officer Certificate

pubd gaz 9 January 2004 p 63

Forms notified or published in the gazette—Issue 29 (2006) 1113

RADIATION SAFETY ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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—Application to Change Approved Radiation Safety and Protection Planpubd gaz 22 October 2004 p 651

Form HR001A:2004 Version 1—Assessment Report - HR001:2004 Standard for radiation apparatusused to carry out plain film diagnostic radiography

pubd gaz 24 December 2004 p 1348Form HR001C:2004 Version 1—Certificate of Compliance - HR001:2004 Standard for radiation

apparatus used to carry out plain film diagnostic radiographypubd gaz 24 December 2004 p 1348

Form HR002A:2004 Version 1—Assessment Report - HR002:2004 Standard for radiation apparatusused to carry out radioscopy

pubd gaz 24 December 2004 p 1348Form HR002C:2004 Version —Certificate of Compliance - HR002:2004 Standard for radiation

apparatus used to carry out radioscopypubd gaz 24 December 2004 p 1348

Form HR003:1999 Version 1—Assessment Report—Computed Tomography Radiation Apparatuspubd gaz 16 May 2003 p 207

Form HR003:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form HR004:1999 Version 1—Assessment Report—Film-Screen Mammography RadiationApparatus

pubd gaz 16 May 2003 p 207Form HR004:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form HR005A:2004 Version 1—Assessment Report - HR005:2004 Standard for radiation apparatus

used to carry out intra-oral dental diagnostic radiographypubd gaz 24 December 2004 p 1348

Form HR005C:2004 Version 1—Certificate of Compliance - HR005:2004 Standard for radiationapparatus used to carry out intra-oral dental diagnostic radiography

pubd gaz 24 December 2004 p 1348Form HR006:1999 Version 1—Assessment Report—Laser Apparatus

pubd gaz 16 May 2003 p 207Form HR006:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form NM001:1999 Version 1—Assessment Report—Radiation Apparatus used for Plain Film

Radiography of Inanimate Objectspubd gaz 16 May 2003 p 207

Form NM001:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

1114 Forms notified or published in the Government gazette—Issue 29 (2006)

RADIATION SAFETY ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form NM002:1999 Version 1—Assessment Report—Cabinet Radiation Apparatuspubd gaz 16 May 2003 p 207

Form NM002:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM003:1999 Version 1—Assessment Report—Radiation Apparatus used for DiagnosticRadiography of Animals

pubd gaz 16 May 2003 p 207Form NM003:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form NM004:1999 Version 1—Assessment Report—Industrial Radiography Radiation Apparatus

pubd gaz 16 May 2003 p 207Form NM004:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form NM005:1999 Version 1—Assessment Report—Analytical Radiation Apparatus

pubd gaz 16 May 2003 p 207Form NM005:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form NM006:1999 Version 1—Assessment Report—Industrial X-ray Gauges

pubd gaz 16 May 2003 p 207Form NM006:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form NM007:1999 Version 1—Assessment Report—Industrial Radiography Sealed Source

Apparatuspubd gaz 16 May 2003 p 207

Form NM007:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM008:1999 Version 1—Assessment Report—Analytical Sealed Source Apparatuspubd gaz 16 May 2003 p 207

Form NM008:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM009:1999 Version 1—Assessment Report—Industrial Gaugespubd gaz 16 May 2003 p 207

Form NM009:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM010:1999 Version 1—Assessment Report—Borehole Logging Apparatuspubd gaz 16 May 2003 p 207

Form NM011:1999 Version 1—Assessment Report—Moisture/Density Gaugespubd gaz 16 May 2003 p 207

Form NM011:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM012:1999 Version 1—Assessment Report—Machine Source Irradiatorspubd gaz 16 May 2003 p 207

Form NM012:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM013:1999 Version 1—Assessment Report—Sealed Source Irradiatorspubd gaz 16 May 2003 p 207

Form NM013:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form NM101:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Forms notified or published in the gazette—Issue 29 (2006) 1115

RESIDENTIAL SERVICES (ACCOMMODATION) ACT 2002

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 207Form PR002:1999 Version 1—Certificate of Compliance

pubd gaz 16 May 2003 p 208Form PR003:1999 Version 1—Assessment Report—Industrial Radiography Premises

pubd gaz 16 May 2003 p 207Form PR003:1999 Version 1—Certificate of Compliance

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 PR006:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form PR007:1999 Version 1—Assessment Report—Analytical X-ray Premisespubd gaz 16 May 2003 p 207

Form PR007:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form PR008:1999 Version 1—Assessment Report—Laser Apparatus Premisespubd gaz 16 May 2003 p 207

Form PR008:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

Form PR009:1999 Version 1—Assessment Report—Sterilisation Premisespubd gaz 16 May 2003 p 207

Form PR009:1999 Version 1—Certificate of Compliancepubd gaz 16 May 2003 p 208

RESIDENTIAL SERVICES (ACCOMMODATION) ACT 2002

Form R1 Version 2 May 2004—Condition Reportpubd gaz 3 June 2005 p 408

Form 2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

Form R2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

1116 Forms notified or published in the Government gazette—Issue 29 (2006)

RESIDENTIAL SERVICES (ACCREDITATION) ACT 2002

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form R3 Version 1 August 2002—Transfer of Bondpubd gaz 3 June 2005 p 408

Form R4 Version 2 August 2004—Refund of Rental Bondpubd gaz 3 June 2005 p 408

Form R5 Version 1 August 2002—Change of Service Provider/Managerpubd gaz 3 June 2005 p 408

Form R6 Version 1 August 2002—Change of Shared Bond Arrangementpubd gaz 3 June 2005 p 408

Form R7 Version 1 August 2002—Part-Payment of Rental Bondpubd gaz 3 June 2005 p 408

Form R8 Version 2 January 2004—Service Provider’s/Manager’s Signature Recordpubd gaz 3 June 2005 p 408

Form R9 Version 2 January 2004—Entry Noticepubd gaz 3 June 2005 p 408

Form R11 Version November 2004—Notice to Remedy Breachpubd gaz 3 June 2005 p 408

Form R12 Version 1 August 2002—Notice to Leavepubd gaz 3 June 2005 p 408

Form R13 Version 1 August 2002—Resident Leaving Formpubd gaz 3 June 2005 p 408

Form R16 Version 1 August 2002—Dispute Resolution Requestpubd gaz 3 June 2005 p 408

Form R18 Version 3 January 2005—Standard Residential Service Agreementpubd gaz 3 June 2005 p 408

RESIDENTIAL SERVICES (ACCREDITATION) ACT 2002

Form 1 Version 1—Application for registration of a residential servicepubd gaz 30 August 2002 p 1552

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 1—Application to become a registered service provider of a currently registeredresidential service (change of service provider)

pubd gaz 30 August 2002 p 1552Form 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 7 August 2004—Entry Condition Report General Tenanciespubd gaz 3 June 2005 p 407

Form 1b Version 7 March 2005—Entry Condition Report Moveable Dwellingpubd gaz 3 June 2005 p 407

Form 2 Version August 2005—Bond Lodgementpub gaz 9 September 2005 p 142

Forms notified or published in the gazette—Issue 29 (2006) 1117

RESIDENTIAL TENANCIES ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

Form 3 Version 5 September 2003—Transfer of Bondpubd gaz 3 June 2005 p 407

Form 4 Version 8 September 2003—Refund of Rental Bondpubd gaz 3 June 2005 p 407

Form 5 Version 9 October 2004—Change of Lessor or Lessor’s Agentpubd gaz 3 June 2005 p 407

Form 6 Version 5 September 2003—Change of Shared Bond Arrangementpubd gaz 3 June 2005 p 407

Form 7 Version 6 August 2003—Part-Payment of Rental Bondpubd gaz 3 June 2005 p 407

Form 8 Version 3 October 2004—Lessor’s Agent Signature Recordpubd gaz 3 June 2005 p 407

Form 9 Version 9 November 2003—Entry Noticepubd gaz 3 June 2005 p 407

Form 10 Version 7 November 2004—Notice of Lessor’s Intention to Sell Premisespubd gaz 3 June 2005 p 407

Form 11 Version 8 December 2003—Notice to Remedy breachpubd gaz 3 June 2005 p 407

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 December 2003—Notice to Leavepubd gaz 3 June 2005 p 407

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 September 2003—Notice of Intention to Leavepubd gaz 3 June 2005 p 407

Form 14 Version 1—Dispute Noticepubd gaz 24 March 1995 p 1286

Form 14a Version 6 November 2004—Exit Condition Report General Tenanciespubd gaz 3 June 2005 p 407

Form 14b Version December 1998—Exit Condition Report Moveable Dwellingpubd gaz 3 June 2005 p 407

Form 15 Version 4 August 2004—Abandonment Termination Noticepubd gaz 3 June 2005 p 407

Form 16 Version 6 March 2006—Dispute Resolution Requestpubd gaz 21 April 2006 p 1538

1118 Forms notified or published in the Government gazette—Issue 29 (2006)

RETAIL SHOP LEASES ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 17a Version 10 October 2004—Information Statement. Renting in Queensland Your rights andresponsibilities as a tenant in general tenancies

pubd gaz 3 June 2005 p 407Form 17b Version 9 August 2005—Information Statement Renting in Queensland—Moveable

Dwelling Tenanciespubd gaz 20 January 2006 p 206

Form 17a Version 11 August 2005—Information Statement Renting in Queenslandpubd gaz 11 November 2005 p 945

Form18a Version 8—General Tenancy Agreementpubd gaz 26 August 2005 p 1458

Form18b Version 4—Moveable Dwelling Tenancy Agreementpubd gaz 26 August 2005 p 1458

Form 18c Version August 2005—State Tenancy Agreementpub gaz 9 September 2005 p 142

Form R2c Version November 2005—Bond Lodgement–DOH Loanpubd gaz 16 December 2005 p 1474

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1119

SECOND–HAND DEALERS AND PAWNBROKERS ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 1—Application for Second-hand Dealer’s and/or Pawnbrokers Licencepubd gaz 9 July 2004 p 782

Form 4 Version 1—Application for Approval of an Authorised Placepubd gaz 9 July 2004 p 782

SECURITY PROVIDERS ACT 1993

Form 1 Version 7 2004—Application for a Private Investigator’s/Security Officer’s/CrowdController’s Licence

pubd gaz 9 July 2004 p 781Form 2 Version 6 2004—Application for a Security Firm’s Licence

pubd gaz 28 May 2004 p 271

SOUTH BANK CORPORATION ACT 1989

Various formspubd gaz 19 March 1993 pp 1273–335

Various formspubd gaz 26 March 1993 pp 1546–67

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

1120 Forms notified or published in the Government gazette—Issue 29 (2006)

STATE PENALTIES ENFORCEMENT ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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 1—Notice to Stop Contravening Orderpubd gaz 1 December 2000 pp 1284–5

Forms notified or published in the gazette—Issue 29 (2006) 1121

STATE PENALTIES ENFORCEMENT ACT 1999

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

pubd gaz 23 May 2003 p 275

1122 Forms notified or published in the Government gazette—Issue 29 (2006)

STATUS OF CHILDREN ACT 1978

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

STATUS OF CHILDREN ACT 1978

Form 1 Version 1—Parentage Testing Procedure Affidavit by/in relation to donorpubd gaz 30 August 2002 p 1550

Form 2 Version 1—Parentage Testing Procedure—Collection of bodily samplespubd gaz 30 August 2002 p 1550

Form 3 Version 1—Parentage Testing Procedure Reportpubd gaz 30 August 2002 p 1550

STATUTORY INSTRUMENTS ACT 1992

Form 17 Version 2—Monthly Loan Arrears Reportpubd gaz 16 January 1998 p 128

Form 19—Application to transfer Spanner Crab ITQ unitspubd gaz 14 May 1999 p 162

STOCK ACT 1915

Form 1 Approved Tags—Identification of Stockpubd gaz 5 November 1999 p 912

Form 2 Approved Tags—Identification of Stockpubd gaz 5 November 1999 p 912

Form 3 Approved Tags—Identification of Stockpubd gaz 5 November 1999 p 912

Form 4 Approved Tags—Identification of Stockpubd gaz 11 February 2000 p 529

Form 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 FDU 1199—Application for Permanent Sheep Tags (NFIS)pubd gaz 28 June 2002 p 870

Form FDU 1425 Version 01/06—Penalty Infringement Noticepubd gaz 23 June 2006 p 879

Stock (Approval of Forms) Notice (No. 1) 1994pubd gaz 25 February 1994 pp 714–6commenced 1 March 1994 (see s 2)

Stock (Approval of Forms) Notice (No. 2) 1994pubd gaz 21 October 1994 p 728commenced on date of publication

Stock (Approval of Forms) Notice (No. 3) 1994pubd gaz 28 October 1994 p 809commenced on date of publication

Stock (Approval of Forms) Notice (No. 1) 1995pubd gaz 21 April 1995 pp 1713–4commenced on date of publication

Stock (Approval of Forms) Notice (No. 2) 1995pubd gaz 22 December 1995 p 1662commenced on date of publication

Forms notified or published in the gazette—Issue 29 (2006) 1123

STORAGE LIENS ACT 1973

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 21 June 2002 p 774

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

1124 Forms notified or published in the Government gazette—Issue 29 (2006)

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(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

Forms notified or published in the gazette—Issue 29 (2006) 1125

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 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

pubd gaz 21 March 2003 p 1054Form 213 Version 2—Stealing stock

pubd gaz 21 March 2003 p 1054Form 225 Version 2—Stealing property values at over $5 000

pubd gaz 21 March 2003 p 1054Form 279 Version 2—Unlawfully using stock

pubd gaz 21 March 2003 p 1054Form 280 Version 2—Possessing stolen stock

pubd gaz 21 March 2003 p 1054Form 283 Version 2—Possessing stock with a defaced brand

pubd gaz 21 March 2003 p 1054The following forms are used under the provisions of the Supreme Court (Legal Practitioner

Admission) Rules 2004Form 2 Version 3—Notice of Traineeship

pubd gaz 21 April 2006 p 1538Form 3 Version 1—Notice of Intention to Sit Examination

pubd gaz 8 July 2005 p 833Form 4 Version 3—Supervisor’s Statement

pubd gaz 21 April 2006 p 1538Form 5 Version 3—Former Master’s Statement

pubd gaz 21 April 2006 p 1538Form 6 Version 1—Response Statement

pubd gaz 2 June 2006 p 454

1126 Forms notified or published in the Government gazette—Issue 29 (2006)

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 662–6Form 10 Version 1—Certificate of service of foreign process

pubd gaz 11 June 1999 pp 662–6Form 11 Version 1—Consent adjournment of application

pubd gaz 11 June 1999 pp 662–6Form 12 Version 1—Memorandum of agreement to change of venue

pubd gaz 11 June 1999 pp 662–6Form 13 Version 1—Consent of litigation guardian

pubd gaz 11 June 1999 pp 662–6Form 14 Version 1—Third party notice

pubd gaz 11 June 1999 pp 662–6Form 15 Version 1—Notice claiming contribution

pubd gaz 11 June 1999 pp 662–6Form 16 Version 2—Statement of claim

pubd gaz 23 June 2000 p 638Form 17 Version 2—Defence

pubd gaz 23 June 2000 p 638Form 18 Version 2—Counterclaim

pubd gaz 23 June 2000 p 638Form 19 Version 2—List of documents

pubd gaz 30 July 2004 p 1006Form 20 Version 1—Certificate of solicitor under Rule 244

pubd gaz 11 June 1999 pp 662–6

Forms notified or published in the gazette—Issue 29 (2006) 1127

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

1128 Forms notified or published in the Government gazette—Issue 29 (2006)

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

Forms notified or published in the gazette—Issue 29 (2006) 1129

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

1130 Forms notified or published in the Government gazette—Issue 29 (2006)

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 1—Notice of intention to apply for grantpubd gaz 11 June 1999 pp 662–6

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 662–6

Forms notified or published in the gazette—Issue 29 (2006) 1131

SUPREME COURT OF QUEENSLAND ACT 1991

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 118 Version 1—Notice in support of caveatpubd gaz 11 June 1999 pp 662–6

Form 119 Version 2—Notice of withdrawal of caveatpubd gaz 23 June 2000 p 638

Form 120 Version 1—Affidavit of scriptspubd gaz 11 June 1999 pp 662–6

Form 121 Version 1—Grant in probate and administration jurisdictionpubd gaz 11 June 1999 pp 662–6

Form 122 Version 1—Exemplification of probate or letters of administration with the willpubd gaz 11 June 1999 pp 662–6

Form 123 Version 1—Exemplification of letters of administration on intestacypubd gaz 11 June 1999 pp 662–6

Form 124 Version 1—Request for issue of citationpubd gaz 11 June 1999 pp 662–6

Form 125 Version 1—Citation to take probatepubd gaz 11 June 1999 pp 662–6

Form 126 Version 1—Citation to apply for administrationpubd gaz 11 June 1999 pp 662–6

The following forms are used under the provisions of the Uniform Civil Procedure Rules,Schedule 1A—Proceedings under Corporations Law

Form 1 Version 1—Document titlepubd gaz 8 September 2000 p 128

Form 2 Version 2—Originating applicationpubd gaz 30 July 2004 p 1006

Form 3 Version 2—Interlocutory applicationpubd gaz 30 July 2004 p 1006

Form 4 Version 1—Notice of appearancepubd gaz 8 September 2000 p 128

Form 5 Version 1—Notice of intervention by the Commissionpubd gaz 8 September 2000 p 128

Form 6 Version 1—Notice of hearing to approve compromise or arrangementpubd gaz 8 September 2000 p 128

Form 7 Version 1—Affidavit accompanying statutory demandpubd gaz 8 September 2000 p 128

Form 7A Version 1—Affidavit in support of application for winding up in insolvencypubd gaz 30 July 2004 p 1006

Form 8 Version 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

1132 Forms notified or published in the Government gazette—Issue 29 (2006)

SURVEY AND MAPPING INFRASTRUCTURE ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1133

TAXATION ADMINISTRATION ACT 2001

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 30 July 2004 p 951

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

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

pubd gaz 16 December 1994 p 1785

1134 Forms notified or published in the Government gazette—Issue 29 (2006)

TOBACCO PRODUCTS (LICENSING) ACT 1988

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 2004—Application for Registration as an Inbound Tour Operatorpubd gaz 9 July 2004 p 781

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 132–3

Forms notified or published in the gazette—Issue 29 (2006) 1135

TRADE MEASUREMENT ACT 1990

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 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 F2877—Seized Documents/Items Receiptpubd gaz 14 September 2001 pp 132–3

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

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

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 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

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

1136 Forms notified or published in the Government gazette—Issue 29 (2006)

TRANSPORT INFRASTRUCTURE ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

pubd gaz 30 June 2006 p 1057

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

Forms notified or published in the gazette—Issue 29 (2006) 1137

TRANSPORT OPERATIONS (MARINE SAFETY) ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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 F3784 August 2004—Commercial Ship Load Line Application

pubd gaz 3 September 2004 pp 95–6Form F3786 August 2004—Positive Flotation Statement

pubd gaz 3 September 2004 pp 95–6Form F4063 June 2003—BoatSafe Statement of Competency (Issued by training provider

pubd gaz 3 September 2004 pp 95–6Form F4064 June 2004—BoatSafe Training Organisation Application

pubd gaz 3 September 2004 pp 95–6Form F4076 July 2003—BoatSafe Training Provider Nomination

pubd gaz 3 September 2004 pp 95–6Form F4110 June 2003—BoatSafe Statement of Competency (Issued by assessor)

pubd gaz 3 September 2004 pp 95–6

1138 Forms notified or published in the Government gazette—Issue 29 (2006)

TRANSPORT OPERATIONS (PASSENGER TRANSPORT) ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

pubd gaz 30 June 2006 p 1057

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

pubd gaz 20 January 2006 p 208

TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT 1995

Form F1 Version 4 July 2001—Guidelines for Multi-combination Vehiclespubd gaz 22 June 2001 p 699

Form 3 Version 3—Guideline for Livestock Loading in Queenslandpubd gaz 7 April 2006 p 1370

Form F4 Version 2.2—Guideline for Excess Dimension Vehicles Carrying Indivisible Articles,Special Purpose Vehicles in Queensland

pub gaz 12 December 2003 p 1199

Forms notified or published in the gazette—Issue 29 (2006) 1139

TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT 1995

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 5—Guideline for 14.6m long and 4.6m high semitrailers in Queenslandpubd gaz 7 April 2006 p 1370

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 F6 Version 1—Performance Guideline for Excess Dimension Special Purpose Vehicles and

Vehicles Carrying Indivisible Articles Requiring Pilots/Escortspubd gaz 14 September 2001 pp 132–3

Form F7 Version 2—Performance Guideline for Pilot and Escort Vehicles and Driverspubd gaz 14 September 2001 pp 132–3

Form F8 Version 2—Performance Guidelines for “The Use of a Wheelchair Carrier”pubd gaz 12 November 1999 p 1001

Form F9 Version 1—Performance Guidelines for Queensland Street Rodspubd gaz 14 September 2001 pp 132–3

Form F10 Version 2—Performance Guideline for Higher Mass Limits for Vehicles with RoadFriendly Suspensions

pubd gaz 3 January 2003 p 19Form F12 Version 1—Performance Guidelines for “School Bus Lights and Signs utilised by school

buses required to cross the Queensland/New South Wales border”pubd gaz 30 June 2000 p 718

Form F13 August 1998—National Driver Log Bookpubd gaz 31 July 1998 p 1581

Form F14 Version 1.3—Guideline for Excess Dimension Agricultural Vehicles and CombinationsVehicles and Drivers

pubd gaz 17 April 2003 p 1381Form F17 Version 1—Guideline for Conditionally Registered Vehicles

pubd gaz 4 April 2003 p 1185Form F18 Version 1—Traffic Controller Accreditation Scheme Approved Procedure

pub gaz 12 September 2003 p 124Form F1267 Version May 2003—Dealer/Trailer Trade Plate Application

pubd gaz 9 May 2003 p 114Form F1310 Version March 2003—Transfer of Registration—Vehicle Acquisition by a Licensed

Dealerpubd gaz 9 May 2003 p 114

Form F1501 Version February 2003—Prosecution Unit Infringement Notice—First and Final Noticepub gaz 29 August 2003 pp 1433–4

Form F1501ES Version November 2000—Infringement notice (offence management unit)—firstand final notice

pubd gaz 24 November 2000 p 1181Form 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 F2121 Version January 2003—Driver Record Information Request

pub gaz 29 August 2003 pp 1433–4Form F2161—Specialist Driver’s/Assistant’s Application

pubd gaz 14 September 2001 pp 132–3

1140 Forms notified or published in the Government gazette—Issue 29 (2006)

TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT 1995

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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 February 2000—Application for exemption from holding a learner licence forsix months

pubd gaz 24 November 2000 pp 1179–80Form F2869 Version August 2002—Defective Vehicle Notice

pubd gaz 21 February 2003 p 618Form F2877—Seized Documents/Items Receipt

pubd gaz 14 September 2001 pp 132–3Form F2963 Version July 2004—Personalised Number Plate/s Transfer Application

pubd gaz 4 February 2005 p 355Form F2964 Version July 2004—Remove and/or Attach Personalised Number Plates Application

pubd gaz 4 February 2005 p 355Form F2981 Version July 2002—Application for a Reconsideration of a Decision of the Chief

Executivepub gaz 29 August 2003 pp 1433–4

Form F3000 Version July 2005—Driver Licence Application/Renewal (Learner, P Type and Openlicence)

pub gaz 9 September 2005 p 141Form F3006 Version July 2002—Replacement Licence Application

pub gaz 29 August 2003 pp 1433–4Form F3113/PT56 Version August 2000—Infringement Notice—First and Final Notice

pubd gaz 24 November 2000 p 1181Form F3135 Version January 1996—Cancellation of Vehicle Registration Application—Electronic

pubd gaz 22 March 1996 p 1334Form F3136 Version January 1996—Replacement Standard Plates Application—Electronic

pubd gaz 22 March 1996 p 1334Form F3138 Version January 1996—Vehicle Registration Transfer Application—Electronic

pubd gaz 22 March 1996 p 1334Form F3139 Version January 1996—Vehicle Registration Application—(Less than 4 tonne

GVM)—Electronicpubd gaz 22 March 1996 p 1334

Form F3162 July 1997—Prohibition Noticepubd gaz 1 August 1997 p 1551

Forms notified or published in the gazette—Issue 29 (2006) 1141

TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT 1995

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form F3178 Version January 1996—Remove Personalised/Customised Number PlatesApplication—Electronic

pubd gaz 22 March 1996 p 1334Form F3179 Version January 1996—transfer of Registration—Vehicle Acquisition by a Licensed

Dealer—Electronicpubd gaz 22 March 1996 p 1334

Form F3181 Version May 2005—Application for an Order directing the issue of a RestrictedLicence

pub gaz 9 September 2005 p 141Form F3182 Version August 2002—Application for an Order Varying Restrictions on a Restricted

Licencepub gaz 29 August 2003 pp 1433–4

Form F3196 Version January 1996—Motorcycle registration Application—Electronicpubd gaz 22 March 1996 p 1334

Form F3197 Version January 1996—Attach Personalised/Customised Number PlatesApplication—Electronic

pubd gaz 22 March 1996 p 1334Form F3272 Version October 2002—Multi-Combination Driving Experience Declaration

pubd gaz 3 October 2003 p 379Form F32869 Version December 2004—Defective Vehicle Notice

pubd gaz 11 February 2005 p 512Form F3331 Version June 1996—Seniors Card Concessional Registration Application—for Motor

Vehicles (electronic)pubd gaz 20 September 1996 p 253

Form F3332 Version June 1996—Federal Interstate Vehicle Registration Scheme—(electronic)pubd gaz 20 September 1996 p 253

Form F3333 Version June 1996—Vehicle Registration Application—(more than 4 tonne GVM)Electronic

pubd gaz 20 September 1996 p 253Form F3516 November 2001—Vehicle/Recreational Ship Registration Certificate and/or Label

Replacement Applicationpubd gaz 14 December 2001 p 1350

Form F3517 Version September 2002—Vehicle/Recreational Ship Cancellation of RegistrationApplication

pubd gaz 16 May 2003 p 209Form F3518 Version November 2004—Vehicle Registration Application

pubd gaz 4 February 2005 p 355Form F3520 Version March 2003—Vehicle Registration Transfer Application

pubd gaz 9 May 2003 p 114Form F3522 Version April 2003—Release of Information Request for Vehicle/Recreational Ship

Registration Recordspubd gaz 16 May 2003 p 209

Form F3523 Version July 2002—Unregistered Vehicle Permit Applicationpubd gaz 16 May 2003 p 209

Form F3534 Version March 2003—Coloured Personalised Number Plate/s Applicationpubd gaz 16 May 2003 p 209

Form F3535 Version June 2004—Prestige Number Plate/s Applicationpubd gaz 4 February 2005 p 355

Form F3536 Version July 2004—Customised Number Plate/s Applicationpubd gaz 4 February 2005 p 355

Form F3537 Version June 2004—Business/Club Number Plate/s Applicationpubd gaz 4 February 2005 p 355

1142 Forms notified or published in the Government gazette—Issue 29 (2006)

TRANSPORT OPERATIONS (ROAD USE MANAGEMENT) ACT 1995

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form F3538 Version July 2004—Traditional Number Plate/s Applicationpubd gaz 4 February 2005 p 355

Form F3542 Version July 2004—Personalised Plate/s Replacement Applicationpubd gaz 4 February 2005 p 355

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 April 2003—Conditional Vehicle Registration Applicationpubd gaz 9 May 2003 p 114

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 April 2003—Concessional Registration Application

pubd gaz 9 May 2003 p 114Form 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

pubd gaz 1 November 2002 p 755Form F3998 Version July 2001—Competency Standards for a learner undertaking Q-RIDE training

pubd gaz 13 July 2001 p 1032Form F3999 Version October 2005—Q-RIDE Certificate—Competency Declaration for Q-RIDE

Trainingpubd gaz 9 December 2005 p 1343

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 September 2002—Written-off Vehicle Inspection Checklist

pubd gaz 20 September 2002 p 243Form F4058 Version April 2003—Written-off Vehicle Notifier Registration/Amendment

Applicationpubd gaz 9 May 2003 p 114

Forms notified or published in the gazette—Issue 29 (2006) 1143

TRAVEL AGENTS ACT 1988

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form F4069 Version March 2003—Written-off Vehicle Notification (Motor Vehicle andMotorbike—individual)

pubd gaz 9 May 2003 p 114Form 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 F4101 Version April 2003—Conditional Vehicle Registration Transfer Applicationpubd gaz 9 May 2003 p 114

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 PT56D Version 10 September 2002—Infringement Notice (Photographic Detection DeviceOffence)

pubd gaz 3 October 2003 p 379Form PT72 Version April 2002—Permit to drive (recently expired driver licence)

pubd gaz 5 April 2002 p 1299Driver 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)

pubd gaz 14 September 2001 pp 132–3Q-RIDE Registered Service Provider Standards—Version 3

pubd gaz 9 December 2005 p 1343Q-RIDE Competency Standards—Version 4

pubd gaz 9 December 2005 p 1343

TRAVEL AGENTS ACT 1988

Form 1 Version 6 2004—Application for a Travel Agent’s Licencepubd gaz 9 July 2004 p 781

Form 7 Version 1 2004—Travel Agent Branch Applicationpubd gaz 9 July 2004 p 781

TRUST ACCOUNTS ACT 1973

Form 1 Version 1—Notification under section 5(1) and 5(1A)pubd gaz 24 May 1996 p 703

1144 Forms notified or published in the Government gazette—Issue 29 (2006)

TRUSTS ACT 1973

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 2 Version 1—Notification under section 5(2)pubd gaz 24 May 1996 p 703

Form 3 Version 1—Notification under section 5(3)pubd gaz 24 May 1996 p 703

TRUSTS ACT 1973

Form 1 Version 1—Trusts Act 1973, section 67pubd gaz 10 May 1996 p 529

VALUATION OF LAND ACT 1944

Form 24 Version 3—Property Transfer Informationpubd gaz 22 August 2003 pp 1327–8

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

pubd gaz 26 September 1997 pp 297–8

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

Forms notified or published in the gazette—Issue 29 (2006) 1145

WATER ACT 2000

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 27 September 1996 p 344

WATER ACT 2000

Form 1 Version 4—Transferpubd gaz 22 August 2003 p 1327

Form 2 Version 3—Mortgagepubd gaz 22 August 2003 p 1327

Form 3 Version 3—Release of Mortgagepubd gaz 22 August 2003 p 1327

Form 4 Version 4—Request to Death Recordpubd gaz 22 August 2003 p 1327

Form 5 Version 4—Transmission Application by Personal Representative (Grant in Queensland)pubd gaz 22 August 2003 p 1327

Form 5A Version 3—Transmission Application by Personal Representative (No Grant inQueensland)

pubd gaz 22 August 2003 p 1327Form 6 Version 4—Transmission Application for Registration as Devisee/Legatee

pubd gaz 22 August 2003 p 1327Form 7 Version 5—Lease/Sublease

pubd gaz 22 August 2003 p 1327Form 8 Version 3—Surrender of Freehold Lease or Sublease

pubd gaz 22 August 2003 p 1327Form 11 Version 3—Caveat

pubd gaz 22 August 2003 p 1327Form 12 Version 3—Request to Register Writ/Warrant of Execution

pubd gaz 22 August 2003 p 1327Form 13 Version 5—Amendment

pubd gaz 22 August 2003 p 1327Form 14 Version 3—General Request

pubd gaz 22 August 2003 p 1327Form 15 Version 3—Request to Amalgamate

pubd gaz 22 August 2003 p 1327Form 18 Version 4—General Consent

pubd gaz 22 August 2003 p 1327Form 20 Version 2—Schedule/Enlarged Panel/Declaration

pubd gaz 22 August 2003 p 1327Form 23 Version 3—Settlement Notice

pubd gaz 22 August 2003 p 1327

1146 Forms notified or published in the Government gazette—Issue 29 (2006)

WEAPONS ACT 1990

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 24 Version 3—Property Transfer Informationpubd gaz 22 August 2003 pp 1327–8

Form 30 Version 2—Mortgage Prioritypubd gaz 22 August 2003 p 1327

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 193

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1147

WEAPONS ACT 1990

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

pubd gaz 30 May 1997 p 479Form 20 Version 2—01/07/03—Range Attendance Register

pubd gaz 15 April 2005 p 1210Form 20A Version 1—01/07/2004—Club -Range Use Register (Category H Only)

pubd gaz 15 April 2005 pp 1210–11Form 20B Version 1—01/07/2004—Club -Range Use Register (Other than Category H)

pubd gaz 15 April 2005 pp 1210–11

1148 Forms notified or published in the Government gazette—Issue 29 (2006)

WINE INDUSTRY ACT 1994

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

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

Forms notified or published in the gazette—Issue 29 (2006) 1149

WORKERS’ COMPENSATION AND REHABILITATION ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

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

WORKERS’ COMPENSATION AND REHABILITATION ACT 2003

Form 22.R Version 2—Self-insurance Declaration of Wages Formpubd gaz 2 July 2004 p 699

Form 70.1 Version 1—Application for a Single Employer Self-Insurance Licencepubd gaz 1 July 2003 pp 764–8

Form 70.2 Version 1—Application for a Group Employer Self-Insurance Licencepubd gaz 1 July 2003 pp 764–8

Form 79.1 Version 1—Application for Renewal of a Single Employer Self-Insurance Licencepubd gaz 1 July 2003 pp 764–8

Form 79.2 Version 1—Application for Renewal of a Group Employer Self-Insurance Licencepubd gaz 1 July 2003 pp 764–8

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.R Version 2—Application for Workplace Rehabilitation Re-Accredtationpubd gaz 24 December 2004 p 1347

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)

pubd gaz 1 July 2003 pp 764–8Form 132.ANZ Version 1—Application for Compensation (ANZ Banking Group Limited)

pubd gaz 1 July 2003 pp 764–8Form 132.ARN Version 1—Application for Workers Compensation (Arnott’s Biscuits Campbell’s

Soups (Queensland))pubd gaz 1 July 2003 pp 764–8

Form 132.BAL Version 1—Application for Compensation Form for Workers (Brambles AustraliaLimited)

pubd gaz 1 July 2003 pp 764–8Form 132.BHP Version 1—Application for Compensation Form (BHP Billiton)

pubd gaz 1 July 2003 pp 64–8Form 132.CBA Version 1—Commonwealth Bank of Australia Group Application for Workers’

Compensationpubd gaz 1 July 2003 pp 764–8

Form 132.CC Version 1—Compensation Application (Brisbane City Council)pubd gaz 1 July 2003 pp 764–8

1150 Forms notified or published in the Government gazette—Issue 29 (2006)

WORKERS’ COMPENSATION AND REHABILITATION ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 132.CMG Version 1—Application for Compensation Form for Workers (Consolidated MeatGroup)

pubd gaz 1 July 2003 pp 764–8Form 132.CML Version 1—Employee’s Application for Compensation (Coles Myer Ltd)

pubd gaz 1 July 2003 pp 764–8Form 132.CSR Version 1—Application for Compensation (CSR Limited)

pubd gaz 1 July 2003 pp 764–8Form 132F.WC 133A Version 1—Employer’s Report—Fatal Injury (WorkCover Queensland)

pubd gaz 30 June 2006 p 1048Form 132F.WC Version 3—Application for Compensation—Fatal Injury (WorkCover Queensland)

pubd gaz 30 June 2006 p 1048Form 132.FNAB Version 1—Application for Compensation Form—Fatal Injury

pubd gaz 26 March 2004 p 1139Form 132.GCCC Version 1—Application for Compensation Form for Workers (Gold Coast City

Council)pubd gaz 1 July 2003 pp 764–8

Form 132.GCL Version 1—Compensation Application Form for Workers (Golden Circle Limited)pubd gaz 1 July 2003 pp 764–8

Form 132.JL Version 1—Application for Compensation Form for Injured Workers (JupitersLimited)pubd gaz 1 July 2003 pp 764–8

Form 132.LGW Version 1—Application for Compensation (Local Government Association ofQueensland)

pubd gaz 1 July 2003 pp 764–8Form 132.MIM Version 1—Application for Compensation Form for Workers (M.I.M. Holdings

Limited)pubd gaz 1 July 2003 pp 764–8

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.UQ Version 1—Application for Workers’ Compensation (University of Queensland)

pubd gaz 1 July 2003 pp 764–8Form 132.WBC Version 1—Application for Compensation (Westpac Banking Corporation)

pubd gaz 1 July 2003 pp 764–8Form 132.WC Version 2—Application for Compensation (WorkCover Queensland)

pubd gaz 2 July 2004 p 699Form 132.WW Version 1—Application for Compensation Form for Workers (Woolworths Limited –

Queensland)pubd gaz 1 July 2003 pp 764–8

Forms notified or published in the gazette—Issue 29 (2006) 1151

WORKERS’ COMPENSATION AND REHABILITATION ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 132F.ACES Version 1— Application for Compensation Form – Fatal Injury (ACES Aged CareEmployers’ Self-insurance Group)

pubd gaz 24 December 2004 p 1347Form 132F.AMH Version 1—Application for Compensation – Fatal Injury (Australia Meat

Holdings Pty Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.ANZ Version 1—Application for Compensation Fatal Injury (ANZ Banking GroupLimited)

pubd gaz 1 July 2003 pp 764–8Form 132F.ARN Version 1—Application for Workers Compensation – Fatal Injury

pubd gaz 1 July 2003 pp 764–8Form 132F.BAL Version 1—Application for Compensation Fatal Injury (Brambles Australia

Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.BHP Version 1—Application for Compensation Form – Fatal Injury (BHP Billiton)pubd gaz 1 July 2003 pp 764–8

Form 132F.CBA Version 1—Commonwealth Bank of Australia Group Application forCompensation – Fatal Injury

pubd gaz 1 July 2003 pp 764–8Form 132F.CC Version 1—Compensation Application – Fatal Injury (Brisbane City Council)

pubd gaz 1 July 2003 pp 764–8Form 132F.CMG Version 1—Application for Compensation Fatal Injury (Consolidated Meat

Group)pubd gaz 1 July 2003 pp 764–8

Form 132F.CML Version 1—Application for Compensation Fatal Injury (Coles Myer Ltd)pubd gaz 1 July 2003 pp 764–8

Form 132F.CSR Version 1—Application for Compensation Fatal Injury (CSR Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.GCCC Version 1—Application for Compensation Fatal Injury (Gold Coast CityCouncil)

pubd gaz 1 July 2003 pp 764–8Form 132F.GCL Version 1—Compensation Application Form – Fatal Injury (Golden Circle

Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.JL Version 1—Application for Compensation – Fatal Injury (Jupiters Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.LGW Version 1—Application for Compensation – Fatal (Local Government 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

Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.OS Version 1—Application for Compensation Fatal Injury (OneSteel Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.QF Version 1—Application for Compensation Fatal Injury (Qantas Airways Limited)pubd gaz 1 July 2003 pp 764–8

Form 132F.QR Version 1—Application for Workers Compensation– Fatal Injury (Queensland Rail)pubd gaz 1 July 2003 pp 764–8

Form 132F.RWC Version 1—Application for Compensation Fatal Injury (Redland Shire Council)pubd gaz 1 July 2003 pp 764–8

1152 Forms notified or published in the Government gazette—Issue 29 (2006)

WORKERS’ COMPENSATION AND REHABILITATION ACT 2003

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 132F.TCC Version 1—Compensation Application Form Fatal Injury (Townsville CityCouncil)

pubd gaz 1 July 2003 pp 764–8Form 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)

pubd gaz 1 July 2003 pp 764–8Form 185.5 Version 2—Notice of Assessment (Work related impairment of <50%; physical and

psychiatric / psychological injury; additional lump sum for gratuitous care)pubd gaz 2 July 2004 p 699

Form 185.6 Version 1—Notice of Assessment (Work related impairment of 50% or more; physicalor psychiatric / psychological injury)

pubd gaz 1 July 2003 pp 764–8Form 185.7 Version 2—Notice of Assessment (Work related impairment of 50% or more; physical

or psychiatric / psychological injury; additional lump sum compensation for gratuitous care)pubd gaz 2 July 2004 p 699

Form 185.8 Version 1—Notice of Assessment (Work related impairment of 50% or more; physicaland psychiatric / psychological injury)

pubd gaz 1 July 2003 pp 764–8Form 185.9 Version 2—Notice of Assessment (Work related impairment of 50% or more; physical

and psychiatric / psychological injury; additional lump sum compensation for gratuitous care)pubd gaz 2 July 2004 p 699

Form 185.10 Version 1—Notice of Assessment (Industrial deafness)pubd gaz 1 July 2003 pp 764–8

Form 185.11 Version 1—Notice of Assessment (No claim for compensation; physical orpsychiatric / psychological injury)

pubd gaz 1 July 2003 pp 764–8

Forms notified or published in the gazette—Issue 29 (2006) 1153

WORKPLACE HEALTH AND SAFETY ACT 1995

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(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 1—Reference to Tribunal

pubd gaz 13 April 2006 p 1460Form 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 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

WORKPLACE HEALTH AND SAFETY ACT 1995

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 3 August 2003—Hazard Report Formpubd gaz 15 August 2003 p 1296

Form 5 Version 9—Workplace Health and Safety Officer Assessment Report/Certificate ofAuthority application

pubd gaz 25 November 2005 p 1127Form 6 Version 18—Prescribed Occupation Application/Assessment Report

pubd gaz 22 April 2005 p 1302Form 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 11 June 2003—Application for Replacement Certificate

pubd gaz 4 July 2003 p 834Form 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 7—Prohibition notice

pubd gaz 10 December 2004 p 1188Form 13 Version 5—Improvement notice

pubd gaz 29 April 2005 p 1388

1154 Forms notified or published in the Government gazette—Issue 29 (2006)

WORKPLACE HEALTH AND SAFETY ACT 1995

The following information about forms is taken from the gazette. Because failure to notify or publisha form in the gazette does not invalidate the form, it may be necessary to check with the relevantgovernment department for the latest information about forms (see SIA s 58(8)).

Form 14 Version 8—Application for registration of registrable plant designpubd gaz 29 October 2004 p 730

Form 15 Version 1—Receipt for Seizurepubd gaz 19 December 1997 pp 1760–1

Form 16 Version 1—Notice of Requirementpubd gaz 19 December 1997 pp 1760–1

Form 17 Version 2 June 2003—Application for Review of Decisionpubd gaz 4 July 2003 p 834

Form 18 Version 1—Certificate of Registration of Plantpubd gaz 19 December 1997 pp 1760–1

Form 19 Version 1—Certificate of Registration of a Workplacepubd gaz 19 December 1997 pp 1760–1

Form 20 Version 5—November 2003—Application for Renewal of Registration of a Workplacepubd gaz 6 November 2003 pp 755

Form 22 Version 1—Certificate of Authoritypubd gaz 19 December 1997 pp 1760–1

Form 23 Version 1—Notification of Lead-Risk Jobpubd gaz 19 December 1997 pp 1760–1

Form 24 Version 4 December 2003—Infringement Noticepubd gaz 19 December 2003 p 1297

Form 25 Version 8—Application for renewal of registration of registrable plantpubd gaz 23 December 2005 p 1569

Form 26 Version 2—Medical declaration for resort divingpubd gaz 25 June 2004 p 569

Form 30 Version 3—Application/assessment report form for a certificate to perform asbestosremoval work/demolition work

pubd gaz 31 March 2006 p 1278Form 32 Version 1 1 January 2001—Business Certificate to Perform Asbestos Removal/Demolition

pubd gaz 16 February 2001 p 682Form 34 Version 2—Notice of appointment of Principal Contractor

pubd gaz 23 December 2005 p 1569Form 36 Version 1—Application for a certificate to work in a prescribed occupation

pubd gaz 23 December 2005 p 1569