Working with Children Check
Summary – Interstate application requirements
Next steps
1. Print the application 4. Have your documents certified
summary Ask a certifying officer, such as a Justice of
Applicants for an Employee Check the Peace, to:
must also print the payment form. • certify the copies of your documents and one
of the passport size photos.
2. Prepare your proof of
identity documents • complete their declaration on the application
summary.
• You must provide three identity
documents that together identify you
by your full name, date of birth and 5. Ready to lodge your application?
photo. You can use any one of the You need to mail the following to the
following combinations: department:
1. One primary document and two
secondary documents Your completed application
summary
2. Two primary documents and one
secondary document, or Copies of your identity documents
3. Three primary documents. certified as true copies of the
originals
• One acceptable combination is an
Two passport-size photos, one
Australian driver’s licence, a Medicare
certified on the back
card, and a credit or account card.
You could also use an Australian A completed payment form, if you
birth certificate, a tertiary student ID are applying for an Employee
card, and a proof of age card. You Check
cannot use two of the same type of
identity documents to make up the
three documents (for example, two 6. Mail your application to:
different credit cards). Working with Children Check Victoria
Department of Justice and Community Safety
• Photocopy your documents, and take GPO Box 1915
them, along with the originals, to a Melbourne VIC 3001
certifying officer.
We will email you an acknowledgement once
3. Supply photos we receive your application.
• You must provide two passport-size For further information, refer to the Interstate
photos that meet the requirements applicant information guide
listed on the website. For further If you require assistance, please call
details, refer to the Interstate applicant 1300 652 879 during business hours.
information guide. One photo must be
certified on the back by the certifying
officer stating the photo is a true
likeness of you.
Application number: 1862796A
Working with Children Check Victoria
Working with Children Check - Volunteer Application summary
Important instructions: DO NOT make changes to this document, as it will not be accepted if it has been
amended.
We MUST receive this document before 24/12/2019 .
Name : Cassandra Jayne MARTIN
Date of Birth: 02/06/2005
Current residential address: 10 Helena Street
Wellington Point QLD 4160
Current postal address: 10 Helena Street
Wellington Point QLD 4160
Previous names:
Contact phone numbers: Mobile: 0448420757
Applicant’s photo and certifying officer's declaration
I confirm and declare that I have: Secure photo face up
• certified the photo as a true likeness of the
applicant.
DO NOT FOLD
• certified the copies of the applicant's proof
THROUGH PHOTO
of identity documentation, confirmed they are
current, and that they match the name and
date of birth on the application.
Certifying officer's name
Certifying officer's signature
Date certified
D D M M Y Y Y Y
