Queensland New Customer Application Form
This form is used for individuals applying for a Queensland Customer Reference Number or require a CRN for an agency card issuance. Original Evidence of Identity must be provided at the time of lodgement. Previous holders of certain Queensland licenses or cards may not need to complete this form.
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How do I fill this out?
To fill out this form, you will need to provide your personal details, three Evidence of Identity documents, and possibly documents showing a change of name. Additionally, if applying for an agency card, you need to specify which type of card. Lastly, confirm and sign the declaration before submitting the form.
How to fill out the Queensland New Customer Application Form?
1
Provide your personal details, including your name, birth date, and address.
2
Provide details of three Evidence of Identity documents.
3
If your name is different from EOI documents, provide a change of name document.
4
Specify which agency card you are applying for, if applicable.
5
Sign and date the applicant's declaration.
Who needs the Queensland New Customer Application Form?
1
Individuals applying for a Queensland CRN for the first time need this form.
2
Individuals requiring a CRN for an agency card, such as a Blue Card, need this form.
3
Individuals with a name different from their EOI documents need this form.
4
Individuals previously without a TMR customer record need this form.
5
Individuals needing to update their information with TMR need this form.
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What are the instructions for submitting this form?
Mail the completed form to the Department of Transport and Main Roads, GPO Box 1412, Brisbane, QLD 4001. Alternatively, the form can be submitted at any transport and motoring customer service centre. Ensure all required documents are included to avoid delays. For additional submission methods or inquiries, contact TMR at (07) 3405 0985 or visit the TMR website.
What are the important dates for this form in 2024 and 2025?
The form is valid for lodgement until January 2024.
What is the purpose of this form?
The purpose of this form is to facilitate the application for a Queensland Customer Reference Number (CRN) by individuals. This number is necessary for various transactions and obtaining certain licenses and identification cards. The form also serves as a means to update personal information with the Department of Transport and Main Roads (TMR).
Tell me about this form and its components and fields line-by-line.
- 1. Applicant's details: Includes fields for family name, given names, date of birth, place of birth, residential and postal addresses, and contact information.
- 2. Evidence of Identity documents: Requires details of three EOI documents: one from Category A, one from Category B, and an additional document from either category.
- 3. Evidence of Qld residential address: Requests a document showing the applicant's Queensland residential address, such as a utility bill.
- 4. Change of name document: If applicable, includes fields for the type, number, and registration year of the change of name document.
- 5. Agency Card application: Asks whether the application is for an agency card and which type of card is being applied for (e.g., Blue Card, Disability Worker Screening Clearance Card).
- 6. Applicant's declaration: The applicant's signature and declaration that the information provided is true and correct.
What happens if I fail to submit this form?
Failure to submit this form can result in delays in obtaining a CRN or necessary licenses. It may also impact your ability to update personal information with TMR.
- Delays in obtaining CRN: You may face delays in situations where a CRN is required for further applications or transactions.
- Inability to apply for licenses: Your ability to apply for certain licenses or identification cards may be affected.
- Update of information: Failure to submit the form could hinder updates to your personal information with TMR.
How do I know when to use this form?
- 1. New Customer Reference Number: Use this form to apply for a new CRN if you do not already have one.
- 2. Update Information: Use this form to update your personal information with the TMR.
- 3. Apply for Agency Card: Use this form when applying for certain agency cards requiring an associated CRN.
Frequently Asked Questions
How do I create a new customer application?
To create a new customer application, fill out the personal details, provide Evidence of Identity documents, and complete the applicant's declaration.
What documents do I need for Evidence of Identity?
You will need to provide three documents, one from Category A, one from Category B, and an additional document from either category.
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Simply upload the document and use the signature tool to add your digital signature.
Can I share my edited document on PrintFriendly?
Yes, you can share your edited document via email or by generating a shareable link.
What should I do if my name is different on my EOI documents?
Provide a change of name document as part of your application.
Do I need to complete this form if I already have a CRN?
No, if you previously held a specific Queensland license or card, you do not need to complete this form.
How can I submit this form once completed?
Follow the submission instructions provided, which may include mailing, faxing, or online submission.
What if I need to apply for an agency card?
Specify the type of agency card you are applying for in the relevant section of the form.
Is there a penalty for providing false information?
Yes, it is an offence to provide false information, and penalties apply under the relevant transport Acts and the Photo Identification Card Act.
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