Instructions

1. Fill out your personal details

2. Upload your chosen identification

3. Fill out and sign the consent letter

4. Make payment and submit your check

5. Check your email for further instructions. You will receive a Release of Information Application Form that has been pre-filled for your convenience. Please note this may take a moment to prepare, so we appreciate your patience. Once you receive it, simply sign the form. It’s quick and easy!

ENTER YOUR DETAILS

Given Name: *

Surname: *

Other Name/s

Date of birth: *

Business hours phone: *

Mobile phone:

Residential Address:

ACT Licence Number: *

Licence Statement Period: *

Date From: *

Date to: *

Verify Email Address: *

Send code

UPLOAD YOUR IDENTITY DOCUMENTS

To find out what is considered 'Acceptable Proof of Identity' please click the link below

IDENTITY DOCUMENT GUIDE

Upload front of proof of identity Primary Document: *

Browse

Upload back of proof of identity Primary Document: *

Browse

Upload front of proof of identity secondary document: *

Browse

Upload back of proof of identity secondary document: *

Browse

CONSENT LETTER

TO WHOM IT MAY CONCERN

I, the applicant, hereby authorise the ACT Government to provide details of all traffic and licence history records recorded against me to:

My Representative Name: ANITA NOLAN

Organisation: ELITE SCREENING AUSTRALIA PTY LTD

Postal Address: P.O Box 636, Toowoomba City, QLD 4350

Individual’s Declaration and Warranty

I declare and warrant that:

I am the person referred to in this Authority to Release Information Consent Letter.
All the personal details are my personal details and are true and correct.
I agree for Elite Screening Australia to collect my personal information in accordance with their privacy policy.
I acknowledge and agree to the Elite Screening Australia terms of use.
I authorise Elite Screening Australia to submit my search of record application form to the ACT Government on my behalf

Full Name: *

Signature: *

Clear

Date: *

ORDER DETAILS - Click on 'PAY NOW' button, make payment

Driver Licence & Traffic History Check - ACT	$45.00
Credit Card Processing Fee	$0.00
Total Price	$45.00

Pay Now *

Pay

Need help filling out this form?

Please contact our customer service team at the details below:

Web: Contact | Elite Screening Australia

Email: admin@elitescreeningaustralia.com.au

Ph: 1300 959 214

ABN: 73 647 362 203