Instructions

1. Select your check type from the options available.

2. Fill out and sign the consent letter section

3. Make payment and submit your check

4. 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!

SELECT CHECK TYPE

Please select your check type: *

FULL HISTORY5 YEAR HISTORYDEMERIT POINTS

Consent Letter

TO WHOM IT MAY CONCERN

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

My Representative Name: ANITA NOLAN

Organisation: ELITE SCREENING AUSTRALIA

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 release of information application form to the VICRoads on my behalf

Driver Licence Number *

First Given Name: *

Second Given Name:

Surname:

Third Initial (if any)

Residential Address *

Street address *

City *

State *

Postcode *

Mobile phone no. (or other if not applicable) *

Date of Birth: *

Verify Email Address: *

Send code

Signature *

Clear

Date: *

ORDER DETAILS

Drivers Licence & Traffic History Check VIC - Full History	$45.00
Credit Card Processing Fee	$1.07
Total Price	$46.07

Please enter your Credit Card details: *

Pay

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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