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Queensland Entry Pass

Questions marked with * must be completed

1. Are you a Queensland resident? *

   1. Yes
   2. No
2. Your details (If you chose 'No' above)

   1. 1. Firstname *
      2. Lastname *
   2. Address line 1 *
   3. Address line 2
   4. Address line 3
   5. Town, city or suburb *
   6. 1. State *
      2. Postcode *
   7. Email address *
   8. Reference ID
   9. Are you applying for a single or partner/dependant pass? *

      1. Single
      2. Partner and/or dependant
   10. Partner and/or dependant names (If you chose 'Partner and/or dependant' above)

       1. 1. Firstname *
          2. Lastname *

       Add new member Remove last member
   11. Category of essential travel Please select one or more exemptions below

       1. Security and Government Employees (national or state)
       2. Health Services
       3. Emergency Services
       4. Transport, freight and logistics
       5. Specialist critical to maintaining key government services and FIFO
       6. People living and working close to the border
       7. Compassionate grounds or compulsion of law

       For updated categories of exemption please visit Queensland Health.

   12. Declaration
       • * The information I have provided in this form is true and correct. I acknowledge that providing false information is an offence under the Public Health Act 2005 which may render me be liable to a fine of up to 100 penalty units..
       • * I have confirmed my eligibility for the exemption I am applying for.
3. Vehicle registration details (If you chose 'Yes' above)

   Queensland residents are not required to apply for an Entry Pass

   However, if you are required to travel frequently interstate by road, you can apply for a vehicle pass to display in your vehicle which may assist you when re-entering Queensland.

   Read more on self-quarantine information from Queensland Health.

   1. Vehicle registration number *
   2. Email address *
   3. Declaration
      • * The information I have provided in this form is true and correct. I acknowledge that providing false information is an offence under the Public Health Act 2005 which may render me be liable to a fine of up to 100 penalty units..
      • * I confirm I am a Queensland Resident.

4. The collection of this information is authorised by the Public Health Act 2005 (Qld). The information will be used for the administration and enforcement of the Public Health Act 2005. The Queensland Police Service and or Queensland Health may disclose some or all of this information to other State and Federal Government agencies as authorised or required by legislation or in accordance with the Information Privacy Act 2009 (Qld).

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