Fill in a civil partnership notary application form

1. Can I register as a civil partnership notary?

   1. Do you have your criminal history report from the Queensland Police Service? * Select one option.

      • Yes
      • No
      • I am a registered civil marriage celebrant and/or civil partnership notary

   2. We can't register you as a civil partnership notary

      Contact your nearest police station for your criminal history report.

   3. Do you have all the proof you need for identification? * View the proof you need to provide.

      • Yes
      • No

   4. You need to prove your identity

      We can't process your application to become a civil partnership notary until you can prove your identity.

   5. By using this online service and providing an email address and mobile number, I consent to the use of that email address and mobile number for the Registry of Births, Deaths and Marriages (RBDM) to provide information and for contact using SMS and email that relates to this application. I understand that it is my responsibility to ensure that I have nominated a secure email address for RBDM to send any related correspondence to. I acknowledge that it is my responsibility to ensure the security of that information when received.
2. Fill in your application form Fill in the application before downloading and printing it. Type of application

   1. * I want to apply for Select one option.

      • New registration as a civil partnership notary ($80.00)
      • Renewal of civil partnership notary registration ($48.00)
      • Registration as a civil partnership notary as an authorised marriage celebrant under the Marriage Act 1961 ($80.00)
3. 1. What is your registered civil partnership notary number? *
   2. Are you also a registered civil marriage celebrant? *

      • Yes
      • No
   3. 1. What is your registered civil marriage celebrant number? *
      2. RBDM will confirm your celebrant registration status with the Attorney-General's Department.
   4. 1. Has your criminal history changed in the last 12 months? *

         • Yes
         • No
      2. Have your circumstances changed in the last 12 months to introduce a potential or actual conflict of interest if your registration as a civil partnership notary is renewed? *

         • Yes
         • No
4. 1. What is your registered civil marriage celebrant number? *
   2. RBDM will confirm your celebrant registration status with the Australian Attorney-General's Department.
5. Criminal history

   1. 1. *
         Criminal history conditions

         I understand that I must submit a current nationwide criminal history report from the Queensland Police Service with my application form.
   2. Do you have a recorded conviction in Australia for an offence punishable by imprisonment for 1 year or more? *

      • Yes
      • No
   3. Do you a recorded conviction for an offence against the Civil Partnerships Act 2011? *

      • Yes
      • No
6. Personal references

   1. 1. *
         Personal reference conditions

         I understand that I must submit 2 written references with my application form from adult persons (at least 18 or over) who are not members of my family.
   2. Please indicate if these references will be able to declare details of the following:
   3. How they know you and how long they have known you. *

      • Yes
      • No
   4. Their knowledge of your personal and professional capacity and standards to undertake the responsibility to perform civil partnership declaration ceremonies. *

      • Yes
      • No
   5. Their knowledge of your standing in the community to support your application. * This refers to your position, status and reputation in the community and roles you may have performed (including the length of time that you fulfilled the roles).

      • Yes
      • No
   6. Their contact details so that we can do referee checks, if necessary. *

      • Yes
      • No
   7. Referee 1

      1. First name *
      2. Middle name(s)
      3. Family name * If one name, enter n/a.
   8. Referee 2

      1. First name *
      2. Middle name(s)
      3. Family name * If one name, enter n/a.
7. Your suitability

   1. Tell us about your qualifications. * Including certificates awarded to you that support your ability to undertake the functions and responsibilities of a civil partnership notary.
   2. Please submit certified copies of any supporting qualification documents with your application form.
   3. Tell us about your standing. * Details (if any) of roles, positions or standing in the community which may support your application.
   4. Standing refers to your position, status and reputation in the community and the length of time that you fulfilled a role.
   5. Tell us about your skills and experience. * Detail your ability to liaise with, and communicate the requirements of the Civil Partnerships Act 2011, to couples wishing to enter into a civil partnership and details of any other experience you may have to support your application.
   6. Possible conflict(s) of interest. * Describe any business interests or possible conflicts of interest.
   7. Please provide details of any potential or actual conflicts of interest that may arise if you are registered as a civil partnership notary. This may be related to your current occupation or associations you are affiliated with.
8. Who is applying

   1. 1. *
         Publishing conditions

         I understand that if I am approved as a civil partnership notary, RBDM must publish my details in the register of civil partnership notaries on their website. It will include my name and the date and status of my registration, as well as contact information if I choose to have it published.

   1. Your name

      1. First name *
      2. Middle name(s)
      3. Family name * If one name, enter n/a.
      4. Date of birth * dd/mm/yyyy
      5. Mobile number * If you do not have a mobile, provide a daytime phone number.
      6. If you are approved as a civil partnership notary we may send renewal reminders and alert messages to you by SMS.
      7. Email address *
   2. The home address details should match the house or street address on your proof of ID that you send to us with your completed application form.
   3. Your home address

      1. Address line 1 *
      2. 1. Town, city or suburb *
         2. State *
         3. Postcode *
   4. Is your postal address different to your home address? *

      • Yes
      • No
   5. Your postal address (If you chose 'Yes' above)

      1. Address line 1 *
      2. 1. Town, city or suburb *
         2. State *
         3. Postcode *
   6. * I would like you to publish my contact details.

      • Yes
      • No
   7. If you say 'yes' and are approved as a civil partnership notary, we will publish your postal address, email address and contact number.
9. Before I return the application form *

   1. I agree that I will get my signature witnessed by a Justice of the Peace and return the completed and printed application form with certified proof of ID and supporting documents to the Registry of Births, Deaths and Marriages.

   2. Your application form is almost ready to be downloaded and printed

      Please take the time to look over the details you have provided.

Privacy notice
The Department of Justice and Attorney-General is collecting your personal information for the purpose of processing your application to register as a civil partnership notary under the Births, Deaths and Marriages Registration Act 2003, the Births, Deaths and Marriages Registration Regulations 2003 and Civil Partnership Act 2011. The information on this form may be provided to law enforcement agencies and to government and non-government agencies for verification of the data. Access to this information or a certificate may be granted to any person who has adequate reason to obtain it, or who meets the requirements of the access policy.