Fill in a withdraw from registering a civil partnership application form

Use this application form to withdraw your submitted application to register a civil partnership without a declaration ceremony. Our office must receive this application form within the 10-day cooling-off period.

1. Can you withdraw your application to register a civil partnership?

   1. Did you submit your application to register your civil partnership in Queensland in the last 10 days? *

      • Yes
      • No
   2. Was your name listed as one of the partners on the civil partnership application form? * (If you chose 'Yes' above)

      • Yes
      • No
   3. Do you have all the proof you need for identification? * View the proof you will need to provide. (If you chose 'Yes' above)

      • Yes
      • No
   4. By using this online service and by providing an email address and mobile number, I/we consent to the use of that email address and mobile number for the Registry of Births, Deaths and Marriages (RBDM) to provide me/us with electronic information and for contact using SMS and email that relates to this application. I/we understand that it is my/our responsibility to ensure that I/we have nominated a secure email addresses for RBDM to send correspondence to. I/we acknowledge that it is my/our responsibility to ensure the security of that information when received.
2. Fill in your application form Fill in the application form before downloading and printing it.

   1. Partner 1 details

      1. Place of birth

         1. Town or city *
         2. State or territory *
      2. Country Only include country if not Australia.
      3. Date of birth * dd/mm/yyyy
      4. Sex *

         • Female
         • Male
      5. Name

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

      6. The home address details should match the house or street address on the proof of ID that you send to us with your application form.

      7. Home address

         1. Current street address*
         2. 1. Town, city or suburb*
            2. State or territory*
            3. Postcode*
      8. Is your postal address the same as your home address? *

         • Yes
         • No
      9. (If you chose 'No' above)

         1. Partner 1 postal address

            1. Current postal address *
            2. 1. Town, city or suburb *
               2. State or territory *
               3. Postcode *
      10. Mobile number If you don't have a mobile, provide a daytime phone number. *
      11. Email address*
      12. Partner 1 parents' details

      13. Remember, this information must match what you put on your application to register your civil partnership.

      14. Mother's name

          1. First name *
          2. Middle name(s)
          3. Family name * If one name, enter n/a.
      15. Father or registered parent's name

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

      1. Place of birth

         1. Town or city *
         2. State or territory *
      2. Country Only include country if not Australia.
      3. Date of birth* dd/mm/yyyy
      4. Sex *

         • Female
         • Male
      5. Name

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

      6. The home address details should match the house or street address on the proof of ID that you send to us with your application form.

      7. Home address

         1. Current street address *
         2. 1. Town, city or suburb *
            2. State or territory *
            3. Postcode *
      8. Is your postal address the same as your home address? *

         • Yes
         • No
      9. (If you chose 'No' above)

         1. Partner 2 postal address

            1. Current postal address *
            2. 1. Town, city or suburb *
               2. State or territory *
               3. Postcode *
      10. Mobile number If you don't have a mobile, provide a daytime phone number. *
      11. Email address*
      12. Partner 2 parents' details

      13. Remember, this information must match what you put on your application to register your civil partnership.

      14. Mother's name

          1. First name *
          2. Middle name(s)
          3. Family name *If one name, enter n/a.
      15. Father or registered parent's name

          1. First name *
          2. Middle name(s)
          3. Family name *If one name, enter n/a.
   3. Before returning the application form: *

      I agree that I will have another adult witness my signature and submit this application form, along with certified proof of identity document, to the Registry of Births, Deaths and Marriages.

   Your form is almost ready to be downloaded and printed

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

You can't use this form

We can only withdraw an application to register your civil partnership that has been lodged in the last 10 days.

You will need to apply to end a civil partnership.

You are not eligible

This application can only be lodged by one or both proposed civil partners who have applied to register their civil partnership. The withdrawal of the application must be received by our office within the 10-day cooling-off period.

You need to prove your identity

We can't withdraw your application to register a civil partnership until you can prove your identity. You can contact us if you need more information about this.

Online: our general enquiry form.

By phone: local call* 13 QGOV (13 74 68)

International +61 7 3022 6100 (+10 hours UTC)

(Phone lines are open Monday–Friday, 8.30am–4.30pm)

*Costs may be higher from mobile phones and interstate.

Privacy notice
The Department of Justice and Attorney-General is collecting your personal information for the purpose of processing your application to withdraw from registering a civil partnership under the Births, Deaths and Marriages Registration Act 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.