Fill in an end a civil partnership application form

1. Can you use this form to end your civil partnership?

   1. Was the civil partnership registered in Queensland? *

      • Yes
      • No
   2. Are you one of the partners in the civil partnership? * (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. Will both partners be signing the application form? * (If you chose 'Yes' above)

      • Yes
      • No
   5. You must also submit You must submit a single applicant statutory declaration when only one partner signs the application to end a civil partnership. *

      
      I will complete and submit the end a civil partnership statutory declaration (single applicant) with my completed end a civil partnership application form.
   6. By using this online service and by providing email addresses and mobile numbers, I/we consent to the use of those email addresses and mobile numbers 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. This application form cannot be used to end a marriage. See the Federal Circuit and Family Court of Australia for information on ending a marriage.
   Civil partnership details
   Did you have a declaration ceremony? *
   • Yes
   • No
   (If you chose 'Yes' above)
   1. Place of declaration ceremony If a ceremony was conducted.
   1. Registration number (if known) From the top, right-hand corner of the certificate, e.g. 2016/0000.
   2. Date of registration/declaration ceremony (if known) dd/mm/yyyy
   2. Partner 1 details

      1. Place of birth

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

         • Female
         • Male
      4. Name

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

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

         • Yes
         • No
      7. (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 *
      8. Mobile number If you do not have a mobile, provide a daytime phone number. *
      9. Email address*
      10. Partner 1 parents' details

          1. Mother's name

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

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

      1. Place of birth

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

         • Female
         • Male
      4. Name

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

         
         

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

         • Yes
         • No
      7. (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 *
      8. Mobile number If you do not have a mobile, provide a daytime phone number. *
      9. Email address*
      10. Partner 2 parents' details

          1. Mother's name

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

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

          I will check the details I have provided.
          I am aware of the refund policy—the fee I pay is to submit my application and for RBDM to review it.

          You're almost done

          You will need to submit your application along with payment, proof of ID and supporting documents (as required). When only one partner signs the application, you must also complete and submit the statutory declaration (single applicant).

          If the original official certificate of registration in Queensland is returned, we will replace it with a new one that shows the end of civil partnership note on the back.

Contact us

We will need to talk to you about where your civil partnership is registered to help you with this process.

Email bdm-mail@justice.qld.gov.au, we reply to online enquiries within 2 business days.

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.

You are not eligible

This application can only be lodged by one or both partners registered in a civil partnership.

You are not eligible

We can't end your civil partnership until you can prove your identity.

Privacy notice
The Department of Justice and Attorney-General is collecting your personal information for the purpose of processing your application to end a civil partnership under the Births, Deaths and Marriages Registration Act 2003 and the Civil Partnerships 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.

Contact us

Email bdm-mail@justice.qld.gov.au, we reply to online enquiries within 2 business days.

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.