Apply to become a JP or Cdec

1. Which appointment are you applying for? *

   • Justice of the Peace (Qualified)
   • Commissioner for Declarations
2. Which state electorate do you live in? * If you're unsure, check this interactive map. Please enter your full address to make sure the result is accurate. —please select— Algester Aspley Bancroft Barron River Bonney Broadwater Buderim Bulimba Bundaberg Bundamba Burdekin Burleigh Burnett Cairns Callide Caloundra Capalaba Chatsworth Clayfield Condamine Cook Coomera Cooper Currumbin Everton Ferny Grove Gaven Gladstone Glass House Greenslopes Gregory Gympie Hervey Bay Hill Hinchinbrook Inala Ipswich Ipswich West Jordan Kawana Keppel Kurwongbah Lockyer Logan Lytton Macalister Mackay Maiwar Mansfield Maroochydore Maryborough McConnel Mermaid Beach Miller Mirani Moggill Morayfield Mount Ommaney Mudgeeraba Mulgrave Mundingburra Murrumba Nanango Nicklin Ninderry Noosa Nudgee Oodgeroo Pine Rivers Pumicestone Redcliffe Redlands Rockhampton Sandgate Scenic Rim South Brisbane Southern Downs Southport Springwood Stafford Stretton Surfers Paradise Theodore Thuringowa Toohey Toowoomba North Toowoomba South Townsville Traeger Warrego Waterford Whitsunday Woodridge
3. Are you applying for a fee waiver? * View the eligibility guidelines in the fee waiver form.

   • Yes
   • No
4. 1. * Please upload a copy of your completed application for a fee waiver form, as well as the required supporting documents as outlined on the form. Download a copy of the application for a fee waiver form. Attachments must be less than 15MB in total. Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx
   2. Supporting documents Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx

   Your file has been attached. We will receive it when you submit this form.

1. * Please attach a copy of your statement of attainment. View an example statement of attainment. Attachments must be less than 15MB in total. Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx

Your file has been attached. We will receive it when you submit this form.

1. Were you born in Australia? *

   • Yes
   • No
2. 1. * Please upload a copy of your Australian citizenship certificate. You can get a copy of your certificate from the Department of Immigration and Border Protection. Attachments must be less than 15MB in total. Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx

   Your file has been attached. We will receive it when you submit this form.

3. What is your place of birth?

   1. Town
   2. State
   3. Country *
4. Date of birth * Example: 12/07/1989
   Please enter a valid date (you must be over 18 years old).
5. What is your driver licence number?
6. Have you applied for appointment as a JP or a Cdec in Queensland before? *

   • Yes
   • No
7. Are you fluent in another language? *

   • Yes
   • No
8. Please specify which language(s) *

1. Are you currently employed? *

   • Yes
   • No
2. 1. What is the name of your employer? *
   2. What is the address of your employer?

      1. Address line 1 *
      2. Address line 2
      3. 1. Town, city or suburb *
         2. State *
         3. Postcode *

1. * Please attach your 2 signed referee reports on the approved form. Download a copy of the approved referee report form. Attachments must be less than 15MB in total. Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx
2. Referee report #2

Your file has been attached. We will receive it when you submit this form.

1. Title * Mr Mrs Ms Miss Dr
2. Name

   You must give us your full legal name which matches your identity documents (e.g. your drivers licence).

   1. Given name(s) *
   2. Family name *
3. Are you known by any other names? *

   • Yes
   • No
4. 1. Please list any other names you are known by *
5. Residential address

   1. Address line 1 *
   2. Address line 2
   3. 1. Town, city or suburb *
      2. State *
      3. Postcode *
6. Is your postal address the same as your residential address? *

   • Yes
   • No
7. 1. Postal address

      1. Address line 1 *
      2. Address line 2
      3. 1. Town, city or suburb *
         2. State *
         3. Postcode *
8. What is your preferred contact number? *

   • Home phone
   • Mobile phone
   • Work phone
9. Home phone *
10. Mobile phone *
11. Work phone *
12. Email * Example: jane.smart@example.com
13. Are you happy for your contact details to be displayed on the Justices of the Peace Branch website? *

    • Yes
    • No
14. 1. Please provide a reason for your answer *

Please confirm that:

1. Acknowledgement

   * you agree to the Justices of the Peace Branch conducting criminal history and insolvency checks in relation to your application
2. Acknowledgement

   * all details are true and correct
3. Acknowledgement

   * you have read and agree to the privacy statement. View the privacy statement.
4. Acknowledgement

   * you agree to notify the Justices of the Peace Branch within 30 days of any changes to your contact details, including your name, address, phone number or email address
5. Acknowledgement

   * you permit the Justices of the Peace Branch to make confidential inquiries about your character and suitability for appointment through you nominated referees, any relevant agency and its employees.