NSW Photo Card Application
IMPORTANT CUSTOMER INFORMATION
To get a NSW Photo Card you must provide Proof of Identity (POI) documents. A list of acceptable documents is also available online
at roads-maritime.transport.nsw.gov.au or in the brochure 'How to prove who you are' available at service centres.
If your POI documents have no signature or you cannot leave you mark/signature on this form, the 'Witness' section at item 3 must be
completed.
Catalogue No. 45071151 Form No. 1359 (09/2020) Page 1 of 2
Eligible NSW driver licence holders may apply for a NSW Photo Card. If you apply for a NSW Photo Card in the same transaction when
you are renewing your licence, the NSW Photo Card will be issued at a lower fee. At any other time, the fee will be slightly higher. These
reduced fees only apply to NSW driver licence holders. For further information, visit roads-maritime.transport.nsw.gov.au.
You must be at least 16 years old and live in NSW. Eligible customers aged 21 and over may be issued with a 10 year NSW Photo Card.
OFFICE USE
Customer number
ATTACHMENTS
A
Application Type:
a 5 yr or a 10 yr
New application
Replacement
Stolen Lost Poor card qualityReason: Not receivedDamaged/Destroyed
Personal details have changed
Change of appearance
APPLICANT DETAILS - PLEASE USE BLOCK LETTERS
Family name
Given name(s)
Residential address
Postcode
Mailing address (if different from residential address)
Postcode
NSW Licence/Customer number (if applicable) Can you produce your NSW driver licence or NSW Photo card?
Yes
No
You must provide your proof of identity documents
Date of birth
Day Month
/
Year
/
Gender: male female
Mobile Email
Do you hold or have you ever held a licence to drive or ride in NSW or a NSW PC in the name shown above or another name?
No
Go to 2
Yes
Give details below - (Details are not required if it is the same licence/customer number as above)
NSW Licence/Customer/PC number
Expiry Date
Day Month
/
Year
/
Other name (if applicable)
Do you have a current:
• NSW Seniors Card
• Centrelink Confirmation of Concession Card
Entitlement form stamped PCC
• DVA letter or statement certifying a disability pension of
70 percent
• Centrelink letter confirming Carer Allowance
• NSW Pensioner Concession Card (PCC)
• Department of Veteran's Affairs (DVA) Gold Card endorsed
'TPI' or 'EDA' or 'War Widow' or 'War Widower'
• A current intermediate pension or an assessment at 50 or
more impairment points
No
Go to 3
Yes
Read and complete details below
Transport for NSW requests your consent to assess your eligibility for a concession. This consent will be used for the sole purpose
of authorising the Services Australia - Centrelink or the Department of Communities and Justice to provide information to us to
assess your eligibility in relation to concessions or services provided by us.
I, (customer name)
authorise Services Australia - Centrelink or the Department
of Communities and Justice to confirm with Transport for NSW the current status of my Commonwealth Benefit or NSW Seniors
Card and other details as they pertain to my concessional entitlement. This involves electronically matching details I have provided
to Transport for NSW with Services Australia - Centrelink, or Department of Veterans' Affairs (DVA) records to confirm whether or
not I am currently receiving a Services Australia - Centrelink or DVA benefit.
I understand that this consent, once signed, is effective only for the period I am a customer of Transport for NSW. I also understand
that this consent, which is ongoing, can be revoked any time by giving notice to Transport for NSW.
I understand that if I withdraw my consent, I may not be eligible for the concessions provided by Transport for NSW.
A brochure is available from Services Australia - Centrelink that provides more details about the Centrelink Confirmation eServices
or on the department's website at servicesaustralia.gov.au.
Signature
Day Month
/
Year
Date
/
1.
2.
UNCLASSIFIED
SENSITIVE: PERSONAL