Government of Western Australia
Department of Transport
To create a DoTDirect account, the applicant/nominated Primary Delegate must Commonwealth law or in compliance with a Court Order issued within Australia.
provide primary and secondary proof of identity and/or Australian Company
Your personal details may also be disclosed to other driver licensing authorities
Number (ACN), Certicate of Registration of a Company’ issued by the Australian
to assess your application or verify any information you have provided.
Securities and Investments Commission or any other certicate of incorporation.
A DoTDirect organisation account can only be issued to an organisation as
Refer to Proof of identity requirements on www.transport.wa.gov.au/dvs.
dened in s.57A of the Corporations Act 2001 (Cth).
Your personal driver’s licence information, photograph, and vehicle licence
Refer to www.transport.wa.gov.au/dotdirect for registration process.
information may be used, or disclosed to a third party, where authorised
under ‘road law’ (as dened in the Road Trac (Administration) Act 2008),
POSTAL ADDRESS (IF DIFFERENT TO RESIDENTIAL ADDRESS)
DATE OF BIRTH
OFFICE USE ONLY
Verifying applicant was contacted and conrmed completing
Applicant details conrmed
TYPE OF POI
OFFICER OFFICER SIGNATURE
Last updated: 24.05.2019
DoTDirect Organisation Application
*Supporting documents required when gender
X is selected, refer to DoT website
Male Female X*
Do you have an existing DoTDirect account?
If yes, provide user name below
If no, nominate a DoTDirect account ‘user name’ below.
USER NAME (PREFERRED) ALTERNATE USER NAME
You may be contacted if the user names are unavailable.
I certify the information provided in this application is true and correct.
I understand that the provision of false or misleading information in
this application is an oence. Under s.127 of the Corporation Act 2001,
I have the authority to act on behalf of the organisation listed in this
application and submit this application on their behalf.
COMPANY NUMBER (ACN)
REGISTERED BUSINESS NAME AUSTRALIAN BUSINESS NUMBER
PRINCIPAL PLACE OF ORGANISATION (NOT PO BOX)
A primary delegate is the main contact person for the organisation, who can
access the organisation account through their personal DoTDirect account.
Once the DoTDirect account is created the primary delegate can add other
users to the account.
Are you giving consent to act as the primary
delegate on behalf of the organisation listed?
ORGANISATION DIRECTOR SIGNATURE