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 on the
Roads and Maritime Services website at rms.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
Catalogue No. 45071151 Form No. 1359 (04/2017) 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 you 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 rms.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.
a 5 yr or a 10 yr
Stolen Lost Poor card qualityReason: Not receivedDamaged/Destroyed
Personal details have changed
Change of appearance
APPLICANT DETAILS - PLEASE USE BLOCK LETTERS
Mailing address (if different from residential address)
NSW Licence/Customer number (if applicable) Can you produce your NSW driver licence or NSW Photo card?
You must provide your proof of identity documents
Date of birth
Gender: male female
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?
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Give details below - (Details are not required if it is the same licence/customer number as above)
NSW Licence/Customer/PC number
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
• 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
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Read and complete details below
Roads and Maritime requests your consent to assess your eligibility for a concession. This consent will be used for the sole purpose
of authorising the Department of Human Services - Centrelink or Family and Community Services (FACS) to provide information to
us to assess your eligibility in relation to concessions or services provided by us.
I, (customer name)
authorise the Department of Human Services - Centrelink
or FACS to confirm with Roads and Maritime 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 Roads and
Maritime with the Department of Human Services - Centrelink, or Department of Veterans' Affairs (DVA) records to confirm whether
or not I am currently receiving a Department of Human Services - Centrelink or DVA benefit.
I understand that this consent, once signed, is effective only for the period I am a customer of Roads and Maritime. I also
understand that this consent, which is ongoing, can be revoked any time by giving notice to Roads and Maritime.
I understand that if I withdraw my consent, I may not be eligible for the concessions provided by Roads and Maritime.
A brochure is available from the Department of Human Services - Centrelink that provides more details about the Centrelink
Confirmation eServices or on the department's website at humanservices.gov.au.